COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

January 8, 2004

BOARD MEETING DATE:

January 27, 2004

TO:

Honorable Board of Supervisors

FROM:

Nancy Steiger, Chief Executive Officer

SUBJECT:

Amendment 2003-03 to the Agreement with the San Mateo Health

Commission (HPSM)

Recommendation

Adopt a resolution authorizing the President of the Board to execute Amendment 2003-03 to the agreement with the San Mateo Health Commission.

Background

On January 11, 1994, your Board approved an agreement with the San Mateo Health Commission for San Mateo County General Hospital (SMCGH), now San Mateo Medical Center, to serve as a participating hospital in HPSM, the Medi-Cal capitated program. All San Mateo County Medi-Cal patients are automatically enrolled in the HPSM and are assigned to hospital affiliated primary care providers. The term of the agreement was one year, from December 1, 1993 through November 30, 1994.

Collectively, your Board approved 22 more amendments after 1995. These amendments revised fee schedules, adjusted allocations, updated or replaced exhibits, and extended terms.

Discussion

Amendment 2003-03 extends the term of the agreement through December 31, 2004.

Vision Alignment

This agreement with San Mateo Health Commission keeps the commitment of Ensuring Basic Health and Safety for All and goal number 5: Residents have access to healthcare and preventive care. The agreement contributes to this commitment and goal by providing a

mechanism to pay for Medi-Cal reimbursable hospital and medical services provided to San Mateo County Medi-Cal recipients at San Mateo Medical Center.

Fiscal Impact

This amendment has no fiscal impact. This amendment does not reduce the percentage above Medi-Cal that the Health Plan pays providers for outpatient services this calendar year and inpatient per diem rates will remain at current levels.