ADOPTED -JULY 22, 2008

Agenda Item No. 29

Introduced by the Human Services and Finance Committees of the:

 

INGHAM COUNTY BOARD OF COMMISSIONERS

 

RESOLUTION TO AUTHORIZE THE INTERGOVERNMENTAL TRANSFER OF INGHAM COUNTY FUNDS TO THE STATE OF MICHIGAN FOR THE PURPOSE OF PARTICIPATING IN THE FINANCING OF THE NON-FEDERAL SHARE OF  DSH PAYMENTS MADE UNDER THE INDIGENT CARE AGREEMENT POOL TO INGHAM REGIONAL MEDICAL CENTER AND SPARROW HEALTH SYSTEM

 

RESOLUTION #08-206

 

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 Health Fund to the State of Michigan with the purpose of contributing to the financing of the non-federal share of Disproportionate Share Hospital payments made through the Indigent Care Agreements Pool to Ingham Regional Medical Center and Sparrow Health System.

 

 

 ADOPTED -JULY 22, 2008

Agenda Item No. 29

 

RESOLUTION #08-206

 

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 October 1, 2008 through September 30, 2009.

HUMAN SERVICES:  Yeas:  Schor, Hertel, Soule,  Severino, Dougan

   Nays:  None      Absent:  Bahar-Cook     Approved 7/14/08

 

FINANCE:  Yeas:  Grebner, Hertel, Weatherwax-Grant, Celentino, Dougan

     Nays:  None         Absent:  Schor        Approved 7/16/08