Title
Receive an update oral report on "Via Care," Monterey County's contemplated Low Income Health Plan (LIHP) from the Director of Health and the CEO of Natividad Medical Center (NMC).
Report
RECOMMENDATIONS:
It is recommended that the Board of Supervisors receive an update oral report on "Via Care," Monterey County's contemplated Low Income Health Plan (LIHP) from the Director of Health and the CEO of Natividad Medical Center.
SUMMARY/DISCUSSION:
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 relative to the state's Realignment program for all County's 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 and the Auditor Controller's office on this program and 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.
Prepared by: Harry Weis
Approved by: Harry Weis
Ray Bullick