To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Agreement #28-365-6 from the California Department of Health Care Services
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director or designee, to execute on behalf of the County Agreement #28-365-6 (State Contract #26-60113), and a related Participation Agreement (26-MCIPCONTRACOSTA-07), with the California Department of Health Care Services (DHCS), to pay DHCS in an amount not to exceed $42,775 for administrative costs related to administering the Medi-Cal Inmate Program (MCIP) for the period from July 1, 2026 through June 30, 2029.
FISCAL IMPACT:
The County will be responsible for reimbursing DHCS, in an amount not to exceed $42,775, for the nonfederal share of DHCS’ administrative costs associated with administering the MCIP pursuant to Welfare and Institutions Code section(s) 14053.7(j) and 14053.8(h) and Government Code sections 26605.6(c)(1)(B)(ii) and 26605.7 (e)(B)(ii). Additionally, the County will receive reimbursement for inpatient services provided to County inmates at the Medi-Cal Fee-for-Service rate rather than absorb the full cost of inpatient services through interdepartmental funding.
BACKGROUND:
The MCIP is a fee-for-service program that authorizes reimbursement for inpatient health care services provided by the County to Medi-Cal eligible County inmates in the County’s Detention Facilities. The purpose of this agreement is to set forth the terms the County must abide by in order to participate in the MCIP.
On June 13, 2023, the Board of Supervisors approved Agreement #28-365-5 with DHCS, to pay the County at the Medi-Cal Fee-for-Service rate for the Medi-Cal County Inmate Program, for the period from July 1, 2023 through June 30, 2026.
Approval of this Agreement #28-365-6 will allow County to continue to participate in the MCIP through June 30, 2029. This Agreement includes an indemnification provision that requires the County to agree to indemnify and hold harmless the State for any and all claims arising out of performance under this Agreement.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement is not approved, the County will not be reimbursed by the State for inpatient health services it provides to Medi-Cal eligible County inmates.