Title
Adopt a Resolution to:
a. Authorize the Auditor - Controller to transfer up to $5,366,926 from Fund 023, Appropriation Unit HEA017, to the applicable Department or Bureaus as shown in Attachment A to cover the resources expended for the Whole Person Care Pilot Program, where sufficient appropriations are available in the HEA017 Health 2017-18 adopted budget to cover the transfers (4/5th vote required); and
b. Authorize the Auditor - Controller to transfer up to $2,683,463 from the applicable Department or Bureaus as shown in Attachment B to Fund 023, Appropriation Unit HEA017 to cover the Inter-Governmental Transfer necessary for the drawdown of Federal Funds for the Whole Person Care Pilot Program, where sufficient appropriations in the 2017-18 adopted budget are available to cover the transfers (4/5th vote required); and
c. Authorize the Auditor - Controller to transfer up to $8,815,814 from Fund 023, Appropriation Unit HEA017, to the applicable Department or Bureaus as shown in Attachment C to cover the resources expended for the Whole Person Care Pilot Program, where sufficient appropriations are available in the HEA 017 Health 2018-19 adopted budget to cover the transfers (4/5th vote required); and
d. Authorize the Auditor - Controller to transfer up to $4,407,907 from the applicable Department or Bureaus as shown in Attachment D to Fund 023, Appropriation Unit HEA017 to cover the Inter-Governmental Transfer necessary for the drawdown of Federal Funds for the Whole Person Care Pilot Program, where sufficient appropriations in the 2018-19 adopted budget are available to cover the transfers (4/5th vote required).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors adopt a Resolution to:
a. Authorize the Auditor - Controller to transfer up to $5,366,926 from Fund 023, Appropriation Unit HEA017, to the applicable Department or Bureaus as shown in Attachment A to cover the resources expended for the Whole Person Care Pilot Program, where sufficient appropriations are available in the HEA017 Health 2017-18 adopted budget to cover the transfers (4/5th vote required); and
b. Authorize the Auditor - Controller to transfer up to $2,683,463 from the applicable Department or Bureaus as shown in Attachment B to Fund 023, Appropriation Unit HEA017 to cover the Inter-Governmental Transfer necessary for the drawdown of Federal Funds for the Whole Person Care Pilot Program, where sufficient appropriations in the 2017-18 adopted budget are available to cover the transfers (4/5th vote required); and
c. Authorize the Auditor - Controller to transfer up to $8,815,814 from Fund 023, Appropriation Unit HEA017, to the applicable Department or Bureaus as shown in Attachment C to cover the resources expended for the Whole Person Care Pilot Program, where sufficient appropriations are available in the HEA 017 Health 2018-19 adopted budget to cover the transfers (4/5th vote required); and
d. Authorize the Auditor - Controller to transfer up to $4,407,907 from the applicable Department or Bureaus as shown in Attachment D to Fund 023, Appropriation Unit HEA017 to cover the Inter-Governmental Transfer necessary for the drawdown of Federal Funds for the Whole Person Care Pilot Program, where sufficient appropriations in the 2018-19 adopted budget are available to cover the transfers (4/5th vote required).
SUMMARY/DISCUSSION:
On November 1, 2016, the Monterey County Board of Supervisors approved participation in the California Department of Health Care Services (DHCS) Medi-Cal 2020 Demonstration Waiver Whole Person Care Pilot Program (WPC Pilot). The Whole Person Care Pilot Program is a five-year program which began on January 1, 2016 and expires on December 31, 2021 to test locally-based initiatives that will coordinate physical health, behavioral health, and social services for vulnerable Medi-Cal beneficiaries and develop a plan for multi-agency collaboration, multi-disciplinary team approach for the provision of services that support the “whole” person vs the individual.
The Monterey County Health Department (MCHD) is the fiscal lead in the WPC Pilot project working County partners such as Public Health, Behavioral Health, Social Services, and Natividad. The WPC Pilot is funded by a combination of County and State funds commonly known as intergovernmental transfer (IGT) funds. County funds are the required match to meet the non-federal share obligation for the program. These IGTs are transferred to DHCS on a bi-annual basis which are then matched by DHCS dollar-for-dollar and transferred back to the County. To centralize program revenues and costs, the Whole Person Care Unit was set up within Fund 023, Budget Unit 8473, Appropriation Unit HEA017. Participating County partner’s setup their own reporting units or program within their budgets and are required to transfer their share of the IGT. Additionally, once the matching funds are received from DHCS, they are deposited into fund 023 Budget Unit 8473 and then transferred out to the applicable Department or Bureau.
This report seeks approval to authorize the Auditor - Controller to transfer each County partner’s share of IGT funds to the Whole Person Care Budget Unit and once the federal funds are received to transfer the revenue from the Whole Budget Unit to each corresponding County partner as described in Attachments A through D. No increase in appropriations are requested as part of this action since County partners included the funding in their corresponding adopted budget for each Fiscal Year; however, prior to the transfers taking place approval from the Board is required. The Budget Committee supported this action during their July 25, 2018 meeting.
The Whole Person Care Pilot and this report support the Monterey County Health Department Strategic Plan Initiative: 3) Ensure access to culturally and linguistically appropriate, customer friendly, quality health service, and it support one or more of the ten essential public health services: 4) Develop policies and plans that support individual and community health efforts; 7) Link people to needed personal health services and assure the provision of health care when otherwise unavailable; and 9) Mobilize community partnership and action to identify and solve health problems.
OTHER AGENCY INVOLVEMENT:
Department’s Administration, Behavioral Health, Clinics and Public Health Bureaus provide services and report progress to DHCS as well as provide matching IGT funds to drawdown federal funds. The Budget Committee supported this action during their July 25, 2018 meeting.
FINANCING:
Financing for this request was included in each Department and Bureau’s FY2017-2018 and FY2018-2019 budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Fabricio Chombo, Finance Manager I, x6343
Approved by: Ezequiel Vega, Assistant Director of Health, x4622
Attachments:
Attachment A is on file with the Clerk of the Board
Attachment B is on file with the Clerk of the Board
Attachment C is on file with the Clerk of the Board
Attachment D is on file with the Clerk of the Board
Resolution is file with the Clerk of the Board