HomeMy WebLinkAbout2023-66 - Authorizing the Mayor and City Manager, or Designees, to Execute Agreements and Amendments with the Department of Health Care Services (DHCS) and CalOptima to Participate in the Rating Period of January 1, 2022 Through December 31, 2022 Medi-CalRESOLUTION NO. 2023-66
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF NEWPORT BEACH, CALIFORNIA, AUTHORIZING
THE MAYOR AND CITY MANAGER, OR DESIGNEES, TO
EXECUTE AGREEMENTS AND AMENDMENTS WITH
THE DEPARTMENT OF HEALTH CARE SERVICES
(DHCS) AND CALOPTIMA TO PARTICIPATE IN THE
RATING PERIOD OF JANUARY 1, 2022 THROUGH
DECEMBER 31, 2022 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 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 ("City") is a public entity that receives
payment from CalOptima under a current agreement 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 Newport Beach Municipal
Code Chapter 3.36 (Cost Recovery for User Services); and
WHEREAS, the City has participated in seven (7) IGT transactions with transfers
totaling Two Million One Hundred Twenty -Eight Thousand Nine Hundred Ninety -Eight
Dollars and 00/100 ($2,128,998.00) to draw down an additional One Million Five Hundred
Fifty -Five Thousand Three Hundred Fifty -Eight Dollars and 00/100 ($1,555,358.00) in
previously unreimbursed costs.
Resolution No. 2023-66
Page 2 of 3
NOW, THEREFORE, the City Council of the City of Newport Beach resolves as
follows..
Section 1: The City Council does hereby authorize the Mayor, or designee, to
execute (1) the "Intergovernmental Agreement Regarding Transfer of Public Funds" with
DHCS regarding the City's transfer of the IGT amount of Three Hundred Forty -Nine
Thousand Three Hundred Ninety -Three Dollars and 00/100 ($349,393.00) and a twenty
percent (20%) IGT assessment fee of Sixty -Nine Thousand Eight Hundred Seventy -Nine
Dollars and 00/100 ($69,879.00) for the rating period from January 1, 2022 through
December 31, 2022; and (2) the "Health Plan -Provider Agreement Intergovernmental
Transfer Rate Range Program Agreement" with CalOptima regarding the terms upon
which the City will be 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.
Section 2: The City Council does hereby authorize the City Manager, or
designee, to execute any and all amendments to the above referenced agreements with
respect to the terms of the agreements and any additional funds or transfer fees, so long
as such amendments do not extend the terms of such agreements beyond five (5)
additional years of their respective termination dates, and any additional funds or transfer
fees provided by the City do not exceed One Hundred Twenty Thousand Dollars and
00/100 ($120,000.00).
Section 3: The recitals provided in this resolution are true and correct and are
incorporated into the operative part of this resolution.
Section 4: 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.
Resolution No. 2023-66
Page 3 of 3
Section 5: 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, Division 6, Chapter 3,
because it has no potential for resulting in physical change to the environment, directly or
indirectly.
Section 6: 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 14th day of November, 2023.
ATTEST:
Leilani I. Brown ,
City Clerk
APPROVED AS TO FORM:
CITY A TORNEY'S OFFICE
Aaron C. Harp
City Attorney
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. 2023-66 was duly introduced before and adopted by the City Council of said City at a regular meeting
of said Council held on the 14th day of November, 2023; and the same was so passed and adopted by the
following vote, to wit:
AYES: Mayor Noah Blom, Mayor Pro Tern Will O'Neill, Councilmember Brad Avery
Councilmember Robyn Grant, Councilmember Lauren Kleiman, Councilmember
Joe Stapleton, Councilmember Erik Weigand
NAYS: None
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed the official seal of
said City this 15th day of November, 2023.
Leilani I. Brown
City Clerk
Newport Beach, California
54N