DATE: July 9, 2024
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
John Zanoni, Sheriff-Coroner-Public Administrator
SUBJECT: Retroactive Intergovernmental Certification
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive intergovernmental Transfer Certification with the California Department of Health Care Services for voluntary contribution of County non-federal funds to cover the non-federal share of Medicaid eligible expenditures through the Medi-Cal County Inmate Program for State Fiscal Year 2023-24, effective July 1, 2023 through June 30, 2024, estimated total $371,638.
REPORT
Approval of the recommended action will certify the County's use of non-federal funds to reimburse the administration and non-federal share of eligible inpatient hospitalization costs through the California Department of Health Care Services (DHCS) administered Medi-Cal County Inmate Program (MCIP). DHCS implemented the Intergovernmental Transfer (IGT) Certification process as a condition of participating in the program as of FY 2019-20. The IGT Certification certifies that County funds used to reimburse DHCS for the administration and non-federal share of MCIP eligible services qualify for Federal Financial Participation (FFP), pursuant to Title 42 Code of Federal Regulations (CFR) part 433, subpart B, and are not derived from impermissible sources. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, DHCS's Policy and Procedure Letter (PPL) No. 20-016 states that it will result in the immediate revocation of the current MCIP agreements and termination of the County's participation in the MCIP. This would result in the DHCS no longer claiming for FFP under Title XIX of the Social Security Act and therefore, no longer making inpatient medical service provider payments for County adult inmates and juvenile wards. Cost for inpatient medi...
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