DATE: May 8, 2018
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: FY 2018-19 Medi-Cal County Inmate Program
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement with California Department of Health Care Services for the Medi-Cal County Inmate Program for FY 2018-19, effective July 1, 2018 through June 30, 2019 ($2,306,842).
REPORT
Approval of the recommended action will allow medical providers to seek reimbursement from the California Department of Health Care Services (DHCS) Medi-Cal County Inmate Program (MCIP) for covered inpatient hospital services (covered services) rendered to eligible County adult inmates and juvenile wards (eligible inmates) from July 1, 2018 through June 30, 2019 for FY 2018-19. The agreement must be entered into annually in order to allow providers to seek reimbursement for MCIP services to eligible inmates, with no increase in Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, providers would not be reimbursed by DHCS for covered services provided to eligible inmates who are incarcerated at Fresno County Detention Facilities and the Juvenile Justice Campus. Furthermore, the County would retain responsibility for payment to providers for these services.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum compensation is $2,306,842. DHCS will charge the County an annual administrative fee of $6,842, which is based on a methodology specified in the proposed agreement. DHCS will charge the County for the non-federal portion of the Medi-Cal fee-for-service reimbursed to medical providers not to exceed $2,300,000. Sufficient appropriations and estimated revenues will be included in the Department of Public Health's Org 5620 FY 2018-19 budget request.
DISCUSSION:
Federal law generally prohibits claiming Medicaid fu...
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