Legislation Details

File #: A 26-365    Name: IGT Agreement County of Monterey dba Natividad Medical Center
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 8/19/2026 In control: Board of Supervisors
On agenda: 9/22/2026 Final action:
Title: a. Ratify execution by the Interim Chief Executive Officer (“CEO”) for Natividad Medical Center (“Natividad”) or a designee of two Letters of Interest to the California Department of Health Care Services (“State DHCS”), confirming the interest of the County of Monterey d/b/a NMC (“County”) in working with State DHCS to participate in the Voluntary Rate Range Program for the period of January 1, 2025, to December 31, 2025, including providing a Medi-Cal managed care rate range Intergovernmental Transfer of Public Funds (“IGT”) to fund the nonfederal share of Medi-Cal managed care actuarially sound capitation rate payments; and b. Authorize the Interim CEO for Natividad or a designee to execute the implementing IGT Agreement between the County and the State DHCS to fund the nonfederal share of Medi-Cal managed care actuarially sound capitation rate payments for healthcare services rendered in the period of January 1, 2025, to December 31, 2025, plus a 20 % assessment fee applicable to n...
Attachments: 1. Board Report, 2. NMC-CCAH_CY 2025 Attachment A - VRRP LOI -Final, 3. NMC-CalViva_CY 2025 Attachment A - VRRP LOI -Final, 4. IGT-25-0037 County of Monterey dba Natividad MC
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Title
a. Ratify execution by the Interim Chief Executive Officer (“CEO”) for Natividad Medical Center (“Natividad”) or a designee of two Letters of Interest to the California Department of Health Care Services (“State DHCS”), confirming the interest of the County of Monterey d/b/a NMC (“County”) in working with State DHCS to participate in the Voluntary Rate Range Program for the period of January 1, 2025, to December 31, 2025, including providing a Medi-Cal managed care rate range Intergovernmental Transfer of Public Funds (“IGT”) to fund the nonfederal share of Medi-Cal managed care actuarially sound capitation rate payments; and
b. Authorize the Interim CEO for Natividad or a designee to execute the implementing IGT Agreement between the County and the State DHCS to fund the nonfederal share of Medi-Cal managed care actuarially sound capitation rate payments for healthcare services rendered in the period of January 1, 2025, to December 31, 2025, plus a 20 % assessment fee applicable to non-exempt funds, pursuant to Sections 14164 and 14301.4 of the Welfare & Institutions Code, in substantially the same form as that which has been presented to the Board without significant change to its content.

Report
RECOMMENDATION:

It is recommended that the Board of Supervisors:

a. Ratify execution by the Interim Chief Executive Officer (“CEO”) for Natividad Medical Center (“Natividad”) or a designee of two Letters of Interest to the California Department of Health Care Services (“State DHCS”), confirming the interest of the County of Monterey d/b/a NMC (“County”) in working with State DHCS to participate in the Voluntary Rate Range Program for the period of January 1, 2025, to December 31, 2025, including providing a Medi-Cal managed care rate range Intergovernmental Transfer of Public Funds (“IGT”) to fund the nonfederal share of Medi-Cal managed care actuarially sound capitation rate payments; and
b. Authorize the Interim CEO for Natividad or a designee to execu...

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