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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