HomeMy WebLinkAboutCC Resolution 15409 (Ambulance Cost Recovery)1
RESOLUTION NO. 15409
RESOLUTION OF THE SAN RAFAEL CITY COUNCIL AUTHORIZING THE CITY
MANAGER TO EXECUTE AGREEMENTS ALLOWING THE SAN RAFAEL FIRE
DEPARTMENT TO PARTICIPATE IN A MEDI-CAL INTERGOVERNMENTAL
TRANSFER (IGT) PROGRAM WITH THE CALIFORNIA DEPARTMENT OF HEALTH
CARE SERVICES (DHCS) AND KAISER FOR THE SERVICE PERIOD OF JANUARY
1, 2024, THROUGH DECEMBER 31, 2024
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 and
Kaiser 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 the service period of January 1, 2024 through
December 31, 2024.
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2. The City Manager is authorized to execute two separate required
Intergovernmental Agreements Regarding Transfer of Public Funds with DHCS
and Kaiser 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 agreement, 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 of actuarially-sound Medi-Cal managed care
capitation rate increases for the Partnership Health Care period of January 1,
2024 through December 31, 2024.
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 2nd day of June 2025 by the following vote, to
wit:
AYES: Councilmembers: Bushey, Hill, Kertz, Llorens Gulati & Mayor Kate
NOES: Councilmembers: None
ABSENT: Councilmembers: None
_____________________
Lindsay Lara, City Clerk