ADOPTED - DECEMBER 9, 2008

                                                                                                                        Agenda Item No. 26

Introduced by the Human Services and Finance Committee of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

 RESOLUTION TO EXECUTE A FEDERALLY QUALIFIED HEALTH CENTER ALTERNATIVE PAYMENT AGREEMENT WITH THE STATE OF MICHIGAN

RESOLUTION #08-359

WHEREAS, Ingham County operates a network of community health centers that provide outpatient ambulatory primary care health care services to approximately 25,000 low-income and at-risk persons, with over 40,000 medical and dental encounters provided annually to Medicaid beneficiaries; and

WHEREAS, several of the Community Health Centers operated by Ingham County Health Department have been designated by the Centers for Medicare and Medicaid Services as Federally Qualified Health Centers with the initial designation award in September 2003; and

WHEREAS, Congress enacted preferential payment policy for Federally Qualified Health Centers that helps ensure adequate reimbursement for care provided to Medicare and Medicaid beneficiaries, thus allowing federal and other grant funds to be used to provide care to the uninsured; and

WHEREAS, the State of Michigan and Michigan’s Federally Qualified Health Centers have established an alternative payment methodology as permitted by the Benefits Improvement and Protection Act (BIPA) of 2000 and that stipulates service reimbursement through a Memorandum of Agreement; and

WHEREAS, the Health Department and the Michigan Department of Community Health’s Medical Services Administration have negotiated a provision within the Memorandum of Agreement that recognizes Ingham County’s status as a public entity Federally Qualified Health Center; and

WHEREAS, the Public Entity Provision within the Memorandum of Agreement (MOA) will allow Ingham County to gain the federal share of expenditures beyond the MOA encounter rate; and

WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize execution of a Federally Qualified Health Center Alternative Payment Agreement with the State of Michigan for the period of January 1, 2006 through December 31, 2009.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes execution of a Federally Qualified Health Center Alternative Payment Agreement with the Michigan Department of Community Health’s Medical Services Administration.

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

HUMAN SERVICES:  Yeas:  Schor, Bahar-Cook, Hertel, Soule, Severino, Dougan

  Nays:  None      Absent:  None        Approved 12/1/08

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

     Nays:  None        Absent:  Celentino       Approved 12/3/08