Agenda

Return

C.14

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	January 7, 2020

Contra

Costa

County

Subject:

Appropriation Adjustments for Health Services Department

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/07/2020

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Patrick Godley, 925-957-5410
cc:	Bud Decesare Marcy Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 7, 2020
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE the proposed Appropriation Adjustments AP005033 for the Health Services Department to properly align revenues and expenditures within the Contra Costa Health Plan (CCHP), Conservatorship, and Health, Housing and Homeless budget units based on actual experience compared to the FY 2019/20 Adopted Budget.

FISCAL IMPACT:

This action increases FY 2019/20 appropriations and revenues by $207,659,901 to align budgeted numbers with actual experience. No impact to net county cost.

BACKGROUND:

The main budgetary change is related to CCHP. The Department of Health Care Services (DHCS) updated its Medi-Cal capitation rates to include rate increments for its directed payment programs and the Managed Care Organization tax. The rate increments for the directed payment programs are reimbursed by CCHP to designated public hospitals, private hospitals and physicians/providers of eligible services. CCHP functions as a pass through agent for these transactions.

BACKGROUND: (CONT'D)

Minor technical adjustments are being made to the Conservatorship and Health, Housing and Homeless programs.