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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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April 26, 2010
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BOARD MEETING DATE:
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June 29, 2010
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Jean S. Fraser, Chief, Health System
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SUBJECT:
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Agreement with the Health Plan of San Mateo to participate in the County-Based Medi-Cal Administrative Activities Federal Financial Participation Program
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to execute an Agreement with the San Mateo County Health Commission, doing business as the Health Plan of San Mateo to participate in the County-Based Medi-Cal Administrative Activities Federal Financial Participation Program for the term of July 1, 2010 through June 30, 2013, in an amount not to exceed $1,000,000.
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BACKGROUND:
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Since the early 1990’s, the Health System has participated in the County-Based Medi-Cal Administrative Activities (CMAA) Program. This program allows for federal reimbursement of activities related to the proper and efficient administration of the Medi-Cal program. Pursuant to federal and state guidelines, community-based organizations and other governmental and school organizations may participate, but must do so through a Local Governmental Agency (LGA), such as a county program, usually county health or social services departments. The program also has a required local match for all expenses of fifty percent. Matching funds must be “certified public expenditures” meaning generally that federal or private funds cannot be used as a match. During FY 2007-08, the Health Plan of San Mateo (HPSM) approached the County with interest to participate in the program.
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DISCUSSION:
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Over the last year County staff have worked with the HPSM to determine the appropriateness of their participation in this program. County staff have met with HPSM to determine which HPSM staff would participate, to identify eligible activities, and to review financial reports to insure adequate required certified public expenditures. A test claim was prepared, submitted to the state, and approved. As the LGA, the County must be the pass-through between the State and HPSM for the revenue and may retain an administrative fee for the oversight provided to the HPSM. The HPSM activities represent approximately 5% overall of the administrator’s time. This contract delineates responsibilities between both parties (including audit risk), memorializes the administration fee, and allows for the pass-through of revenue to the HPSM.
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The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination, and equal benefits. The Agreement and resolution has been reviewed and approved by County Counsel. The contractor's insurance has been reviewed and approved by Risk Management.
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Approval of this Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by supporting efforts at optimizing the reimbursements to local government. It is anticipated that the 99% of all time studies will be completed accurately and on time. This measure is an indicator of securing revenue.
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Performance Measure(s):
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Measure
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FY 2009-10
Estimate
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FY 2010-11
Projected
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Percent of time studies completed accurately and on time.
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95%
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99%
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FISCAL IMPACT
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The term of the Agreement is July 1, 2010 through June 30, 2013 for an amount not to exceed $1,000,000.00. The total CMAA claims fluctuate based on the percentage of time staff spend performing the claimable activities. The rate of payment will be approximately $80,000 per quarter, for an annual total of $320,000, reduced by an estimated administrative fee of five percent or $16,000 per year. All funds are paid by federal monies received and will result in no increased Net County Cost. The revenue and expenses are included in the Health Administration tentatively Adopted FY 2010-11 Budget and will be included in future budget requests.
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