HomeMy WebLinkAbout2021-110 - 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, 2021 through December 31, 2021 Medic-CRESOLUTION NO. 2021-110
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, 2021 THROUGH
DECEMBER 31, 2021 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 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 of Newport Beach has participated in six (6) IGT transactions
with transfers totaling One Million Eight Hundred Eighteen Thousand Eight Hundred and
Twenty One Dollars and 00/100 ($1,818,821.00) to draw down an additional One Million
Twenty Seven Thousand Three Hundred Twenty Eight Dollars and 00/100
($1,027,328.00) in previously unreimbursed costs.
Resolution No. 2021-110
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) an "Intergovernmental Agreement Regarding Transfer of Public Funds" with
DHCS regarding the City's transfer of the rating period from January 1, 2021 through
December 31, 2021 IGT amount of Two Hundred Fifty Eight Thousand Four Hundred
Eighty One Dollars and 00/100 ($258,481.00) and twenty percent (20%) IGT assessment
fee of Fifty One Thousand Six Hundred Ninety Six Dollars and 00/100 ($51,696.00); 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.
Section 2: The City Council does hereby authorize the City Manager, or
designee, to execute any amendments to the above referenced (1) "Intergovernmental
Agreement Regarding Transfer of Public Funds" and (2) "Health Plan -Provider
Agreement Intergovernmental Transfer Rate Range Program" agreement with respect to
the term of the agreements and any additional funds or transfer fees, so long as such
amendments do not extend the term 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. 2021-110
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 16th day of November, 2021.
ATTEST:
d6hLk
Leilani I. Brown
City Clerk
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
C -
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. 2021-110 was duly introduced before and adopted by the City Council of said City at a regular
meeting of said Council held on the 16th day of November, 2021; and the same was so passed and
adopted by the following vote, to wit:
AYES: Mayor Brad Avery, Mayor Pro Tem Kevin Muldoon, Council Member Noah Blom,
Council Member Joy Brenner, Council Member Diane Dixon, Council Member
Duffy Duffield, Council Member Will O'Neill
NAYS: None
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed the official seal of
said City this 171h day of November, 2021.
Leilani I. Brown
City Clerk
Newport Beach, California