ADOPTED - APRIL 10, 2001

Agenda Item No. 13



Introduced by the Human Services and Finance Committees of the:



INGHAM COUNTY BOARD OF COMMISSIONERS



RESOLUTION TO AUTHORIZE A CONTRACT WITH ASSURECARE/GROUP BENEFIT SERVICES, INC., AND TO AUTHORIZE AN AMENDMENT TO THE ADMINISTRATIVE SERVICES AGREEMENT WITH THE INGHAM HEALTH PLAN CORPORATION



RESOLUTION #01-109



WHEREAS, Ingham County participates in the operation of the Ingham Health Plan as a mechanism for providing low-income, uninsured persons with access to an organized system of health care; and



WHEREAS, the Ingham Health Plan Corporation contracts with Ingham County to provide primary care services to about 10,000 Ingham Health Plan enrollees, to provide enrollment services and administrative support to the Board of Directors and to operate the mechanisms by which referrals are authorized, adjudicated and paid for by speciality care provider services; and



WHEREAS, the Health Department and the Controller's Office have been working to find an efficient manner to handle the several hundred speciality care bills each month; and



WHEREAS, the Health Officer and the Controller have recommended that the County enter into an agreement with AssureCare/Group Benefit Services, Inc. to provide certain assistance in the claim adjudication and payment processes; and



WHEREAS, the Health Officer has recommended that the Administrative Services Agreement with the Ingham Health Plan Corporation be amended to provide for the Corporation to reimburse Ingham County for any additional cost of services resulting from the agreement with AssureCare/Group Benefit Services, Inc.



THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an agreement with AssureCare/Group Benefits, Inc., 4660 South Hagadorn Road, East Lansing, Michigan 48823, to provide assistance to the County in the adjudication and payment of speciality care provider claims.



BE IT FURTHER RESOLVED, the period of the agreement shall be April 15, 2001 through April 14, 2002.



BE IT FURTHER RESOLVED, that AssureCare/Group Benefits, Inc. shall provide Ingham County with assistance in the processing of speciality care provider claims for Ingham Health Plan enrollees, with the services to include providing Ingham County Health Department staff access to AssureCare/Group Benefits Services' automated claims payment system, the adjudication of claims and the payment of authorized claims.



BE IT FURTHER RESOLVED, that Ingham County will pay AssureCare/Group Benefit Services, Inc. $0.85 per claim and will reimburse for the actual cost of postage, check stock, envelopes, phone line, programming to update Medicaid screens and for clerical support related to processing and paying claims.



BE IT FURTHER RESOLVED, that the Administrative Services Agreement, authorized by Resolution No. 00-257, be amended to provide for the Ingham Health Plan Corporation reimbursement to Ingham County for all expenses related to the implementation of the agreement with AssureCare/Group Benefit Services, Inc.



ADOPTED - APRIL 10, 2001

Agenda Item No. 13



RESOLUTION #01-109



BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement with Assure Care/Group Benefit Services, Inc. and the amendment to the Ingham Health Plan Corporation Agreement after review by the County Attorney.



HUMAN SERVICES: Human Services Committee will meet 4/9/01



FINANCE: Yeas: Hertel, Schafer, Minter, Swope, Lynch, Krause

Nays: None Absent: Czarnecki Approved 4/4/01