Title
Approve and authorize the Chief Executive Officer of Natividad Medical Center (NMC) to sign an Agreement with Salinas Valley Memorial Healthcare System ("District"), for the period March 1, 2013 through December 31, 2016, for the establishment of the claiming process, procedures and related obligations of the parties under which the County will submit claims prepared by the District for the federal matching funds associated with District's unreimbursed costs and pay those federal funds received to the District as supplemental payment for covered services rendered to ViaCare Low Income Health Program ("LIHP") enrollees.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors approve and authorize the Chief Executive Officer of Natividad Medical Center to sign an Agreement with Salinas Valley Memorial Healthcare System ("District"), for the period March 1, 2013 through December 31, 2016, for the establishment of the claiming process, procedures and related obligations of the parties under which the County will submit claims prepared by the District for the federal matching funds associated with District's unreimbursed costs and pay those federal funds received to the District as supplemental payment for covered services rendered to ViaCare Low Income Health Program ("LIHP") enrollees.
SUMMARY:
On November 2, 2010, the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services ("CMS"), approved the State of California's Section 1115 Medicaid Waiver Proposal, Bridge to Reform Demonstration Project ("Demonstration"), as a transition to federal health care reform. Pursuant to the Special Terms and Conditions (STCs") of the Demonstration and Section 15909, et seq., of the Welfare and Institutions Code, the County contracted with the State Department of Health Services ("DHCS") to operate a Low Income Health Program known as ViaCare Monterey County ("ViaCare"). The County is eligible for federal funding f...
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