ADOPTED - JULY 24, 2007
AGENDA ITEM NO. 24
Introduced by the Human Services and Finance Committees of the:
INGHAM COUNTY BOARD OF COMMISSIONERS
RESOLUTION RESCINDING RESOLUTION #06-271 AND AUTHORIZING THE
INTERGOVERNMENTAL TRANSFER OF INGHAM COUNTY FUNDS TO SUPPORT DSH PAYMENTS TO INGHAM REGIONAL MEDICAL CENTER AND
SPARROW HEALTH SYSTEM
RESOLUTION #07-173
WHEREAS, Ingham County has an objective to assure access to appropriate levels of health care for Ingham County residents, with a goal of having all residents participating in an organized system of health care by 2010; and
WHEREAS, the Federal government has approved Michigan’s Medicaid State Plan Amendment TN No. 05-13, effective June 1, 2006, which creates an “Indigent Care Agreements Pool” for hospitals qualifying for Medicaid Disproportionate Share (“DSH”) payments to receive DSH payments under the Indigent Care Agreements Pool so long as: (a) the hospital has an Indigent Care Agreement with a local health care entity, such as Ingham Health Plan Corporation; and (b) the Indigent Care Agreement stipulates that direct or indirect health care services be provided to low-income patients with special needs who are not covered under other public or private health care programs; and
WHEREAS, Ingham Health Plan Corporation purposes include promoting, organizing, managing and administering programs to create a system for providing or arranging and paying for health care services in a cost effective manner for persons unable to pay for such health care services; and
WHEREAS, Ingham Health Plan Corporation has entered into an Indigent Care Agreement with Ingham Regional Health Center and/or Sparrow Health System, requiring Ingham Health Plan Corporation to directly or indirectly operate a program of arranging and paying for health care to low-income individuals with special needs who are not covered under other public or private health care programs and who are unable to pay for such services; and
WHEREAS, both the Federal government and the State of Michigan participate in the financing of the Indigent Care Agreements Pool, with the Federal government matching the State’s portion pursuant to the Federal medical assistance percentage formula; and
WHEREAS, certain intergovernmental transfers of public funds from Ingham County may be made to the State of Michigan to be used as the State’s share in claiming the Federal match; and
WHEREAS, the Controller and the Health Officer recommend that the Board of Commissioners authorize the intergovernmental transfer of up to $4.5 million from the appropriation to the Health Fund.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes the County Treasurer and the County Controller to implement intergovernmental transfers of up to $4.5 million from the
ADOPTED - JULY 24, 2007
AGENDA ITEM NO. 24
RESOLUTION #07-173
Health Fund to the State of Michigan with the purpose of contributing to Disproportionate Share Hospital payments made through the Indigent Care Agreements Pool to Ingham Regional Medical Center and Sparrow Health System.
BE IT FURTHER RESOLVED, that the intergovernmental transfers are authorized once the following conditions are in place:
· The State has indicated via the Michigan Department of Community Health website or another mechanism that Ingham Regional Medical Center and/or Sparrow Health System will be receiving Indigent Care Agreement-based DSH payments in the amount that would be supported by the Ingham County intergovernmental transfer.
· The Ingham Health Plan Corporation has executed Indigent Care Agreements with Ingham Regional Health Center and/or Sparrow Health System.
BE IT FURTHER RESOLVED, that this Resolution shall be effective June 1, 2006 through September 30, 2007.
BE IT FURTHER RESOLVED, that Resolution #06-271 is hereby rescinded.
HUMAN SERVICES: Yeas: Hertel, Grebner, Bahar-Cook, Schor, Soule, Severino
Nays: None Absent: None Approved 7/16/07
FINANCE: Celentino, Weatherwax-Grant, Grebner, Hertel, Tennis, Dougan
Nays: None Absent: None Approved 7/18/07