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File #: 21-0620    Version: 2
Type: Consent - Agreements Status: Passed
File created: 10/27/2021 In control: City Council
On agenda: 11/9/2021 Final action: 11/9/2021
Title: Participation in a one-time Intergovernmental Transfer with the California Department of Health Care Services and Cal Optima.
Attachments: 1. Staff Report, 2. Intergovernmental Agreement regarding transfer of public funds between the City of Orange and DHCS, 3. Provider Agreement between the City of Orange and CalOptima
TO: Honorable Mayor and Members of the City Council

THRU: Thomas R. Hatch, Interim City Manager

FROM: Sean deMetropolis, Fire Chief


1. SUBJECT
title
Participation in a one-time Intergovernmental Transfer with the California Department of Health Care Services and Cal Optima.
body
2. SUMMARY
A request for City Council approval to participate in a one-time Intergovernmental Transfer for the twelve month period ending December 31, 2021 to access additional Federal Medicaid dollars to support unreimbursed care.
3. RECOMMENDED ACTION
recommendation
1. Approve agreements with the California Department of Health Care Services and Cal Optima in the amount of $487,146, representing $405,955 in unreimbursed Medicare revenue plus an $81,191 assessment fee, for a one-time Intergovernmental Transfer; and authorize the Mayor and City Clerk to execute on behalf of the City.
2. Authorize the transfer of $ 487,146 of reimbursable funds to the California Department of Health Care Services.
end
4. FISCAL IMPACT
Reimbursable funds of $487,146 will be advanced to obtain previously unreimbursed Medicaid revenue of approximately $812,000. Funds are available in the General Fund (100).
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 and use them 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 ...

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