HomeMy WebLinkAbout2019-67 - Authorizing the Mayor and City Manager, or Designees, to Execute Agreements and Amendments with The Department of Health Care Services (DHCS) And Caloptima to Participate in the Fiscal Year 2018-2019 Medi-Cal Rate Range Intergovernmental TransfeRESOLUTION NO. 2019-67
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF NEWPORT BEACH, CALIFORNIA, AUTHORIZING
THE MAYOR AND CITY MANAGER, OR DESIGNEES, TO
EXECUTE AGREEMENTS AND AMENDMENTS WITH
THE DEPARTMENT OF HEALTH CARE SERVICES
(DHCS) AND CALOPTIMA TO PARTICIPATE IN THE
FISCAL YEAR 2018-2019 MEDI-CAL RATE RANGE
INTERGOVERNMENTAL TRANSFER (IGT) PROGRAM
WHEREAS, since 2006, the California Department of Health Care Services
("DHCS") has offered local governments that provide health care the opportunity to
secure additional Medi—Cal revenues by participating in a voluntary Intergovernmental
Transfer ("IGT") Program with their local Medi -Cal managed care plan;
WHEREAS, CalOptima is a County Organized Health System ("CONS") created
by the Orange County Board of Supervisors to serve as the local Medi -Cal managed care
plan for Orange County;
WHEREAS, CalOptima contracts with the State of California to administer
additional Medi -Cal revenues to qualified public entities to offset previously unreimbursed
costs for serving Medi -Cal plan members;
WHEREAS, the City of Newport Beach is a public entity that receives payment
from CalOptima for the provision of emergency medical transport services to CalOptima
members on a fee-for-service basis and has unreimbursed costs associated with
providing these services;
WHEREAS, participation in the IGT Program with CalOptima represents an
opportunity to recover previously unreimbursed costs in an effort to reach full cost
recovery for Emergency Medical Services in accordance with City of Newport Beach
Municipal Code Chapter 3.36; and
WHEREAS, the City of Newport Beach has participated in four (4) IGT transactions
with transfers totaling $998,895 to draw down an additional $603,108 in previously
unreimbursed costs.
NOW, THEREFORE, the City Council of the City of Newport Beach resolves as
follows:
Resolution No. 2019-67
Page 2 of 3
Section 1: The City Council does hereby authorize the Mayor, or designee, to
execute (1) an "Intergovernmental Agreement Regarding Transfer of Public Funds" with
DHCS regarding the City's transfer of the FY2018-2019 IGT amount ($268,140) and
twenty percent (20%) IGT assessment fee ($53,628) and (2) a "Health Plan -Provider
Agreement Intergovernmental Transfer Rate Range Program" agreement with CalOptima
regarding the terms upon which the City is paid its previously unreimbursed costs for
providing transport services to Medi -Cal plan members plus the additional federal funds
made available as a result of participation in the IGT program.
Section 2: The City Council does hereby authorize the City Manager, or designee,
to execute any amendments to the above referenced (1) "Intergovernmental Agreement
Regarding Transfer of Public Funds" and (2) "Health Plan -Provider Agreement
Intergovernmental Transfer Rate Range Program" agreement with respect to the term of
the agreements and any additional funds or transfer fees, so long as such amendments
do not extend the term of such agreements beyond five additional years of their respective
termination dates, and any additional funds or transfer fees provided by the City do not
exceed $120,000.
Section 3: The recitals provided in this resolution are true and correct and are
incorporated into the operative part of this resolution.
Section 4: If any section, subsection, sentence, clause or phrase of this resolution
is, for any reason, held to be invalid or unconstitutional, such decision shall not affect the
validity or constitutionality of the remaining portions of this resolution. The City Council
hereby declares that it would have passed this resolution, and each section, subsection,
sentence, clause or phrase hereof, irrespective of the fact that any one or more sections,
subsections, sentences, clauses or phrases be declared invalid or unconstitutional.
Section 5: The City Council finds the adoption of this resolution is not subject to
the California Environmental Quality Act ("CEQA") pursuant to Sections 15060(c)(2) (the
activity will not result in a direct or reasonably foreseeable indirect physical change in the
environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378)
of the CEQA Guidelines, California Code of Regulations, Title 14, Division 6, Chapter 3,
because it has no potential for resulting in physical change to the environment, directly or
indirectly.
Resolution No. 2019-67
Page 3 of 3
Section 6: This resolution shall take effect immediately upon its adoption by the
City Council, and the City Clerk shall certify the vote adopting the resolution.
ADOPTED this 9t" day of July, 2019.
ATTEST:
4A"VIS
Leilani I. Brown
City Clerk
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
ron C. rp
City Attorney
C
Diane B. Dixon
Mayor
STATE OF CALIFORNIA }
COUNTY OF ORANGE } ss.
CITY OF NEWPORT BEACH }
I, Leilani I. Brown, City Clerk of the City of Newport Beach, California, do hereby certify that the
whole number of members of the City Council is seven; the foregoing resolution, being Resolution
No. 2019-67 was duly introduced before and adopted by the City Council of said City at a regular meeting
of said Council held on the 91h day of July, 2019; and the same was so passed and adopted by the
following vote, to wit:
AYES: Mayor Diane Dixon, Mayor Pro Tem Will O'Neill, Council Member Brad Avery, Council
Member Joy Brenner, Council Member Duffy Duffield, Council Member Jeff Herdman,
Council Member Kevin Muldoon
NAYS: None
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed the official seal of
said City this 10th day of July, 2019.
1AllMIM11100 ll Vl/�.
Leilani I. Brown
City Clerk
Newport Beach, California