For City Council Meeting [June 12, 2018]
TO: Honorable Mayor and City Council
APPROVAL: Robb R. Steel, Interim City Administrator
FROM: Sean Grayson, Fire Chief
Title
Request City Council to Approve the Intergovernmental Agreement Regarding Transfer of Public Funds between the City and the California Department of Healthcare Services for the service period of July 1, 2017 through June 30, 2018.
Body
BACKGROUND:
The City's costs associated with delivering Emergency Medical Services (EMS) and ambulance transport are offset through fees charged to the users of these services. Due to restrictions on certain publicly provided insurance plans, the City cannot collect the total amount billed for these services from individual policyholders in these plans. However, the City has an opportunity to recover some of these unreimbursed costs from the State by entering a Rate Range Intergovernmental Transfer (IGT) program with the California Department of Healthcare Services (DHCS).
The City has current agreements with two state-designated Medi-Cal Managed Care insurance carriers in San Bernardino County as participants in the IGT program. These include Inland Empire Health Plan (IEHP) and Molina Healthcare of California (MHCC). These agreements memorialize a relationship that currently exists between the parties, which is the City's provision of services to the carrier's beneficiaries, and the carrier's obligation to pay the City for the services up to the allowable rate. The agreements do not include any additional services or additional exchange of funds.
In addition to the provider agreements, the City has entered into an agreement with the DHCS to participate in the IGT program with the contracted providers. In order to participate in the IGT program a new agreement with DHCS is required for each defined service period. The proposed agreement is for the service period of July 1, 2017 through June 30, 2018. Funding may be allocated at a future date at w...
Click here for full text