COUNTY OF SAN MATEO

COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

February 5, 2008

BOARD MEETING DATE:

February 26, 2008

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Sang-ick Chang, MD, Chief Executive Officer,
San Mateo Medical Center

SUBJECT:

Agreement with San Mateo Health Commission, dba Health Plan of San Mateo

RECOMMENDATION:

Adopt a resolution authorizing the execution of an Agreement with San Mateo Health Commission for the provision of Medi-Cal Services for Health Plan of San Mateo (HPSM) clients for the term January 1, 2007 to December 31, 2009

VISION ALIGNMENT:

Commitment: Ensure Basic Health and Safety for All.

Goal 5: Provide residents 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 (SMMC).

Performance Measure(s):

Measure

FY 2006-07
Actual

FY 2007-08
Projected

FY 2008-09
Projected

Number of Medi-Cal recipients treated at SMMC

14,500

14,000 – 15,000

14,280 – 15,300

The number of projected Medi-Cal recipients for FY 2008-09 is consistent with the work of the Health Systems Re-Design Team.

BACKGROUND:

SMMC has contracted with HPSM since January 1994. The Agreement provides for the care of inpatient, outpatient and emergency services patients who are eligible to receive Medi-Cal Benefits. HPSM reimburses SMMC for providing such care. The Board has approved numerous amendments to the initial Agreement.

DISCUSSION:

Pursuant to its new Agreement with HPSM, the County will continue to provide medical services for HPSM-covered Medi-Cal Benefits recipients and all other services as designated in the Agreement.

HPSM will reimburse SMMC for services rendered at the rate of 123% of the prevailing Medi-Cal reimbursement rates or pursuant to HPSM’s fee schedule, whichever is higher.

The Agreement is for a three year term, from January 1, 2007 to December 31, 2009. It will then automatically renew for successive twelve month periods on the same terms and conditions, subject to any subsequent amendments, unless terminated pursuant to the terms of this Agreement.

County Counsel has reviewed and approved this Agreement.

FISCAL IMPACT:

The initial term of the Agreement is January 1, 2007 to December 31, 2009. Funds received from HPSM during FY 2006-07 totaled $10,044,691. The anticipated revenue for FY 2007-08 is $11,832,102 and is included in the Adopted Budget.

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

BOARD MEETING DATE:

SPECIAL NOTICE/HEARING:

VOTE REQUIRED:

TO:

FROM:

SUBJECT:

RECOMMENDATION:

VISION ALIGNMENT:

Commitment: Ensure Basic Health and Safety for All.

Goal 5: Provide residents access to healthcare and preventive care.

Performance Measure(s):

Measure

FY 2006-07
Actual

FY 2007-08
Projected

FY 2008-09
Projected

Number of Medi-Cal recipients treated at SMMC

14,500

14,000 – 15,000

14,280 – 15,300

BACKGROUND:

DISCUSSION:

FISCAL IMPACT:



COUNTY OF SAN MATEO Inter-Departmental Correspondence
San Mateo Medical Center

DATE:				February 5, 2008
BOARD MEETING DATE:				February 26, 2008
SPECIAL NOTICE/HEARING:				None
VOTE REQUIRED:				Majority

TO:	Honorable Board of Supervisors
FROM:	Sang-ick Chang, MD, Chief Executive Officer, San Mateo Medical Center
SUBJECT:	Agreement with San Mateo Health Commission, dba Health Plan of San Mateo

RECOMMENDATION:
Adopt a resolution authorizing the execution of an Agreement with San Mateo Health Commission for the provision of Medi-Cal Services for Health Plan of San Mateo (HPSM) clients for the term January 1, 2007 to December 31, 2009

VISION ALIGNMENT:
Commitment: Ensure Basic Health and Safety for All.
Goal 5: Provide residents 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 (SMMC).

Performance Measure(s):
Measure		FY 2006-07 Actual	FY 2007-08 Projected		FY 2008-09 Projected
Number of Medi-Cal recipients treated at SMMC		14,500	14,000 – 15,000		14,280 – 15,300

The number of projected Medi-Cal recipients for FY 2008-09 is consistent with the work of the Health Systems Re-Design Team.



BACKGROUND:
SMMC has contracted with HPSM since January 1994. The Agreement provides for the care of inpatient, outpatient and emergency services patients who are eligible to receive Medi-Cal Benefits. HPSM reimburses SMMC for providing such care. The Board has approved numerous amendments to the initial Agreement.

DISCUSSION:
Pursuant to its new Agreement with HPSM, the County will continue to provide medical services for HPSM-covered Medi-Cal Benefits recipients and all other services as designated in the Agreement. HPSM will reimburse SMMC for services rendered at the rate of 123% of the prevailing Medi-Cal reimbursement rates or pursuant to HPSM’s fee schedule, whichever is higher. The Agreement is for a three year term, from January 1, 2007 to December 31, 2009. It will then automatically renew for successive twelve month periods on the same terms and conditions, subject to any subsequent amendments, unless terminated pursuant to the terms of this Agreement. County Counsel has reviewed and approved this Agreement.

FISCAL IMPACT:
The initial term of the Agreement is January 1, 2007 to December 31, 2009. Funds received from HPSM during FY 2006-07 totaled $10,044,691. The anticipated revenue for FY 2007-08 is $11,832,102 and is included in the Adopted Budget.