For City Council Meeting [February 25, 2020]
TO: Honorable Mayor and City Council
APPROVAL: Rod Foster, City Manager
FROM: Sean Grayson, Fire Chief
Title
Request City Council to Approve and Authorize the Transfer of Public Funds for Participation in the 2018-2019 Medi-Cal Rate Range Intergovernmental Transfer Program authorizing the City Manager or His Designee to Execute Program Documents
(ACTION)
Body
BACKGROUND
The Medi-Cal Rate Range Intergovernmental Transfer (IGT) program provides an opportunity to receive additional State and Federal funds to support the provision of Emergency Medical Services (EMS) and medical transportation for Medi-Cal Managed Care (MMC) beneficiaries served through the City's EMS program. Currently, the City receives reimbursement of approximately 14% of the amount billed for providing care to MMC beneficiaries. This reimbursement is paid through the two State recognized MMC Plan Providers (MMCPP) for San Bernardino County: Inland Empire Health Plan (IEHP), and Molina Healthcare of California (Molina).
By participating in the IGT process, the City will be eligible to receive additional MMC funding to supplement the unreimbursed portion of the amount billed (86%). The program will also provide additional funds to support future services to MMC beneficiaries. The current IGT program agreement period covers FY2018-19. Due to the time necessary for the State to negotiate with plan providers regarding IGT's and increases in payments, the State submits IGT agreements in arrears.
Participation in this program started in 2015, is voluntary, and will require the City Manager or his designee to amend and re-authorize the original agreements annually.
ANALYSIS/DISCUSSION
DHCS administers the State's Medi-Cal program, under which health care services are provided to qualified low-income persons. Existing law provides for Medi-Cal payments to providers of medical services such as the City of Rialto. However, Medi-Cal only pays ...
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