HomeMy WebLinkAboutCC Resolution 14684 (Ambulance Service Cost Recovery)1
RESOLUTION NO. 14684
RESOLUTION OF THE SAN RAFAEL CITY COUNCIL AUTHORIZING THE CITY
MANAGER TO EXECUTE AGREEMENTS TO ALLOW THE SAN RAFAEL FIRE
DEPARTMENT TO PARTICIPATE IN AN INTERGOVERNMENTAL TRANSFER
WITH THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS)
IN ORDER TO INCREASE THE DEPARTMENT’S REIMBURSEMENT FOR EMS
AMBULANCE TRANSPORT SERVICES PROVIDED TO COUNTY HEALTH PLAN
(PARTNERSHIP HEALTH PLAN) MEMBERS FOR FY 2018-2019
WHEREAS, the City of San Rafael, through its Fire Department, regularly provides
emergency ambulance transport to persons who are Medi-Cal patients enrolled in managed care
plans; and
WHEREAS, the City participates in various governmental programs that provide
reimbursement of costs incurred in providing such emergency services to Medi-Cal patients; and
WHEREAS, pursuant to the authority of Welfare & Institutions Code sections 14164 and
14301.4, since 2006 the California Department of Health Care Services (DHCS) has been offering
a voluntary rate range Intergovernmental Transfer Program to allow healthcare providers such as
the City of San Rafael Fire Department to access federal matching funds for reimbursement
through their Medi-Cal Managed Care Health Plan Providers; and
WHEREAS, the City may pursue an Intergovernmental Transfer to DHCS through its
Medi-Cal Managed Care Health Plan Provider, Partnership Health Plan of California (PHC); and
WHEREAS, by participating in the Intergovernmental Transfer Program, the City will
receive reimbursements for a larger proportion of its actual costs for providing emergency
ambulance transport to Medi-Cal patients enrolled in managed care plans; and
WHEREAS, under the Intergovernmental Transfer Program, the funds shall be transferred
in accordance with a mutually agreed-upon schedule between the City of San Rafael and DHCS;
NOW, THEREFORE, BE IT RESOLVED, by the San Rafael City Council as follows:
1. The San Rafael Fire Department is hereby authorized to participate in an
Intergovernmental Transfer (IGT) with the California Department of Health Care
Services (DHCS) in order to increase the Department’s reimbursement for EMS
ambulance transport services provided to Partnership Health Plan of California (PHC)
members for FY 2018-2019.
2. The City Manager is authorized to execute the required Intergovernmental Agreement
Regarding Transfer of Public Funds with the DHCS and the required Health Plan
Provider Agreement with PHC, subject to final approval as to form by the City Attorney.
3. The City Council hereby authorizes the transfer of funds to DHCS pursuant to such
agreements, in an amount approved by the City Manager and in accordance with a
mutually agreed upon schedule, to be used solely as a portion of the non-federal share
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of actuarially-sound Medi-Cal managed care capitation rate increases for the
Partnership Health Care period of July 1, 2018 through June 30, 2019.
I, LINDSAY LARA, Clerk of the City of San Rafael, hereby certify that the foregoing
Resolution was duly and regularly introduced and adopted at a regular meeting of the City
Council of said City held on Monday, the 17th day of June 2019, by the following vote, to wit:
AYES: COUNCILMEMBERS: Bushey, Colin, McCullough & Mayor Phillips
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Gamblin
LINDSAY LARA, City Clerk