File #: A 20-408    Name: Health Plan-Provider Agreement Amendment Thirty-Four
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 9/28/2020 In control: Board of Supervisors
On agenda: 10/13/2020 Final action: 10/13/2020
Title: a. Ratify execution by the Chief Executive Officer for the Natividad Medical Center ("NMC") of a Letter of Interest, dated February 19, 2020, 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 July 1, 2019, to December 31, 2020, 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; b. Authorize the Deputy Purchasing Agent of NMC 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 July 1, 2019, to December 31, 2020, pursuant to Sections 14164 and 14301.4(b)(4) of the Welfare & Instituti...
Attachments: 1. Board Report, 2. Attachment A -Letter of Interest .pdf, 3. 2019-20 IGT Agreement #19-96441.pdf, 4. Health Plan-Provider Agreement Amendment Thirty-Four.pdf, 5. Item No. 23 Completed Board Order
Title
a. Ratify execution by the Chief Executive Officer for the Natividad Medical Center ("NMC") of a Letter of Interest, dated February 19, 2020, 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 July 1, 2019, to December 31, 2020, 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;
b. Authorize the Deputy Purchasing Agent of NMC 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 July 1, 2019, to December 31, 2020, pursuant to Sections 14164 and 14301.4(b)(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, for a total amount not to exceed $13,200,000, plus a 20 % assessment fee applicable to non-exempt funds; and
c. Authorize the Deputy Purchasing Agent of NMC to execute amendments to the Health Plan-Provider Agreement with the Monterey-Santa Cruz-Merced Managed Medical Care Commission d/b/a Central California Alliance for Health ("CCAH") to provide for Medi-Cal managed care rate payment increases to NMC for healthcare services rendered in the period of July 1, 2019 to December 31, 2020, at no less than 76.12% of the available rate increases specific to Medi-Cal Plan enrollees in Monterey County.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Ratify execution by the Chief Executive Officer for the Natividad Medical Center ("NMC") of a Letter of Interest, dated February 19, 2020, to the California Department of Health Car...

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