File #: A 19-071    Name: IGT Agreements
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 4/1/2019 In control: Board of Supervisors
On agenda: 4/23/2019 Final action:
Title: a. Authorize the Deputy Purchasing Agent of Natividad Medical Center to enter into revised Intergovernmental Transfer of Public Funds and Intergovernmental Transfer Assessment Fee agreements (collectively the "IGT Implementation Agreements") applicable to Fiscal Year 2016-17 between the County and the State DHCS, which extend the agreements' expiration date from June 30, 2019, to December 31, 2020. b. Authorize the Deputy Purchasing Agent of Natividad Medical Center to enter into subsequent revised IGT Implementation Agreements applicable to FY 2016-17, to increase the maximum amount of fund transfers by up to a total aggregate increased amount of $1,200,000, should such increases be determined necessary upon completion of State DHCS' financial reconciliation under the applicable agreements.
Attachments: 1. Board Report, 2. Intergovernmental Transfer Assessment Fee Agrmt (#16-93707 A1), 3. Intergovernmental Agrmt re Transfer of Public Funds (#16-93676 A1), 4. Intergovernmental Agrmt re Transfer of Public Funds (AB 85)(#16-93925 A1), 5. Completed Board Order
Title
a. Authorize the Deputy Purchasing Agent of Natividad Medical Center to enter into revised Intergovernmental Transfer of Public Funds and Intergovernmental Transfer Assessment Fee agreements (collectively the "IGT Implementation Agreements") applicable to Fiscal Year 2016-17 between the County and the State DHCS, which extend the agreements' expiration date from June 30, 2019, to December 31, 2020.
b. Authorize the Deputy Purchasing Agent of Natividad Medical Center to enter into subsequent revised IGT Implementation Agreements applicable to FY 2016-17, to increase the maximum amount of fund transfers by up to a total aggregate increased amount of $1,200,000, should such increases be determined necessary upon completion of State DHCS' financial reconciliation under the applicable agreements.
Report
It is recommended that the Board of Supervisors:

a. Authorize the Deputy Purchasing Agent of Natividad Medical Center to execute one or more revised agreements applicable to Fiscal Year 2016-17 with the California Department of Health Care Services (State DHCS), which enable the provision of public funds for use as the nonfederal share of supplemental Medi-Cal managed care capitation rate payments to the Central California Alliance for Health (CCAH), (1) extending the term of the 2015-16 - 2016-17 Intergovernmental Agreement Regarding Transfer of Public Funds (Rate Range), State DHCS No. 16-93676, by eighteen months to facilitate completion of necessary financial reconciliations by State DHCS; and (2) increasing the maximum limit on total fund transfers for Fiscal Year 2016-17 by an amount up to $900,000, to the extent such increase is determined necessary upon completion of State DHCS' financial reconciliation under the agreement;
b. Authorize the Deputy Purchasing Agent of Natividad Medical Center to execute one or more revised agreements with California Department of Health Care Services (State DHCS), which implements the assessment fee associated with the ...

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