RESOLUTION NO. _____________

BOARD OF SUPERVISORS, COUNTY OF SAN MATEO, STATE OF CALIFORNIA

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RESOLUTION AUTHORIZING EXECUTION OF

AMENDMENT 2004-1 TO THE AGREEMENT WITH THE

SAN MATEO HEALTH COMMISSION

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RESOLVED, by the Board of Supervisors of the County of San Mateo, State of California, that

WHEREAS, there has been presented to this Board of Supervisors for its consideration and acceptance amendment to the agreement, reference to which is hereby made for further particulars, whereby the San Mateo Health Commission will continue to pay for Medi-Cal reimbursable hospital and medical services provided to San Mateo County Medi-Cal recipients at San Mateo Medical Center; and

WHEREAS, Amendment 2004-1does the following: 1) Adjusts the full capitation allocations to reflect the CFY 2004 Budget Adjustments made by the Commission, 2) Modifies the risk sharing and withholds provisions to avoid a negative impact on hospitals as a result of the Commissions actions at its May 12, 2004 meeting, 3) Reduces the amount of the Medicare Part A deductible HPSM pays for inpatient admissions by 50% with cap on the total reduction in the next 12 months (Medi-Cal fee-for-service does not pay any of the Medicare deductible), 4) Cleans up language to make the sending of notices more cost effective and efficient, and 5) Updates the list of AID Codes in Exhibit 3A to be consistent with the Medi-Cal program, 6) Provides two supplemental payments of $1,343,500 each to San Mateo Medical Center as outlined in subsection (8), under Section C of Exhibit 2, and 7) Increases the Acute Medical/Surgical Day to $1,502 for up to 3,600 inpatient days in calendar year 2004; and

WHEREAS, this Board has been presented with a form of the Amendment to the Agreement and has examined and approved it as to both form and content and desires to enter into the Amendment to the Agreement:

NOW THEREFORE, IT IS HEREBY DETERMINED AND ORDERED that the President of this Board of Supervisors be, and is hereby authorized and directed to execute said Amendment to the Agreement for and on behalf of the County of San Mateo, and the Clerk of this Board shall attest the President's signature thereto.

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