Title
Receive a written update on Monterey County’s Low Income Health Plan (LIHP) “Via Care” and its Medically Indigent Adult Program from the CEO of Natividad Medical Center (NMC) and the Director of Health.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors receive a written report on Monterey County’s Low Income Health Plan (LIHP) “Via Care” and its Medically Indigent Adult Program. Consider the short and long term financial consequences of implementation; the options contained in the report and provide direction to staff.
SUMMARY:
The Health Department, the Department of Social and Employment Services (DSES), and NMC leadership have actively worked on a new Low Income Health Plan for Monterey County. There are several important new findings as outlined in this report relative to the state’s Realignment program for all Counties in CA and relative to the “Waiver” legislation for CA which need strong consideration before a final recommendation on the LIHP is made.
OTHER AGENCY INVOLVEMENT:
The Health Department, NMC and DSES have also consulted with the CAO’s office on this program and the new findings.
FINANCING:
The original concept for funding the LIHP was to use funds from the Health Department and NMC which in total would not exceed 14,000,000. After the appropriate Cost Report or P 14 filings with the Center’s for Medicare and Medicaid Services (CMS), it was originally anticipated that 7,000,000 of “incremental” reimbursement would be received after these County reports are audited and approved by CMS documenting expenses of 14,000,000. The new findings are making the “incremental” reimbursement less convincing.
The current statutorily established maintenance of effort (MOE) for health is approximately $3.37 million. The application as submitted would increase the mandated MOE to approximately $13.3 million. It is unknown if the state would accept a revised MOE to the current MOE for realignment.
Prepared by: Harry ...
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