HomeMy WebLinkAbout2018-53 - Authorizing The City Manager, or Designee, to Execute Agreements with the Department of Health Care Services (DHCS) And Caloptimat to Participate in the Fiscal Year 2017-2018 Medi-Cal Rate Range Intergovernmental Transfer (IGT) ProgramRESOLUTION NO. 2018-53
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
NEWPORT BEACH, CALIFORNIA, AUTHORIZING THE
CITY MANAGER, OR DESIGNEE, TO EXECUTE
AGREEMENTS WITH THE DEPARTMENT OF HEALTH
CARE SERVICES (DHCS) AND CALOPTIMA TO
PARTICIPATE IN THE FISCAL YEAR 2017-2018 MEDI-CAL
RATE RANGE INTERGOVERNMENTAL TRANSFER (IGT)
PROGRAM
WHEREAS, since 2006, the California Department of Health Care Services
("DHCS") has offered local governments that provide health care the opportunity to
secure additional Medi—Cal revenues by participating in a voluntary Intergovernmental
Transfer ("IGT") Program with their local Medi -Cal managed care plan;
WHEREAS, CalOptima is a County Organized Health System ("CONS") created
by the Orange County Board of Supervisors to serve as the local Medi -Cal managed care
plan for Orange County;
WHEREAS, CalOptima contracts with the State of California to administer
additional Medi -Cal revenues to qualified public entities to offset previously unreimbursed
costs for serving Medi -Cal plan members;
WHEREAS, the City of Newport Beach is a public entity that receives payment
from CalOptima for the provision of emergency medical transport services to CalOptima
members on a fee-for-service basis and has unreimbursed costs associated with
providing these services;
WHEREAS, participation in the IGT Program with CalOptima represents an
opportunity to recover previously unreimbursed costs in an effort to reach full cost
recovery for Emergency Medical Services in accordance with City of Newport Beach
Municipal Code Chapter 3.36; and
WHEREAS, the City of Newport Beach has participated in three (3) IGT
transactions with transfers totaling $725,812 to draw down an additional $305,110 in
previously unreimbursed costs.
NOW, THEREFORE, the City Council of the City of Newport Beach resolves as
follows:
Section 1: The City Council does hereby authorize the City Manager, or designee,
to execute (1) an "Intergovernmental Agreement Regarding Transfer of Public Funds"
with DHCS regarding the City's transfer of the FY2017-2018 IGT amount ($227,514) and
twenty percent (20%) IGT assessment fee ($45,503); and (2) a "Health Plan -Provider
Agreement Intergovernmental Transfer Rate Range Program" agreement with CalOptima
regarding the terms upon which the City is paid its previously unreimbursed costs for
providing transport services to Medi -Cal plan members plus the additional federal funds
made available as a result of participation in the IGT program.
Resolution No. 2018-53
Page 2 of 2
Section 2: The recitals provided in this resolution are true and correct and are
incorporated into the operative part of this resolution.
Section 3: If any section, subsection, sentence, clause or phrase of this resolution
is, for any reason, held to be invalid or unconstitutional, such decision shall not affect the
validity or constitutionality of the remaining portions of this resolution. The City Council
hereby declares that it would have passed this resolution, and each section, subsection,
sentence, clause or phrase hereof, irrespective of the fact that any one or more sections,
subsections, sentences, clauses or phrases be declared invalid or unconstitutional.
Section 4: The City Council finds the adoption of this resolution is not subject to
the California Environmental Quality Act ("CEQA") pursuant to Sections 15060(c)(2) (the
activity will not result in a direct or reasonably foreseeable indirect physical change in the
environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378)
of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it
has no potential for resulting in physical change to the environment, directly or indirectly.
Section 5: This resolution shall take effect immediately upon its adoption by the
City Council, and the City Clerk shall certify the vote adopting the resolution.
ADOPTED this 10th day of July, 2018.
ATTEST:
(&ot�
Leilani I. Brown
City Clerk
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
Aaron C. Harp
City Attorney
G -i
Marshall "DW'Duffield
Mayor
STATE OF CALIFORNIA }
COUNTY OF ORANGE } ss.
CITY OF NEWPORT BEACH }
I, Leilani I. Brown, City Clerk of the City of Newport Beach, California, do hereby certify that the
whole number of members of the City Council is seven; the foregoing resolution, being Resolution
No. 2018-53 was duly introduced before and adopted by the City Council of said City at a regular meeting
of said Council held on the 10th day of July, 2018, and the same was so passed and adopted by the
following vote, to wit:
AYES: Council Member Herdman, Council Member Kevin Muldoon, Council Member Diane
Dixon, Council Member Scott Peotter, Council Member Brad Avery, Mayor Pro Tem Will
O'Neill, Mayor Duffy Duffield
NAYS: None
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed the official seal of
said City this 110 day of July, 2018.
Lei ani I. Brown
City Clerk
Newport Beach, California