TO: Honorable Mayor and Members of the City Council
THRU: Tom Kisela, City Manager
FROM: Sean deMetropolis, Fire Chief
1. SUBJECT
title
Increase a one-time Intergovernmental Transfer for Fiscal Year 2024-2025 with the California Department of Health Care Services and CalOptima.
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2. SUMMARY
A request for City Council approval to increase the total amount of one-time Intergovernmental Transfer for the twelve-month period ending December 31, 2023, to access additional Federal Medicaid dollars to support unreimbursed care.
3. RECOMMENDED ACTION
recommendation
Authorize an increase in the advancement of $42,674 from the General Fund (100) to the California Department of Health Care Services.
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4. FISCAL IMPACT
The General Fund (100) will advance the Department of Health Care Services $42,674 to combine with the previously approved $694,640; however, the City will receive a total return of $1,316,872, which includes the initial advance and the City's $579,558 share of unreimbursed Medicaid funds from the Intergovernmental Transfer revenue. The expense for this advancement will be funded through General Fund (100):
100.11025 Miscellaneous Receivables
5. STRATEGIC PLAN GOALS
Goal 1: Provide for a Safe Community
b: Provide and maintain infrastructure necessary to ensure the safety of the public.
Goal 2: Be a Fiscally Healthy Community
a: Expend fiscal resources responsibly.
6. DISCUSSION AND BACKGROUND
An Intergovernmental Transfer (IGT) allows California's Medi-Cal managed care plans to partner with local units of government to access additional federal Medicaid dollars to support unreimbursed care and provide health care services. Since the City provides ambulance transport services and has unreimbursed Medicaid expenses, it became eligible to participate in the IGT program in Fiscal Year 2014-2015 (FY15). Currently, the University of California, Irvine (UCI), the City of Newport Beach, and the City of Orange are participants. In Fiscal Year 2...
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