HomeMy WebLinkAbout2017-36 - Authorizing the City Manager, or Designee, to Execute Agreements with the Department of Healthcare services (DHCS) and CalOptima to Participate in the FY2015-2016 and FY2016-2017 Medi-Cal Rate Range Intergovernmental Transfer (IGT) ProgramRESOLUTION NO. 2017-36
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 HEALTHCARE SERVICES
(DHCS) AND CALOPTIMA TO PARTICIPATE IN THE FY2015-
2016 AND FY2016-2017 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 participated last year for FY 2014-2015 with
a transfer of $266,191 to draw down an additional $90,363 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 FY2015-2016 IGT amount ($160,513.00) and of
the FY2016-2017 IGT amount ($222,504.00); (2) an "Intergovernmental Transfer
Assessment Fee Agreement" with DHCS regarding the City's payment of a twenty percent
IGT assessment fee for FY2015-2016 ($32,103.00) and for FY2016-2017 ($44,501.00) for
administering the City's participation in the IGT program; and (3) 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. 2017-36
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 resolyrtion. /%
ADOPTED this 23rd day of May, 2017.
ATTEST:
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Leilani I. Brown
City Clerk
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
Aaron C. Harp
City Attorney
Kevin
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; that the foregoing resolution, being Resolution
No. 2017-36 was duly introduced before and adopted by the City Council of said City at a regular meeting
of said Council held on the 23rd day of May, 2017, and that the same was so passed and adopted by the
following vote, to wit:
AYES: Council Member Jeff Herdman, Council Member Brad Avery, Council Member Diane
Dixon, Council Member Will O'Neill, Mayor Pro Tem Duffy Duffield, Mayor Kevin Muldoon
NAYS: Council Member Scott Peotter
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed the official seal of
said City this 241^ day of May, 2017.
AZ6 - V' �
Leilani I. Brown
City Clerk
Newport Beach, California
(Seal)