ADOPTED - NOVEMBER 9, 2004

Agenda Item No. 9

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE AMENDMENT OF THE MEDICAL GROUP PARTICIPATION AGREEMENT WITH PHYSICIANS HEALTH PLAN

RESOLUTION #04-334

WHEREAS, Ingham County operates a network of community health centers that provide primary care services to Medicaid eligible and uninsured persons; and

WHEREAS, services to most Medicaid eligible persons is facilitated through two Health Maintenance Organizations operating in Ingham County; and

WHEREAS, Ingham County has an existing agreement with Physicians Health Network (PHN) (Physicians Health Plan) to provide primary care services to Medicaid eligible persons, enrolled in PHN and assigned to Ingham County; and

WHEREAS, PHN proposes to amend the agreement effective January 1, 2005; and

WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the amendment.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an amendment to the Health Department Group Participation Agreement between Physicians Health Network and County of Ingham for Ingham County Health Department.

BE IT FURTHER RESOLVED, that effective January 1, 2005, the Department Primary Care Provider Medicaid Capitation Appendix shall be replaced in its entirety with a Medicaid Primary Care Physician Fee for Services Appendix.

BE IT FURTHER RESOLVED, that the amendment shall result a change from capitation payment methodology to a fee-for-serve methodology with the following characteristics: 

1. The Medicaid financial allowance will be decreased from ten percent (10%) to five percent (5%).

2. The Medicaid fee-for-service reimbursement will increase by five percent (5%) over the Michigan Department of Community Health fee-for-service rates.

BE IT FURTHER RESOLVED, that all other terms and conditions of the agreement shall remain unchanged.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement after review by the County Attorney.

HUMAN SERVICES:  Yeas:  Hertel, Dedden, Weatherwax-Grant, Schor, Severino, Nevin

                                                Nays:  None            Absent:  None        Approved 11/01/04

FINANCE:        Yeas:  Lynch, Grebner, Dedden, Thomas    

Nays:  None            Absent:  Minter, De Leon   Approved 11/03/04