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HomeMy WebLinkAboutCalifornia Department of Health Care Services (DHCS) - 2022-01-01 (2) 2000 Main Street, ��<VTiNGTO Huntington Beach,CA 147`- ' 92648 1 City of Huntington Beach APPROVED 6-0-1 , �< � (McKEON-ABSENT) File #: 24-123 MEETING DATE: 2/20/2024 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Eric G. Parra, Interim City Manager VIA: Scott M. Haberle, Fire Chief PREPARED BY: Bonnie To, Principal Management Analyst Subiect: Approve and authorize execution of a "Health Plan-Provider Agreement - Intergovernmental Transfer Rate Range Program Agreement" between CalOptima Health and the City of Huntington Beach Statement of Issue: On November 7, 2023, City Council approved the Fire Department's participation in the Voluntary Rate Range Intergovernmental Transfer Program (VRRP IGT) to help recover unreimbursed City costs for service to CalOptima patients. This RCA is the second agreement needed to finalize the intergovernmental transfer. Financial Impact: If the attached Health Plan-Provider Agreement with CalOptima is approved, the City will receive a $ 5,525,810 disbursement, which is detailed below: $5,525,810 Estimated Disbursement to Huntington Beach after CalOptima's 2% Share - $2,282,450 Total Amount that Huntington Beach Pays (Budget Appropriation Approved 11/7/2023) $3,243,360 Estimated Net Revenue that Huntington Beach Receives (98% Share) in FY 2023/24 Recommended Action: Approve and authorize execution of a "Health Plan-Provider Agreement - Intergovernmental Transfer Rate Range Program Agreement" between CalOptima Health and the City of Huntington Beach Alternative Action(s): Do not approve the recommended action, and direct staff accordingly. Analysis: On November 7, 2023, City Council approved and authorized execution of an agreement with the California Department of Health Care Services (DHCS) to participate in the Voluntary Rate Range City of Huntington Beach Page 1 of 2 Printed on 2/14/2024 powere' LegistarTM File #: 24-123 MEETING DATE: 2/20/2024 Intergovernmental Transfer Program to help recover unreimbursed City costs for service to CalOptima patients. As part of this action, the City Council also approved a budget appropriation of $2,282,450 to provide a required upfront contribution, in order to participate in the program and eventually receive a larger disbursement of $5,525,810 through intergovernmental transfer with CalOptima and DHCS. The proposed Health Plan-Provider Agreement with CalOptima Health must be approved and executed in order to receive this disbursement, resulting in a net revenue of approximately $3,243,360 for additional reimbursement of Medi-Cal Managed Care services that were incurred and unreimbursed for the service period of January 1, 2022 through December 31, 2022. Environmental Status: This action is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. Strategic Plan Goal_ Goal 2 - Fiscal Stability, Strategy A - Consider new revenue sources and opportunities to support the City's priority initiatives and projects. Attach ment(s): 1. Agreement between CalOptima Health and the City of Huntington Beach 2. File # 23-949 from the November 7, 2023 Council Meeting 3. VRRP IGT PowerPoint from The November 7, 2023 Council Meeting City of Huntington Beach Page 2 of 2 Printed on 2/14/2024 powere46 LegistarTM - HEALTH PLAN-PROVIDER AGREEMENT INTERGOVERNMENTAL TRANSFER RATE RANGE PROGRAM AGREEMENT This Agreement is made this 1st day of November, 2023,by and CALOPTIMA HEALTH, a California public agency hereinafter referred to as "PLAN", and the City of Huntington Beach, a California municipal corporation operating through its Fire Department, hereinafter referred to as "PROVIDER". RECITALS: WHEREAS, PLAN is a public agency formed pursuant to California Welfare and Institutions Code Section 14087.54 and Orange County Ordinance No. 3896 as amended by Ordinance Nos. 00-8, 05-008, 06-012, Q9-Q01, 11-013, 14-002 and 16-Q01, and is party to a Medi-Cal managed care contract with DHCS, entered into pursuant to Welfare and Institutions Code Section 14087.3, under which PLAN arranges and pays for the provision of covered Medi- Cal health care services to eligible Medi-Cal members residing in Orange County; WHEREAS,the City of Huntington Beach is an emergency transport provider who provides transportation on a non-contract basis, including to CalOptima Health Medi-Cal Members; WHEREAS, PLAN and PROVIDER desire to enter into this Agreement to provide for Medi-Cal managed care capitation rate increases to PLAN as a result of intergovernmental transfers ("IGTs") from City of Huntington Beach (GOVERNMENTAL FUNDING ENTITY)to the California Department of Health Care Services ("State DHCS")to maintain the availability of Medi-Cal health care services'to Medi-Cal beneficiaries. NOW, THEREFORE, PLAN and PROVIDER hereby agree as follows: IGT MEDI-CAL MANAGED CARE CAPITATION RATE RANGE INCREASES 1. IGT Capitation Rate Range Increases to PLAN A. Payment Should PLAN receive any Medi-Cal managed care capitation rate increases from State DHCS where the nonfederal share is funded by the GOVERNMENTAL FUNDING ENTITY specifically pursuant to the provisions of the Intergovernmental Agreement Regarding Transfer of Public Funds, CONTRACT#22-0007, ("Intergovernmental Agreement") effective for the period of and January 1, 2022 through December 31,2022 for Intergovernmental Transfer Medi-Cal Managed Care Rate Range Increases ("IGT MMCRRIs"),PLAN shall pay to PROVIDER the amount of the IGT MMCRRIs received from State DHCS, in accordance with paragraph 1.E below regarding the form and timing of Local Medi-Cal Managed Care Rate Range ("LMMCRR") IGT Payments. LMMCRR IGT Payments paid to PROVIDER shall not replace or supplant any other amounts paid or payable to PROVIDER by PLAN. B. Health Plan Retention (1) a. PLAN shall retain two percent(2.0%) of the net proceeds (after reimbursing PROVIDER's initial contribution for the transaction), from the Medi-Cal managed care rate increases paid to PLAN by DHCS as described in this agreement prior to disbursing LMMCRR IGT Payments to PROVIDER. The retained funds will be expended by PLAN for Covered Services under PLAN's contract with DHCS for Medi-Cal, in either the State fiscal year received, or in subsequent State fiscal years, as appropriated by the CalOptima Health Board of Directors. Each provider's share of the retained funds shall be calculated based on the provider's proportionate share of the LMMCRR IGT payment made by PLAN in Orange County. b. The amounts referenced in this agreement are estimates. The parties understand and agree that the total amount of the Medi-Cal managed care capitation rate increases paid by DHCS to PLAN may fluctuate as a result of enrollment. The parties further understand and agree that any such fluctuations will likewise affect the amount to be retained by the PLAN and the amount payable to PROVIDER by the same percentage as the variance in the capitation rate increases, if any. (2) PLAN will not retain any other portion of the IGT MMCRRIs received from the State DHCS other than those mentioned above. C. Conditions for Receiving Local Medi-Cal Managed Care Rate Range IGT Payments As a condition for receiving LMMCRR IGT Payments,PROVIDER shall, as of the date the particular LMMCRR IGT Payment is due: (1) continue to provide emergency transport services to PLAN Members promptly and in a manner which ensures access to care consistent with PROVIDER's regular business practices for providing such services; and (2) not discriminate against PLAN Members or in any way impose limitations on the acceptance of PLAN Members for care or treatment that are not imposed on other patients of PROVIDER. D. Schedule and Notice of Transfer of Non-Federal Funds 1. PROVIDER shall provide PLAN with a copy of the schedule regarding the transfer of funds to State DHCS referred to in the Intergovernmental Transfer Agreement within fifteen(15) calendar days of establishing such schedule with State DHCS. Additionally, PROVIDER shall notify PLAN, in writing, no less than seven (7) calendar days prior to any changes to an existing schedule, including but not limited to, changes to the amounts specified therein. 2 2. PROVIDER shall provide PLAN with written notice of the amount and date of the transfer within seven(7) calendar days after funds have been transferred to State DHCS for use as the nonfederal share of any IGT MMCRRIs. E. Form and Timing of Payments PLAN agrees to pay LMMCRR IGT Payments to PROVIDER in the following form and according to the following schedule: (1) PLAN agrees to pay the LMMCRR IGT Payments to PROVIDER using the same mechanism through which compensation and payments are normally paid to PROVIDER(e.g., electronic transfer). (2) PLAN will pay the LMMCRR IGT Payments to PROVIDER no later than thirty (30) calendar days after receipt of the IGT MMCRRIs from State DHCS. F. Consideration (1) As consideration for the LMMCRR IGT Payments, PROVIDER shall use the LMMCRR IGT Payments for the following purposes and shall treat the LMMCRR IGT Payments in the following manner: (a) The LMMCRR IGT Payments shall represent compensation for emergency ambulance services rendered to Medi-Cal PLAN members by PROVIDER between January 1, 2022, and December 31, 2022, and shall be used by PROVIDER solely to fund the costs that exceed the fee-for-service rates paid by Medi-Cal PLAN for covered services provided to Medi-Cal PLAN Members during that period. (b) To the extent that total payments received by PROVIDER for any State fiscal year under this Agreement exceed the cost of Covered Services provided to Medi-Cal PLAN members by PROVIDER during that fiscal year, any remaining LMMCRR IGT Payment amounts shall constitute an overpayment, and shall by returned to Medi-Cal PLAN pursuant to the provisions of Section 1.K., below (2) Both parties agree that none of these funds, either from the GOVERNMENTAL FUNDING ENTITY or federal matching funds will be recycled back to the GOVERNMENTAL FUNDING ENTITY'S general fund,the State, or any other intermediary organization. Payments made by the health plan to providers under the terms of this Agreement constitute patient care revenues. G. PLAN's Oversight Responsibilities PLAN's oversight responsibilities regarding PROVIDER's use of the LMMCRR IGT Payments shall be limited as described in this paragraph. PLAN shall request,within thirty (30) calendar days after the end of each State fiscal year in which LMMCRR IGT Payments were transferred to PROVIDER, a written confirmation that states whether and how PROVIDER complied with the provisions set forth in Paragraph 1.F above. In each instance, PROVIDER 3 shall provide PLAN with written confirmation of compliance within thirty (30) calendar days of PLAN's request. H. Cooperation Among Parties Should disputes or disagreements arise regarding the ultimate computation or appropriateness of any aspect of the LMMCRR IGT Payments,PROVIDER and PLAN agree to work together in all respects to support and preserve the LMMCRR IGT Payments to the full extent possible on behalf of the safety net in Orange County. I. Reconciliation Within one hundred twenty (120) calendar days after the end of each of PLAN's fiscal years in which LMMCRR IGT Payments were made to PROVIDER, PLAN shall perform a reconciliation of the LMMCRR IGT Payments transmitted to the PROVIDER during the preceding fiscal year to ensure that the supporting amount of IGT MMCRRIs were received by PLAN from State DHCS. PROVIDER agrees to return to PLAN any overpayment of LMMCRR IGT Payments made in error to PROVIDER within thirty (30) calendar days after receipt from PLAN of a written notice of the overpayment error, unless PROVIDER submits a written objection to PLAN. Any such objection shall be resolved in accordance with the dispute resolution process set forth in Section 1.H. The reconciliation processes established under this paragraph are distinct from the indemnification provisions set forth in Paragraph 1.J below. PLAN agrees to transmit to the PROVIDER any underpayment of LMMCRR IGT Payments within thirty (30) calendar days of PLAN's identification of such underpayment. J. Indemnification PROVIDER agrees to and acknowledges the following: (1) PLAN has no obligation to make any payments hereunder until PLAN has received IOT MMCRRIs from State DHCS; (2)that PLAN is not responsible for State DHCS payments to PLAN, including any mathematical calculations made by DHCS, and(3) PLAN is not responsible for the timing of the payments from DHCS to PLAN(including the conditions precedent to the timing of such payments which includes the timing of DHCS submission to CMS and/or CMS review and approval). In addition,PLAN and PROVIDER agree and acknowledge that nothing herein is intended to create an obligation on the part of PLAN to agree to delays in capitation payment(s) from DHCS in order to accommodate this IGT. K. Overpayments and CalOptima Health Right to Recover PROVIDER has an obligation to report any overpayment identified by PROVIDER, and to repay such overpayment to CalOptima Health within sixty (60) days of such identification by PROVIDER, or of receipt of notice of an overpayment identified by CalOptima Health. PROVIDER acknowledges and agrees that, in the event that CalOptima Health determines that an amount has been overpaid or paid in duplicate, or that funds were paid which were not due under this Contract to PROVIDER, CalOptima Health shall have the right to recover such amounts from PROVIDER by recoupment or offset from current or future amounts due from CalOptima Health to PROVIDER, after giving notice and an opportunity to return/pay such amounts. This right to recoupment or offset shall extend to any amounts due from 4 PROVIDER to CalOptima Health, including, but not limited to, amounts due because of overpayments as described in the provisions of this agreement. 2. Term The term of this agreement shall commence on January 1, 2022 and shall terminate on June 30, 2025. SIGNATURES HEALTH PL alOptima Health Date: 3/t ti By: Yu_ g Kim, Chief Operating Officer PROVIDER: City of Huntington Beach Date: 911119' \ By: Gracey Van Der Mark, Mayor ATTEST: 0/1--v✓ let,4-‘, Date:a _2/474.2,1- Robin/Estanislau, City Clerk APPROVED AS TO • C-/( Date: ;la-7 /-0•41 Mocha . Gates, City Attorney 5 9�JI .. I N G ., o�•` �-`�fiF i", City of Huntington Beach _ • • C-) 2000 Main Street ♦ Huntington Beach, CA 92648 0 0 _ (714) 536-5227 ♦ www.huntingtonbeachca.gov �����9� c�UNTY �� �® Office of the City Clerk � Robin Estanislau, City Clerk February 29, 2024 CalOptima Health Attn: Contracting Department 505 City Parkway West Orange, CA 92868 To Whom It May Concern: Enclosed is the partially executed original Health Plan-Provider Agreement— Intergovernmental Transfer Rate Range Program Agreement, for final execution by the CalOptima Health. Upon final execution, please provide a fully executed copy to: City of Huntington Beach City Clerk's Office Attn: Donna Switzer, Senior Deputy City Clerk 2000 Main Street, 2nd Floor Huntington Beach CA 92648 Your attention to this matter is greatly appreciated. Sincerely, ( 2040ti gAtalZiattA4) Robin Estanislau, CMC City Clerk • RE:ds Enclosure Sister City: Anjo, Japan '"i 2000 Main Street, ;�uNs ,� oy e, Huntington Beach,CA City of Huntington Beach 92648 C671NTY CP`\�pJr File# 23-949 MEETING DATE: 11/7/2023 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Al Zelinka, City Manager VIA: Scott M. Haberle, Fire Chief PREPARED BY: Jeff Lopez, Fire Division Chief Bonnie To, Principal Management Analyst Subject: Approve and authorize execution of an agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach; authorize designated City staff to execute the agreement; and , approve an appropriation of$2,282,450 for the agreement during FY 23/24 Statement of Issue: City Council is requested to approve and authorize execution of an agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach to participate in the Voluntary Rate Range Intergovernmental Transfer Program (VRRP IGT) to help recover unreimbursed City costs for service to CalOptima patients. City Council is also requested to designate and authorize the City Manager, Chief Financial Officer, and/or Fire Chief to sign the agreement to obtain funding as stated in the agreement between DHCS and City of Huntington Beach and approve an appropriation of$2,282,450 to execute the agreement. Financial Impact: A new appropriation of$2,282,450 to business unit 10065403 is requested pursuant to Exhibit 1 of the attached agreement. Sufficient funding is available for this request from the planned FY 2023/24 year-end General Fund surplus. With this agreement and Huntington Beach's payment of$2,282,450, it is anticipated that an estimated $5,525,810 in funds will be distributed to Huntington Beach, resulting in a net revenue of approximately $3,243,360 for additional reimbursement of Medi-Cal Managed Care services that were incurred and unreimbursed for the service period of January 1, 2022 through December 31, 2022. Recommended Action: City of Huntington Beach Page 1 of 4 Printed on 11/1/2023 powere47o1J LegistarTm File#: 23-949 MEETING DATE: 11/7/2023 A) Approve and authorize execution of an agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach; and B) Authorize the designation of the City Manager, Chief Financial Officer, and/or Fire Chief to execute the agreement; and C) Approve an appropriation of$2,282,450 to business unit 10065403 as required by the agreement. Alternative Action(s): Do not approve the recommended action(s), and direct staff accordingly. Analysis: Background In March of 2023, the Fire Department and Finance Department reached out to CalOptima to inquire about our potential participation in their Voluntary Rate Range Intergovernmental Transfer Program (VRRP IGT) to help recover unreimbursed City costs for service to CalOptima patients. During FY 22/23, the City was notified of eligibility to participate in the VRRP IGT. Per the CalOptima Health Board of Directors Regular Meeting Minutes, dated September 7, 2023: The Voluntary Rate Range IGT program allows DHCS and CalOptima Health to secure additional Medi-Cal dollars for eligible Orange County entities. For each IGT transaction, DHCS identifies the estimated member months for rate categories (e.g., adult, adult optional expansion, child, long term care, seniors and persons with disabilities, and whole child model) and provides the total amount available for Orange County to contribute through funding entities. To receive funds, entities provide a dollar amount to .DHCS, which is then used to obtain a federal match. DHCS distributes the funds and the match to the eligible entities through CalOptima Health. To date, CalOptima Health has participated in eleven Voluntary Rate Range IGT transactions. The City's ongoing participation in the program is dependent on available federal funding for the program and the City's ability to provide the upfront contribution required. The contribution and net revenue received annually by the City is also dependent on other factors, such as the number of program participants in the County and number of Medi-Cal calls for service. The City of Newport Beach and the City of Orange have participated in the VRRP IGT for over five years and have received net revenue. Other entities eligible for this year's VRRP IGT through CalOptima include: First 5 Orange County, Orange County Health Care Agency, and UCI Health. Recommended Action: If City Council approves the recommended actions, the agreement with DHCS would require an upfront payment of$2,282,450. Once paid, an estimated $5,525,810 will be disbursed to Huntington Beach within approximately 60 days through CalOptima, for a net revenue of approximately $3,243,360. The 60-day time estimate is based on the actual transfer dates of last year's VRRP IGT. The required upfront payment and subsequent disbursement from CalOptima are calculated below City of Huntington Beach Page 2 of 4 Printed on 11/1/2023 powereGg LegistarTM File #: 23-949 MEETING DATE: 11/7/2023 and are based on Medi-Cal managed care services provided by the City during the January 1, 2022 - December 31, 2022 period: $1,902,041 Estimated Contribution (Non-Federal Share) that Huntington Beach Pays + $ 380,409 20% DHCS Fee that Huntington Beach Pays $2,282,450 Total Amount that Huntington Beach Pays (New Appropriations Request) $5,525,810 Estimated Disbursement to Huntington Beach after CalOptima's 2% Share - $2,282,450 Total Amount that Huntington Beach Pays $3,243,360 Estimated Net Revenue that Huntington Beach Receives (98% Share) The agreement was emailed to Huntington Beach on October 16, 2023 and is required to be executed on or before November 24, 2023 per DHCS. The upfront payment of$2,282,450 from Huntington Beach to DHCS is due by February 16, 2024. The amount the City initially transfers shall be calculated using the Estimated Member Months (refer to Exhibit 1 in IGT Agreement Regarding Transfer of Public Funds with DHCS), which will be reconciled to actual enrollment for the service period of January 1, 2022 through December 31, 2022 using actual enrollment figures taken from DHCS records. Enrollment reconciliation will occur on an ongoing basis as updated figures are made available. If, after the enrollment reconciliation, there is an increase to the amount needed to fund the nonfederal share, the City will be required to transfer additional funds to cover the difference. If, after the reenrollment reconciliation there is a decrease to the amount needed to fund the nonfederal share, the City can choose to receive the additional funds from DHCS. If mutually agreed upon by DHCS and the City, amounts due to or owed by City may be offset against future transfers. Actual enrollment figures for this IGT capitation rate period will be considered final two years after December 31, 2022. In addition, the City of Huntington Beach would need to sign a separate agreement with CalOptima, regarding the payment of the estimated $5,525,810 from,CalOptima to Huntington Beach (CalOptima :,agreement). CalOptima did not send their finalized CalOptima agreement to the City by the time,this staff report was issued; therefore, staff will bring back a future Request for Council Action agenda ;item within FY 2023/24 to receive the $5,525,810 Environmental Status: This action is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. Strategic Plan Goal: Goal 2 - Fiscal Stability, Strategy A - Consider new revenue sources and opportunities to support the City's priority initiatives and projects. City of Huntington Beach Page 3 of 4 Printed on 11/1/2023 powere4117I LegistarTM File#: 23-949 MEETING DATE: 11/7/2023 Attachment(s): 1. Agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach 2. CalOptima Health Board of Directors Regular Meeting Minutes dated 09/07/2023 3. VRRP IGT PowerPoint City of Huntington Beach Page 4 of 4 Printed on 11/1/2023 powere4J 4i Leg istar1M Minutes City CounciI/Public Financing Authority City of Huntington Beach Tuesday. November 7, 202,. 4:00 PM. Council Chambers 6:00 pm-Council Chambers Civic Center, 2000 Main Street. Huntington Beach, California 92648 A video recording of the 4:00 PM and 6:00 PM portions of this meeting is on file in the Office of the City Clerk, and archived at WWW.S urfcitv.iii),Oratgovernmentiationdasi 4:00 PM—COUNCIL CHAMBERS CALLED TO ORDER--4:01 PM ROLL CALL Present: Kalmick, Natalie Moser, Van Der Mark, Strickland, McKeon, Bolton; and Burns Absent None City Manager Al Zelinka was granted permission to be absent pursuant to City Charter Section 400.. CITY COUNCILIVIEMBER COMMENTS (3-Minute Time Limit) Mayor Strickland'and Councilmembers Burns and.McKeon honored the ISA World Para Surfing Event; Council member Moser recognized the passing of beloved community member Diana Dwyer of the Assistance League, and Jan Tyler, former member of the Human Relations Task Force; Councilmember Bolton acknowledged November as Native American Heritage Month) and, Councilmember McKeon recognized World Series winner Texas Rangers Relief Pitcher and Huntington Beach resident Ian Kennedy.. ANNOUNCEMENT OF SUPPLEMENTAL COMMUNICATIONS PERTAINING TO CLOSED SESSION ITEMS (Received After Agenda Distribution): Pursuant to the Brown "Open Meetings"Act, City Clerk Robin Estanislau announced supplemental communications that were received by her office follpwing distribution of the Council Agenda packet, which were all uploaded to the City'swebsite and Councilmember Closed Session: Item#5 One (1) e-mail conIrriunidation. PUBLIC COMMENTS (a-Minute Time Limit),—3 Speakers The number fhtmin:ssi following the speakers'comments indicates their approximate starting time in the archived video 10cated at httpiiwwvii.surfcity-hb.orgigovernmentlagendaa. Shirley Dettloff was called to speak and stated her concern regarding Closed Session Items#4 Public Employee AppOininient for City Manager, and#5 Public Employee Performance Evaluation of the City 475 Oburtoii/Prk:M16-016i November 7, 2023 -Page of 14 16 23-939 Approved and authorized execution of a contract-betWeen the City of Huntington Beach and Wittman Enterprises, LLC to provide billing services for emergency paramedic and anibulanceeervices, A.motion was made by Strickland,.seConci Van Der Mark to approve and authorize the Mayor and City Clerk to execute the"Professional Services Contract Between.the City of Huntington Beach and Wittman Enterprises, LLC for Billing Services for Emergency Paramedic and Ambulance Service"in an amount not to exceed $1,4P0,000 Over three years. The motion carried by the following roll call vote: AYES: Kalmick, Natalie Moser,Van Der Mark,:Strickland, McKeOn, Bolton, and Burns NOES: None 17 23-949 :Allpf0t4ct'aildatithorize*O0outrottpt aivagreementbetWeen'thetalifornia Department of Health Care Services(pHCS):eartitst_-of Huntington Beech; authorized designated citk‘stotto.009mtpithd-agteetrient;,.iind approved an appropriation of$2;282;450Icir:0*Agfef#110.nt Outiiiig.FY'23/24?' COuncilmembe(MCKebivpulleglithis item to invite Fire Chief ifebeitelp-proyide details on the benefits of 'tfijkragiapt Division Chief Lopez,the staff member responsible for bringing this OppOrturitty forward,. presented O'F'9Wet,P010c0:011iiiinidOti90,1iti.04:17:011:1:hteri Rate Range lQ Program (YRMP.,IPT),With, sliOesjentitiediPeCOliynendattOn,-B.aO_iTrpt-odfZ,,,18t.eps;;Fyfmte.;:: n0.:Q:tiotiOns, A motion was made by Strickland, second Ic.'ilinials.-fof*NOve and authorize of agreement betWeen,the California Department of HealthCare:SerVidestbHCS)-and:CitYot,Huntington Beach,..arid authbritO,the designation of the City Manager, Chief Financial Officer, and/or Fire Chief to execute the .agreement,anclaPprovereneppropriationlofL$42„8?;450 to business unit 10065403 as required by the' agreement. The motiOn derrieci, hYtO,f9ilawing-tokaell;Vite.:: AYES 'Kertirck Natalie Moser, Van Dtr---Mait.Stildklatiii, and Burns A n NOES: NOne. HUMAN.RESOURCES 18. 23-962 Adopted Resolution No. 2021-57 authorizing the City Manager to submit disability applications for all members of the Public Employees Retirement System (PERS) and make determinations of disability for local safety Members A motion was made by Strickland, second Van Der Mark to adopt Resolution No.2023-57, "A Resolution of the City Council of the City of Huntington'Beach authorizing the City Manager to submit disability applications for all members of the Public Employees Retirement System and make determinations of disability for local safety members", and repeal Resolution No. 2016-43. The motion carried by the following roll call vote: AYES: Katmick, Natalie Moser, Van Der Mark, Strickland, McKeon, Bolton, and Burns NOES: None 476 /,/,rr'O''r'►�.w \SW. I 14111101, NG ` 1 .. .,, ''• 0 Rq 7 �•.0 •� •' \ CR •P 0 Fp "0 �' 1 • ► -� "�� ' � � VoluntaryRangeI T 7/7(74,, . Rate G _ ‘ _ s Program (VRRP IGT) Gm -7.-, - - to % —= = ` _ -! % Huntington Beach Fire Department . '-� �'' `_ . + November 7 2023 % /. - '© • <,( 0 A 0 ••...• /. a C°UNT\( 4f# i ill 477 Recommendation A) Approve and authorize execution of an agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach; B) Authorize designated city staff to execute the agreement; and C) Approve an appropriation of $2,282,450 for the agreement during FY 23/24. ,ANT I N GT o•'cowvoear•'•• ���\\ • �!� :I »,.eon; • / Cs0UNTY c i' 478 Background During FY 22/23, the City was notified of eligibility to participate in the Voluntary Rate Range IGT program (VRRP IGT) The City of Newport Beach and the City of Orange have participated in the VRRP IGT for over five years and have received net revenue. Other entities eligible for this year's VRRP IGT through CalOptima include First 5 Orange County, Orange County Health Care Agency, UCI Health. �i�ANT I NGT /o c` ;.•\�fpBPRATFO••••• •• 1 479 Background The CalOptima Health Board Action Agenda Referral dated 08/31 /2023 states: The Voluntary Rate Range IGT program allows DHCS and CalOptima Health to secure additional Medi-Cal dollars for eligible Orange County entities. For each IGT transaction, DHCS identifies the estimated member months for rate categories (e.g. , adult, adult optional expansion, child, long term care, seniors and persons with disabilities, and whole child model) and provides the total amount available for Orange County to contribute through funding entities. To receive funds, entities provide a dollar amount to DHCS, which is then used to obtain a federal match. DHCS distributes the funds and the match to the eligible entities through CalOptima Health. To date, CalOptima Health has participated in eleven Voluntary Rate Range IGT transactions. 480 Steps •.*.•,.-,,,,, , ,,o,.. ,-; ,7,-. ,,,4,,,..2.1.4.1t.,,.. .::.., ...,.t., 4;t„z„,t Step 3 .,.. 4,,71.,„„.4.,,....%,.-4.,,..4-4,7,i,,,vet, .f --...70.4,.......'/.4•., ..,,,,,.S erz.,..*,N4tv,. .. .- °-,7,-- -t. .-4 ' kitittersI funds/pays, 414 1 •.- tZ-dt it 14---r ritg eat" ra. ,.;...,,,-...-.1,...„.,c,„:44- managed careP Step 1 otrAtolLine,P...,,..-.., ...4,-,:„ 4,iava3/24.,,,,,,,„,,fiv,,ttrzzia CalOptima, the 282,4 0 + .... , execution of an *,.., I".tte) 03 2 ou 0‹,..,....g.i.. -- ..,.."2,,,,,,-. i,.,.44, Beach $2 Huntington. „ , and authorize . ..,,,DH .1,..,„004,--,,,,..8 ,4 ... .,q,b,„ 4*,,,°°AA°fe,844-Joirr 4 "pays , ..„4-1l... . FY 23/24,, .... ... A)Approve California 4-4- ` '4 -,,'',: .1! 74:-,3: :111:411-41441;'";Fli:-•,- -•';',• 714a,j44.4•11 '• ' --1,c1Vo stpluty.) in. r.z.,, ,A,,tot,.....t,,,,,,,,„,,,1 ,r., ... ,,,,,,i..., 4,,,,. ,, ‘,,,.,.i.2,4,,,,{„c41. 'N't'.....ilf k. $3,243,360 - . ",,-:,-,..: . . DHCS pays the IGT. -kinds' Thenlan, ,-, ,,.,,... ., .., ,,...,, --,..1,4714.1-4-,...oie 4 4414104;',4' ''.i.44 4 4.4 4-•• ' ' ' • agreement between the -.1.-4...:. .r.,ovii..:44,..-":4441,-* ',lora eli, .9,4 Department of Health Care. Services -,./.1::/.-1r:V z,..z.-,;,,;',..te,r. 3 (DHCS) and City of Huntington Beach; , ,....,,, .,,,,...,,,...,,, ,,,,,,,,,,,,,,A.,4,;4•,7;.41.41,,,,,r.,„,",44,,,,r; .,4 1,0.7; ' ' ,.' ? Huntington .. ... .''' 4,,,:t7„ , '''.•l'0" ''',."4,'t,,";':''It'4at''.'';',..'" ,44.''..a.,"r''''T,'":-.:`...";',.iii‘a.." 3 .., Therefore, y pr II p .• ;,,•liF,-,N:01.:1.;.„...40,:ed,,,,,„. ..,„*...„•-..,.-- 4.3i.7.3"." ....tt'"'414 to execute -- ,,,,-,-;-1, <!,44,- „ ,,,'-4fra 4,1, , ,.... ,,, ,,,,,„.., • designated city staff '...-Pro.s.,-..4.'--- ..4-- .r140,,,,..;,,,,,, 4.4v.p.rmot.-4,4,,,, a Beac,h2s43,360. B)Authorize 4....:Vez,grip,!rftj*,A.tsiy.*'V:.„r.k.e4..4.4.4,t.t .,,;-j._„eAl the agreement; and WA z.5.-•,„,.•.,10.*"..„4, ,erettr, 14 fitlar.3,, Z`•- •i•Nr•:.!..4-`-'44v,-44,;P-1 estimated net revenueis $3 4,1**',"•:'4*--"R-wairtot -it4fL.,744-2•.-0,40:5 . ° •. , $2,28' ,450 ..-pk 7 .V**,,,,i_ 41:,*04"74::,-V•4,,,,f, N. 4:4. 31-.....te4441:44W44"1- ° . . . . .. Kvil,..4,.' 1^-$.1,ii+ ;••••41-4.owl-,•-...-.„ --,7 -, -C)Approve an appropriation. of "*.•::a.7,-..--,,,...---44,4,,--.44,,,Agor(en?,1,,,,,,,,, for the agreement during FY 23/24. 481 Future The City's ongoing participation in the program is dependent on available federal funding for the program and the City's ability to provide the upfront contribution required. The contribution and net revenue received annually by the City is also dependent on other factors, such as the number of program participants in the County and number of Medi-Cal calls for service. 482 flN fi B Y ywyj "��'= S S :::,,:..,„•,,_:„..,,i,„.,.„• ,,::" .„,,,„.,,,,,.r.1:,,, ,...„....,..4:,,,7,01.1„,t.,.,,. ..„ ,14,,,,,,,, •_, .":,;',17,-41:T,::,,,,,T, :11ri!i?!%,14 Hio5;?,i,,,,,,,E,„,t,:.,t.,.lt.T.,,,t;,,,,_......_.....,2.:2"'=;=*?.Questions ? rf„,,,„:.„:,,,4 „,„,,,,,,,,p,_1• . , ,...„ :1/4 , ,,,,, ,.,,,,,, _11,, , . , �ier ?4.N •r;,ti.A1Dir--t;;:Asto-ktv ° yk s,"' "*` " i'L a'�. >y c7(Vallatiat"i-, r:-,.!.''.,'7,L..7%,11'ctrt,1 i i,�°,i °Iw✓ 483 ��NTINGpO� 2000 Main Street, ' Huntington Beach,CA City of Huntington Beach 92648 APPROVED 7-0 STY�P� File#: 23-949 MEETING DATE: 11/7/2023 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Al Zelinka, City Manager VIA: Scott M. Haberle, Fire Chief PREPARED BY: Jeff Lopez, Fire Division Chief Bonnie To, Principal Management Analyst Subject: Approve and authorize execution of an agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach; authorize designated City staff to execute the agreement; and , approve an appropriation of$2,282,450 for the agreement during FY 23/24 Statement of Issue: City Council is requested to approve and authorize execution of an agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach to participate in the Voluntary Rate Range Intergovernmental Transfer Program (VRRP IGT) to help recover unreimbursed City costs for service to CalOptima patients. City Council is also requested to designate and authorize the City Manager, Chief Financial Officer, and/or Fire Chief to sign the agreement to obtain funding as stated in the agreement between DHCS and City of Huntington Beach and approve an appropriation of$2,282,450 to execute the agreement. Financial Impact: A new appropriation of$2,282,450 to business unit 10065403 is requested pursuant to Exhibit 1 of the attached agreement. Sufficient funding is available for this request from the planned FY 2023/24 year-end General Fund surplus. With this agreement and Huntington Beach's payment of$2,282,450, it is anticipated that an estimated $5,525,810 in funds will be distributed to Huntington Beach, resulting in a net revenue of approximately $3,243,360 for additional reimbursement of Medi-Cal Managed Care services that were incurred and unreimbursed for the service period of January 1, 2022 through December 31, 2022. Recommended Action: City of Huntington Beach Page 1 of 4 Printed on 11/1/2023 powered LegistarTM File#: 23-949 MEETING DATE: 11/7/2023 A) Approve and authorize execution of an agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach; and B) Authorize the designation of the City Manager, Chief Financial Officer, and/or Fire Chief to execute the agreement; and C) Approve an appropriation of$2,282,450 to business unit 10065403 as required by the agreement. Alternative Action(s): Do not approve the recommended action(s), and direct staff accordingly. Analysis: Background In March of 2023, the Fire Department and Finance Department reached out to CalOptima to inquire about our potential participation in their Voluntary Rate Range Intergovernmental Transfer Program (VRRP IGT) to help recover unreimbursed City costs for service to CalOptima patients. During FY 22/23, the City was notified of eligibility to participate in the VRRP IGT. Per the CalOptima Health Board of Directors Regular Meeting Minutes, dated September 7, 2023: The Voluntary Rate Range IGT program allows DHCS and CalOptima Health to secure additional Medi-Cal dollars for eligible Orange County entities. For each IGT transaction, DHCS identifies the estimated member months for rate categories (e.g., adult, adult optional expansion, child, long term care, seniors and persons with disabilities, and whole child model) and provides the total amount available for Orange County to contribute through funding entities. To receive funds, entities provide a dollar amount to DHCS, which is then used to obtain a federal match. DHCS distributes the funds and the match to the eligible entities through CalOptima Health. To date, CalOptima Health has participated in eleven Voluntary Rate Range IGT transactions. The City's ongoing participation in the program is dependent on available federal funding for the program and the City's ability to provide the upfront contribution required. The contribution and net revenue received annually by the City is also dependent on other factors, such as the number of program participants in the County and number of Medi-Cal calls for service. The City of Newport Beach and the City of Orange have participated in the VRRP IGT for over five years and have received net revenue. Other entities eligible for this year's VRRP IGT through CalOptima include: First 5 Orange County, Orange County Health Care Agency, and UCI Health. Recommended Action: If City Council approves the recommended actions, the agreement with DHCS would require an upfront payment of$2,282,450. Once paid, an estimated $5,525,810 will be disbursed to Huntington Beach within approximately 60 days through CalOptima, for a net revenue of approximately $3,243,360. The 60-day time estimate is based on the actual transfer dates of last year's VRRP IGT. The required upfront payment and subsequent disbursement from CalOptima are calculated below City of Huntington Beach Page 2 of 4 Printed on 11/1/2023 powere 'LegistarTM File#: 23-949 MEETING DATE: 11/7/2023 and are based on Medi-Cal managed care services provided by the city during the January 1, 2022 - December 31, 2022 period: $1,902,041 Estimated Contribution (Non-Federal Share) that Huntington Beach Pays + $ 380,409 20% DHCS Fee that Huntington Beach Pays $2,282,450 Total Amount that Huntington Beach Pays (New Appropriations Request) $5,525,810 Estimated Disbursement to Huntington Beach after CalOptima's 2% Share - $2,282,450 Total Amount that Huntington Beach Pays $3,243,360 Estimated Net Revenue that Huntington Beach Receives (98% Share) The agreement was emailed to Huntington Beach on October 16, 2023 and is required to be executed on or before November 24, 2023 per DHCS. The upfront payment of$2,282,450 from Huntington Beach to DHCS is due by February 16, 2024. The amount the City initially transfers shall be calculated using the Estimated Member Months (refer to Exhibit 1 in IGT Agreement Regarding Transfer of Public Funds with DHCS), which will be reconciled to actual enrollment for the service period of January 1, 2022 through December 31, 2022 using actual enrollment figures taken from DHCS records. Enrollment reconciliation will occur on an ongoing basis as updated figures are made available. If, after the enrollment reconciliation, there is an increase to the amount needed to fund the nonfederal share, the City will be required to transfer additional funds to cover the difference. If, after the reenrollment reconciliation there is a decrease to the amount needed to fund the nonfederal share, the City can choose to receive the additional funds from DHCS. If mutually agreed upon by DHCS and the City, amounts due to or owed by City may be offset against future transfers. Actual enrollment figures for this IGT capitation rate period will be considered final two years after December 31, 2022. In addition, the City of Huntington Beach would need to sign a separate agreement with CalOptima regarding the payment of the estimated $5,525,810 from CalOptima to Huntington Beach (CalOptima agreement). CalOptima did not send their finalized CalOptima agreement to the City by the time this staff report was issued; therefore, staff will bring back a future Request for Council Action agenda item within FY 2023/24 to receive the $5,525,810. Environmental Status: This action is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. Strategic Plan Goal: Goal 2 - Fiscal Stability, Strategy A - Consider new revenue sources and opportunities to support the City's priority initiatives and projects. City of Huntington Beach Page 3 of 4 Printed on 11/1/2023 powere44'LegistarTM File#: 23-949 MEETING DATE: 11/7/2023 Attachment(s): 1. Agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach 2. CalOptima Health Board of Directors Regular Meeting Minutes dated 09/07/2023 3. VRRP IGT PowerPoint • • City of Huntington Beach Page 4 of 4 Printed on 11/1/2023 powerebl LegistarTM CONTRACT#IGT-22-0007 INTERGOVERNMENTAL AGREEMENT REGARDING TRANSFER OF PUBLIC FUNDS This Agreement is entered into between the CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES("DHCS") and CITY OF HUNTINGTON BEACH ("GOVERNMENTAL FUNDING ENTITY")with respect to the matters set forth below. The parties agree as follows: AGREEMENT 1. Transfer of Public Funds 1.1 The GOVERNMENTAL FUNDING ENTITY agrees to make a transfer of funds to DHCS pursuant to sections 14164 and 14301.4 of the Welfare and Institutions Code. The amount transferred shall be based on the sum of the applicable rate category per member per month("PMPM") contribution increments multiplied by member months, as reflected in Exhibit 1. The GOVERNMENTAL FUNDING ENTITY agrees to initially transfer amounts that are calculated using the Estimated Member Months in Exhibit 1,which will be reconciled to actual enrollment for the service period of January 1, 2022,through December 31, 2022 in accordance with Sub-Section 1.3 of this Agreement. The funds transferred shall be used as described in Sub- Section 2.2 of this Agreement. The funds shall be transferred in accordance with the terms and conditions, including schedule and amount, established by DHCS. 1.2 The GOVERNMENTAL FUNDING ENTITY shall certify that the funds transferred qualify for Federal Financial Participation pursuant to 42 C.F.R. part 433, subpart B, and are not derived from impermissible sources such as recycled Medicaid payments, Federal • money excluded from use as State match, impermissible taxes, and non-bona fide provider- 1 Template Version- 10/2023 CONTRACT#IGT-22-0007 related donations. Impermissible sources do not include patient care or other revenue received from programs such as Medicare or Medicaid to the extent that the program revenue is not obligated to the State as the source of funding. 1.3 DHCS shall reconcile the"Estimated Member Months," in Exhibit 1,to actual enrollment in HEALTH PLAN(S) for the service period of January 1, 2022,through December 31, 2022 using actual enrollment figures taken from DHCS records. Enrollment reconciliation will occur on an ongoing basis as updated enrollment figures become available. Actual enrollment figures will be considered final two years after December 31, 2022. If reconciliation results in an increase to the total amount necessary to fund the nonfederal share of the payments described in Sub-Section 2.2,the GOVERNMENTAL FUNDING ENTITY agrees to transfer any additional funds necessary to cover the difference. If reconciliation results in a decrease to the total amount necessary to fund the nonfederal share of the payments described in Sub-Section 2.2, DHCS agrees to return the unexpended funds to the GOVERNMENTAL FUNDING ENTITY. If DHCS and the GOVERNMENTAL FUNDING ENTITY mutually agree, amounts due to or owed by the GOVERNMENTAL FUNDING ENTITY may be offset against future transfers. 2. Acceptance and Use of Transferred Funds 2.1 DHCS shall exercise its authority under section 14164 of the Welfare and Institutions Code to accept funds transferred by the GOVERNMENTAL FUNDING ENTITY pursuant to this Agreement as Intergovernmental Transfer(IGTs),to use for the purpose set forth in Sub-Section 2.2. 2.2 The funds transferred by the GOVERNMENTAL FUNDING ENTITY pursuant to Section 1 and Exhibit 1 of this Agreement shall be used to fund the non-federal share 2 Template Version- 10/2023 CONTRACT#IGT-22-0007 of Medi-Cal Managed Care actuarially sound capitation rates described in section 14301.4(b)(4) of the Welfare and Institutions Code as reflected in the contribution PMPM and rate categories reflected in Exhibit 1. The funds transferred shall be paid,together with the related Federal Financial Participation,by DHCS to HEALTH PLAN(S) as part of HEALTH PLAN(S)' capitation rates for the service period of January 1, 2022,through December 31, 2022, in accordance with section 14301.4 of the Welfare and Institutions Code. 2.3 DHCS shall seek Federal Financial Participation for the capitation rates specified in Sub-Section 2.2 to the full extent permitted by federal law. 2.4 The parties acknowledge that DHCS will obtain any necessary approvals from the Centers for Medicare and Medicaid Services. 2.5 DHCS shall not direct HEALTH PLAN(S)' expenditure of the payments received pursuant to Sub-Section 2.2. 3. Assessment Fee 3.1 DHCS shall exercise its authority under section 14301.4 of the Welfare and Institutions Code to assess a 20 percent fee related to the amounts transferred pursuant to Section 1 of this Agreement, except as provided in Sub-Section 3.2. GOVERNMENTAL FUNDING ENTITY agrees to pay the full amount of that assessment in addition to the funds transferred pursuant to Section 1 of this Agreement. 3.2 The 20-percent assessment fee shall not be applied to any portion of funds transferred pursuant to Section 1 that are exempt'n accordance with sections 14301.4(d) or 14301.5(b)(4) of the Welfare and Institutions Code. DHCS shall have sole discretion to determine the amount of the funds transferred pursuant to Section 1 that will not be subject to a 3 Template Version- 10/2023 CONTRACT#IGT-22-0007 20 percent fee. DHCS has determined that.$ 0.00 of the transfer amounts, as shown in the table below,will not be assessed a 20 percent fee, subject to Sub-Section 3.3. 3.3 The 20-percent assessment fee pursuant to this Agreement is non- refundable and shall be wired to DHCS simultaneously with the transfer amounts made under Section 1 of this Agreement. If at the time of the reconciliation performed pursuant to Sub- Section 1.3 of this Agreement,there is a change in the amount transferred that is subject to the 20-percent assessment in accordance with Sub-Section 3.1,then a proportional adjustment to the assessment fee will be made. 4. Amendments 4.1 No amendment or modification to this Agreement shall be binding on either party unless made in writing and executed by both parties. 4.2 The parties shall negotiate in good faith to amend this Agreement as necessary and appropriate to implement the requirements set forth in Section 2 of this Agreement. 5. Notices. Any and all notices required,permitted, or desired to be given hereunder by one party to the other shall either be sent via secure email or submitted in writing to the other party personally or by United States First Class, Certified or Registered mail with postage prepaid, addressed to the other party at the address as set forth below: To the GOVERNMENTAL FUNDING ENTITY: Scott M. Haberle, Fire Chief 2000 Main Street Huntington Beach, CA 92648 (714) 536-5401 scott.haberle@surfcity-hb.org 4 Template Version- 10/2023 CONTRACT#IGT-22-0007 With copies to: To DHCS: • Vivian Beeck California Department of Health Care Services Capitated Rates Development Division 1501 Capitol Ave., MS 4413 • Sacramento, CA 95814 Vivian.Beeck@dhcs.ca.gov Any required signature(s) on any documents must be in compliance with California Government Code section 16.5 and any other applicable state or federal regulations. 6. Other Provisions 6.1 This Agreement contains the entire Agreement between the parties with respect to the Medi-Cal payments described in Sub-Section 2.2 of this Agreement that are funded by the GOVERNMENTAL FUNDING ENTITY, and supersedes any previous or contemporaneous oral or written proposals, statements, discussions, negotiations or other agreements between the GOVERNMENTAL FUNDING ENTITY and DHCS relating to the subject matter of this Agreement. This Agreement is not,however, intended to be the sole agreement between the parties on matters relating to the funding and administration of the Medi- Cal program. This Agreement shall not modify the terms of any other agreement, existing or entered into in the future, between the parties. 6.2 The non-enforcement or other waiver of any provision of this Agreement shall not be construed as a continuing waiver or as a waiver of any other provision of this Agreement. 5 Template Version- 10/2023 CONTRACT#IGT-22-0007 6.3 Sections 2 and 3 of this Agreement shall survive the expiration or termination of this Agreement. 6.4 Nothing in this Agreement is intended to confer any rights or remedies on any third party, including,without limitation, any provider(s) or groups of providers, or any right to medical services for any individual(s) or groups of individuals. Accordingly,there shall be no third party beneficiary of this Agreement. 6.5 Time is of the essence in this Agreement. 6.6 Each party hereby represents that the person(s) executing this Agreement on its behalf is duly authorized to do so. 7. State Authority. Except as expressly provided herein, nothing in this Agreement shall be construed to limit, restrict, or modify the DHCS' powers, authorities, and duties under Federal and State law and regulations. 8. Approval. This Agreement is of no force and effect until signed by the parties. 9. Term. This Agreement shall be effective as of January 1, 2022, and shall expire as of June 30, 2025 unless terminated earlier by mutual agreement of the parties. SIGNATURES IN WITNESS WHEREOF,the parties hereto have executed this Agreement, on the date of the last signature below. CITY OF HUNTINGTON BEACH: By: Date: //• /5' • 2 3 Scott Haberle, Fire Chief (Funding Entity Signer) 6 Template Version- 10/2023 CONTRACT#IGT-22-0007 THE STATE OF CALIFORNIA,DEPARTMENT OF HEALTH CARE SERVICES: By: Date: David Bishop,Acting Division Chief, Capitated Rates Development Division IWJVED 0 FORM MICHAEL GATES CITY ORNEY CITY OF HU NGTON BEACH 7 Template Version- 10/2023 CONTRACT#IGT-22-0007 Exhibit 1 Health Plan Funding Entity County Service Period Participation% CalOptima City of Huntington Beach Orange 1/2022-12/2022 3.81% Contribution Estimated Member Estimated Category of Aid SIS/UIS PMPM Months* Contribution(Non- Federal Share) Child SIS $ 0.10 3,520,004 $ 352,000 Child UIS $ _ 0.16 106,221 $ 16,995 Adult SIS $ 0.22 1,312,319 $ 288,710 Adult UIS $ 0.84 195,134 $ 163,913 ACA Optional Expansion SIS $ 0.05 3,556,781 $ 177,839 ACA Optional Expansion UIS $ 0.67 294,319 $ 197,194 SPD SIS $ 0.60 435,057 $ 261,034 SPD UIS $ 1.87 60,061 $ 112,314 SPD/Full-Dual SIS $ 0.19 75,272 $ 14,302 SPD/Full-Dual UIS $ 0.51 483 $ 246 LTC(non-dual) SIS $ 5.85 11,376 $ 66,550 LTC(non-dual) UIS $ 12.21 2,916 $ 35,604 LTC/Full-Dual SIS $ - - $ - LTC/Full-Dual UIS $ 7.30 87 $ 635 Whole Child Model SIS $ 1.48 137,953 $ 204,170 Whole Child Model UIS $ 2.92 3,608 $ 10,535 Est.FE Total 9,711,591 $ 1,902,041 *Note that Estimated Member Months are subject to variation, and the actual total Contribution (Non-Federal Share)may differ from the amount listed here. * FMAP is a weighted blend of multiple FMAPs. 8 Template Version- 10/2023 MINUTES REGULAR MEETING OF THE CALOPTIMA HEALTH BOARD OF DIRECTORS September 7,2023 A Regular Meeting of the CalOptima Health Board of Directors (Board) was held on September 7, 2023, at CalOptima Health, 505 City Parkway West, Orange, California. The meeting was held in person and via Zoom webinar as allowed for under Assembly Bill (AB) 2449, which took effect after Governor Newsom ended the COVID-19 state of emergency on February 28, 2023. The meeting recording is available on CalOptima Health's website under Past Meeting Materials. Chair Corwin called the meeting to order at 1:58 p.m., and Director Jose Mayorga, M.D., led the Pledge of Allegiance. ROLL CALL Members Present: Clayton Corwin, Chair; Blair Contratto,Vice Chair; Debra Baetz (non-voting); Isabel Becerra; Supervisor Doug Chaffee; Norma Garcia Guillen; Jose Mayorga, M.D.; Supervisor Vicente Sarmiento (at 2:05 p.m.); Trieu Tran, M.D. (All Board members in attendance participated in person) Members Absent: None. Others Present: Michael Hunn, Chief Executive Officer; Yunkyung Kim, Chief Operating Officer; James Novello, Outside General Counsel,Kennaday Leavitt;Nancy Huang, Chief Financial Officer;Richard Pitts, D.O., Ph.D., Chief Medical Officer; Sharon Dwiers, Clerk of the Board PRESENTATIONS/INTRODUCTIONS None. The Clerk noted for the record that staff is recommending that the Board hear Agenda Item 3 prior to hearing Agenda Item 2. Chair Corwin announced that the Board will hear Agenda Item 20 after Closed Session. MANAGEMENT REPORTS 1. Chief Executive Officer Report Michael Hunn, Chief Executive Officer (CEO),presented his report and started by providing an update on Medi-Cal redetermination efforts. Mr. Hunn thanked Director Bates, who is also the Interim Director at the Orange County Health Care Agency, and An Tran, Director of the Social Services Agency (SSA), for their collaboration regarding Medi-Cal redetermination. He noted that, starting in January 2024, individuals regardless of age that are undocumented will now be eligible for full scope Medi-Cal benefits. Mr. Hunn also noted that the requirement to disclose ownership in housing drops off in January and is no longer an impediment to anyone who may have been ineligible as a result of real estate holdings. Mr. Hunn and Yunkyung Kim, Chief Operating Officer, responded to Board member questions regarding redetermination efforts. Supervisor Chaffee thanked staff at CalOptima Health and county staff for continuing to educate iakp on Regular Meeting of the CalOptima Health Board of Directors September 7,2023 Page 2 membership qualifications and benefits. Supervisor Chaffee also mentioned that CalOptima Health has a presentation coming up in Fullerton and noted that since that city is in the Fourth District, to please include him in those presentations, and he can reinforce the message. Supervisor Chaffee also noted that Supervisor Sarmiento would appreciate the same when CalOptima Health gives presentations to cities in the Second District. Mr. Hunn reviewed the Fast Facts data,noting that currently CalOptima Health serves 979,618 individuals. CalOptima Health spends 87.9% of every dollar on medical care, and 4.6% is the overhead cost to administer the program. CalOptima Health's Board-designated reserves are $579.0 million; its capital assets are $83.9 million; its resources committed by the Board are $650.4 million; and its unallocated and unassigned resources are $397.0 million. Mr. Hunn noted that CalOptima Health's total net assets are currently$1.7 billion. Mr. Hunn also reviewed the CalOptima Health personnel data and noted that there are over 1,500 employees with a vacancy/turnover rate of about 5.96% as of the August 12, 2023, pay period. CalOptima Health's vacancy/turnover target is to be at less than 12.5% to 15% at any given time. Mr. Hunn reviewed the provider data, noting that CalOptima Health has over 9,943 providers, 1,292 primary care providers, and 8,651 specialists; 560 pharmacies; 43 acute and rehab hospitals; 52 community health centers; and 104 long term care facilities. Mr. Hunn reviewed CalOptima Health's treatment authorizations,noting that this data is as of June 30, • 2023. For urgent inpatient treatment authorizations,the average approval is within 18.68 hours; the state- mandated response is 72 hours. For urgent prior authorizations, the average approval is within 17.24 hours; the state-mandated response is 72 hours. And for routine prior authorizations, the average approval is 1.84 days; the state-mandated response is 5 days. Mr. Hunn updated the Board on several other topics which included: Street Medicine Program success, the media event on August 15 at which Representatives Lou Correa and Young Kim awarded$2 million to support the CalOptima Health Traffic Control Command Center that will be located on the third floor of the 500 Building, and the first report on CalAIM services. Mr. Hunn also updated the Board and members of the public on another funding opportunity related to the Nonprofit Healthcare Academy, which is part of the Housing and Homelessness Incentive Program. Mr. Hunn announced that CalOptima Health is excited to welcome three new medical directors who recently joined CalOptima Health: Natalie Do, Pharm.D., D.O. as Medical Director of Behavioral Health; Robin Hatam, D.O., Medical Director of Chronic and End-Stage Kidney Disease; and Claus Hecht, M.D., Medical Director of Street Medicine. 3. CalAIM Workforce Development Program Results Kelly Bruno-Nelson, Executive Director,Medi-Cal and CalAIM, introduced Mark Loranger, Chief Executive Officer, Chrysalis, to share some of the innovative ways that CalOptima Health's CalAIM initiatives are assisting in workforce development. Mr. Loranger provided background on Chrysalis and how funding through CalOptima Health's CalAIM initiative in workforce development is making a difference in the lives of members experiencing homelessness in Orange County. Mr. Loranger explained that Chrysalis is a workforce developmgnt Regular Meeting of the CalOptima Health Board of Directors • September 7,2023 Page 3 agency that is focused on getting people back to work. The people that Chrysalis serves, are ready, willing and able to go back to work, but they may not know quite how to do it because some of the barriers they faced in life. They may have been housing insecure; they may have had interactions with the criminal justice system or other recovery issues. That is where Chrysalis comes in and helps address those barriers. Through its five offices in Southern California, including in Anaheim and Orange, in Orange County, Chrysalis takes a trauma informed case management approach to make sure each of its clients is treated with respect, with dignity, and are able to achieve their own career goals. They map what they want to lay out for their life. Mr. Loranger added that most would agree that a job is much more than a paycheck. It means dignity, it means respect, and it means being able to reconnect with family and with the community. Mr. Loranger shared a video of Chrysalis workers at a Fullerton recuperative care and short term and emergency shelter run by the Illumination Foundation. 2. Update on Board Designated Reserve Levels Nancy Huang, Chief Financial Officer provided an update on the Board-designated reserve analysis. Ms. Huang briefly reviewed the federal debt ceiling legislation, the Fiscal Year 2023-24 state budget,-and the new 2024 Department of Health Care Services (DHCS) managed care contract requirements with the Board. Ms. Huang noted that CalOptima Health is not proposing any change in the Board-designated reserves policy as it aligns with 2024 DHCS managed care contract requirements. PUBLIC COMMENTS 1. Dr. Pooja Bhalla, Illumination Foundation: Oral re: Thanking CalOptima Health for support of unhoused members. 2. Dr. Clark Lew, Illumination Foundation: Oral re: Thanking CalOptima Health and the importance of work being done in support of unhoused members. 3. Whitney Ayers, Hospital Association of Southern California: Oral re: Letter to the CalOptima Health Board of Directors and working together with the Orange County hospitals. 4. Shamiesha Ebhotemen, HERstory, Inc.: Oral re: Agenda Item 17 Approve Actions Related to Provision of Doula Services as a Covered Medi-Cal Benefit CONSENT CALENDAR 4. Minutes a. Approve Minutes of the August 3, 2023 Regular Meeting of the CalOptima Health Board of Directors and the Minutes of the June 29, 2023 Special Meeting of the CalOptima Health Board of Directors 5. Approve Modifications to CalOptima Health Policy GA.3202: CalOptima Health Signature Authority 6. Approve New CalOptima Health Policy GG.1630: Reporting Communicable Diseases 7. Authorize and Direct Execution of a new"Companion Contract"with the California Department of Health Care Services for the CalOptima Health Program of All-Inclusive Care for the Elderly 8. Appointment to the CalOptima Health Board of Directors' Member Advisory Committee 9. Receive and File: 352 Regular Meeting of the CalOptima Health Board of Directors September 7,2023 Page 4 a. July 2023 Financial Summaries b. Compliance Report c. Federal and State Legislative Advocates Reports d. CalOptima Community Outreach and Program Summary Action: On motion of Supervisor Sarmiento, seconded and carried, the Board of Directors approved the Consent Calendar Agenda Items 4 through 9, as presented (Motion carried 8-0-0) REPORTS/DISCUSSION ITEMS 10. Election of Officers of the Board of Directors for Fiscal Year 2023-24 James Novello, Outside General Counsel,Kennaday Leavitt,provided an update,noting that he has compiled a significant amount of data around public agencies in Orange County and how they conduct their elections, including the Board of Supervisors, and also looked at other similarly situated public agencies that provide medical benefits around the state on practices of other public agencies as it relates to election of officers and other Board governance items. Mr. Novello added his first recommendation would be to form an Ad Hoc around corporate governance where the Board can vet the information and decide how it wants to move forward not only with the election process but with other corporate governance matters that are in front of this Board. After considerable discussion, the Board took the following action: Action: On motion of Chair Corwin, seconded and carried, the Board of Directors extended the Terms of the Current Chair and Vice Chair of the Board of Directors (Board) until the November 2, 2023 Board Meeting. (Motion carried; 5-2-1; Chair Corwin; Vice Chair Contralto;Directors Becerra,Mayorga and Tran voting yes;Supervisors Chaffee and Sarmiento voting no and Director Garcia Guillen abstained) 11. Approve Modifications to CalOptima Health Board-Designated Reserve Funds Policy Ms. Huang briefly introduced this item. Action: On motion of Vice Chair Contralto, seconded and carried, the Board of Directors approved modifications to CalOptima Health Policy GA.3001: Board-Designated Reserve Funds. (Motion carried; 8-0-0) 12. Approve Modifications to CalOptima Health Office of Compliance Policy HH.3012:Non- Retaliation for Reporting Violations Action: On motion of Supervisor Sarmiento, seconded and carried, the Board of Directors approved updated Office of Compliance Policy HH.3012:Non- Retaliation for Reporting Violations. (Motion carried; 8-0-0) 13. Approve Contract for State and Local Advocacy Services Supervisor Sarmiento requested that staff provide additional details going forward with items that go out to bid, such as scoring sheets, which would be helpful to understand the decisions to move one vendor forward even though that vendor is a more expensive firm. 353 Regular Meeting of the CalOptima Health Board of Directors September 7, 2023 Page 5 Action: On motion of Supervisor Sarmiento, seconded and carried, the Board of Directors authorized the Chief Executive Officer to execute a contract with Strategies 360,Inc. (Strategies 360)for state and local advocacy services, effective October 1, 2023, through October 31, 2026. (Motion carried; 8-0-0) 14. Ratify the Temporary, Short-Term Supplemental Medi-Cal Payment Increase for Contracted Fee-for-Service Physicians, Except Physicians Employed by UCI Health or the University of California, Irvine,to Support Expenses for Services Provided to Members during the Transition out of the Public Health Emergency Director Garica Guillen did not participate in this item due to potential conflicts of interest. Supervisor Sarmiento did not participate in this item in an abundance of caution due to possible campaign contributions under the Levine Act. Director Tran did not participate in this item due to his role as a Physician Specialist. Action: • On motion of Director Mayorga, seconded and carried, the Board of Directors: 1.)Ratified a temporary, short-term supplemental Medi-Cal rate increases of up to 7.5%for contracted fee-for-service physicians, except physicians employed by UCI Health or the University of California,Irvine,for the period of July 1, 2023, through August 31, 2024;2.)Ratified contract amendments and policies and procedures that implement these temporary, short-term public health emergency transition supplemental Medi-Cal rate increases; and 3.)Ratified unbudgeted expenditures from existing reserves in an amount up to $10.2 million to support the public health emergency transition supplemental payment program for all contracted fee-for-service physicians. (Motion carried; 5-0-0;Director Garcia Guillen;Supervisor Sarmiento; and Director Tran recused) 15. Ratify a Temporary, Short-Term Supplemental Medi-Cal Payment Increase for Contracted Fee-for- Service Physicians Employed by UCI Health or the University of California, Irvine to Support Expenses for Services Provided to Members during the Transition out of the Public Health Emergency Director Garica Guillen did not participate in this item due to potential conflicts of interest. Director Mayorga did not participate in this item due to his role as Executive Director at UC Irvine Health. Supervisor Sarmiento did not participate in this item in an abundance of caution due to possible campaign contributions under the Levine Act. Action: On motion of Vice Chair Contratto, seconded and carried, the Board of Directors: 1.)Ratified the temporary, short-term supplemental Medi-Cal rate increases of up to 7.5%for contracted fee-for-service physicians employed by UCI Health or the University of California,Irvine for the period of July 1, 2023, through August 31, 2024; and 2.)Ratified contract amendments and policies and procedures to implement these temporary, short-term public health emergency transition supplemental Medi-Cal rate increases. (Motion carried; 5-0-0;Director Garcia Guillen;Director Mayorga; and Supervisor Sarmiento recused) 16. Authorize Pursuit of Proposals with Qualifying Funding Partners to Secure Medi-Cal Funds 354 Regular Meeting of the CalOptima Health Board of Directors September 7,2023 Page 6 Through the Voluntary Rate Range Intergovernmental Transfer Program for Calendar Year 2022 Director Mayorga did not participate in this item due to his role as Executive Director at UC Irvine Health and Supervisor Sarmiento did not participate in this item in,an abundance of caution as the County of Orange is one of the funding partners. Action: On motion of Vice Chair Contratto, seconded and carried, the Board of Directors authorized the following activities to secure Medi-Cal funds through the Voluntary Rate Range Intergovernmental Transfer(IGT)for Calendar Year 2022 (IGT 12): 1.)Submission of a proposal to the California Department of Health Care Services (DHCS) to participate in IGT 12;2.)Pursuit of funding partnerships with the University of California Irvine,First 5 Orange County(Children &Families Commission), the County of Orange, the City of Orange, the City of Newport Beach, and the City of Huntington Beach to participate IGT 12; and 3.)Authorized the Chief Executive Officer to execute agreements with these entities and their designated providers (as necessary) to seek IGT 12 funds. (Motion carried 6-0-0;Director Mayorga recused, and Supervisor Sarmiento abstained) 17. Approve Actions Related to Provision of Doula Services as a Covered Medi-Cal Benefit After hearing public comment on this item, the Board took the following action: Action: On motion of Supervisor Chaffee, seconded and carried, the Board of Directors: 1.)Authorized implementation of new Medi-Cal Ancillary Services Contract template for doula services, effective September 1, 2023; and 2.)Authorized reimbursement for doula services at 100% of the CalOptima Health Medi-Cal Fee Schedule. (Motion carried 8-0-0) 18. Authorize Employee and Retiree Group Health Insurance and Wellness Benefits for Calendar Year 2024 Action: On motion of Supervisor Sarmiento, seconded and carried, the Board of Directors: 1.)Authorized the Chief Executive Officer to enter into contracts and/or amendments to existing contracts, as necessary, to continue to provide group health insurance, including medical, dental, and vision,for CalOptima Health employees and eligible retirees (and their dependents);basic life, accidental death and dismemberment(ADD), short-term disability (STD) and long-term disability(LTD) insurance; an employee assistance program; and flexible spending accounts (FSA)for Calendar Year(CV) 2024 in an amount not to exceed$32.0 million, which includes the following recommended program updates with estimated cost changes: a.) The renewal of the current Blue Shield of California Health Maintenance Organization (HMO)plans, Preferred Provider Organization (PPO)plan,PPO Savings High Deductible Health Plan (HDHP),Blue Shield of California Dental HMO and PPO plans, Kaiser Permanente(Kaiser)HMO,Kaiser Senior Advantage,Am Wins Retiree Medicare Supplement Plan, VSP vision;New York Life Basic Life/ADD, STD,LTD,Aetna Resources for Living Employee Assince Regular Meeting of the CalOptima Health Board of Directors September 7,2023 Page 7 Program (EAP), and Wex Flexible Spending Account(FSA)plans and COBRA administration with no changes in plan designs;b.)An increase in employer contributions for active and retiree medical plans of 7.9% or $2,159,825 from CY2023 due to an overall rise in premium rates. The total employer contribution for CY2024 is$24,519,676. The total employee contribution will remain unchanged from CY2023; c.)An increase in employer contributions of 28.0% or$73,150 from CY2023 to fund the Health Savings Accounts (HSA)for employees anticipated to enroll in the Blue Shield PPO Savings HDHP. The total employer contribution for CY2024 is $334,400; d.) The elimination of the spousal surcharge imposed on employees who cover a spouse who has access to alternative group health plans. The total net fiscal impact to CalOptima Health is $247,200 in CY2024; e.) The addition of$51,000 in funding to offer on-site and virtual counseling and mental health services through Aetna Resources for Living EAP; and 2.)Authorized the receipt and expenditures for CalOptima Health staff wellness programs of$75,000 in funding from Blue Shield of California for CY 2024. (Motion carried 8- 0-0) 19. Authorize Action Related to California Public Employees' Retirement System Unfunded Accrued Liability Action: On motion of Supervisor Chaffee, seconded and carried, the Board of Directors authorized the Chief Executive Officer (CEO) to execute a one- time additional discretionary payment of$49,999,717 to fully fund the California Public Employees'Retirement System Unfunded Accrued Liability balance as of June 30, 2022. (Motion carried 8-0-0) As noted at the top of the agenda, the Board will hear Agenda Item 20 after Closed Session. ADVISORY COMMITTEE UPDATES 21. Regular Joint Meeting of the Member Advisory Committee and Provider Advisory Committee Update Maura Byron, Chair of the Member Advisory Committee (MAC)updated the Board on recent activities at the Joint Meetings of the MAC and the Provider Advisory Committee. • CLOSED SESSION The Board adjourned to Closed Session at 4:21 p.m. pursuant to Government Code Section 54956.8, CONFERENCE WITH REAL PROPERTY NEGOTIATORS,Under Negotiation: Price and terms of payments,Property: 7900 Garden Grove Avenue Boulevard, Garden Grove, CA 92841,Agency Rev. Negotiators: David Kluth, and Mai Hu,Newmark Knight Frank,Negotiating Parties: Lvt, Inc. and 9/22/23 pursuant to Government Code Section 54956.9(d)(1), CONFERENCE WITH LEGAL COUNSEL— STRATEGY ON EXISTING LITIGATION. • The Board returned to open session at 5:02 p.m. and the Clerk re-established a quorum. 356 Regular Meeting of the CalOptima Health Board of Directors September 7,2023 Page 8 ROLL CALL Members Present: Clayton Corwin, Chair; Blair Contratto, Vice Chair; Debra Baetz(non-voting); Isabel Becerra; Supervisor Doug Chaffee;Norma Garcia Guillen; Jose Mayorga, M.D.; Supervisor Vicente Sarmiento; Trieu Tran, M.D. (All Board members in attendance participated in person) Members Absent: None. Others Present: Michael Hunn, Chief Executive Officer; Yunkyung Kim, Chief Operating Officer; James Novello, Outside General Counsel,Kennaday Leavitt;Nancy Huang, Chief Financial Officer; Richard Pitts,D.O.,Ph.D., Chief Medical Officer; Sharon Dwiers, Clerk of the Board CLOSED SESSION CS-1. CONFERENCE WITH REAL PROPERTY NEGOTIATORS Pursuant to Government Code Section 54956.8 Under Negotiation: Price and terms of payments Rev. Property: 7900 Garden Grove Avenue Boulevard, Garden Grove, CA 92841 9/22/23 Agency Negotiators: David Kluth, and Mai Hu,Newmark Knight Frank Negotiating Parties: Lvt, Inc. Mr.Novello, Outside General Counsel, Kennaday Leavitt, read the following action taken in Closed Session for item CS-1: Action: On motion of Supervisor Sarmiento, seconded by Chair Corwin, the Board of Directors has unanimously voted to approve the acquisition of the property at 7900 Garden Grove Aven-uc Boulevard, Garden Grove, Rev. California 92841 for a purchase price of$8 million. (Motion carried 8-0- 9/22/2 0) CS-2. CONFERENCE WITH LEGAL COUNSEL—STRATEGY ON EXISTING LITIGATION Pursuant to Government Code Section 54956.9(d)1 Chair Corwin noted for the record that there was no reportable action taken in Closed Session for item CS-2. 20. Approve Actions Related to the Garden Grove Street Medicine Pilot Program and Support Center Action: On motion of Supervisor Chaffee, seconded and carried, the Board of Directors:1.)Authorized the Chief Executive Officer(CEO) to: a.) Solicit, select and contract for general contractor services and furniture, fixtures, and equipment for the Street Medicine Support Center at 7900 Garden Grove Boulevard, Garden Grove, California; b.)Execute a contract amendment with Totum Corporation to complete full scope design, including assessments, architecture and engineering,project management, local engagement,permits, and fees for the Street Micine Regular Meeting of the CalOptima Health Board of Directors September 7,2023 Page 9 Support Center at 7900 Garden Grove Boulevard, Garden Grove, California for the nine-month period of September 1, 2023, through May 31, 2024; c.)Execute a contract amendment with RiverRock Real Estate Group,Inc. (RiverRock)for property management, maintenance and security services at 7900 Garden Grove Boulevard for the nine-month period of September 1, 2023, through May 31, 2024;2.)Authorized unbudgeted expenditures in an amount up to $10.51 million in undesignated reserves to fund the Recommended Action 1;3.)Authorized the CEO to negotiate an amendment to the existing contract with Healthcare in Action to include additional services to be provided at the Street Medicine Support Center;and 4.)Made exceptions to CalOptima Health Policy GA.5002:Purchasing Policy related to Recommended Actions lb, lc, and 3. (Motion carried 8-0-0) Ms. Kim thanked the Board for its support of the Garden Grove Street Medicine Support Center. BOARD MEMBER COMMENTS AND BOARD COMMITTEE REPORTS Supervisor Chaffee commented regarding the ad hoc committee on Corporate Governance, stating that he does not want to be on the ad hoc committee but would like to make two suggestions. One,the election should be conducted by a neutral party. He noted that almost universally and on other boards that he sits on,they use legal counsel to run the election and take it out of the hands of the people who might be elected. Another possibility would be to have the Clerk of the Board run the election. Supervisor Chaffee also suggested that an easier way to draft Board rules is to adopt something like Robert Rules of Order,the Board would need to read through the Robert Rules of Order and could adopt portions of it. Supervisor Chaffee also reported that his office created a program for the Fullerton Police Department where they are hiring social workers to be a part of the department and hopefully de-escalate issues. Vice Chair Contratto thanked Nancy Huang and her team for their due diligence on the CalPERS performance and the decision to fund unfunded employee retirement benefits. ADJOURNMENT Chair Corwin adjourned the meeting in a somber tone, sharing sad news that one of CalOptima Health's Information Technology Services (ITS)team members suddenly passed away two weeks ago. Phillip Marquez, III was a valued member of the Service Desk team for over six years and always had a passion for helping others. On behalf of the Board, Chair Corwin offered the Board's sincere condolences to Phillip's family, his four children,the ITS team and everyone at CalOptima Health who had the privilege of working with him. 358 Regular Meeting of the CalOptima Health Board of Directors September 7,2023 Page 10 Hearing no further business, Chair Corwin adjourned the meeting in memory of Phillip Marquez, III at 5:15 p.m. /s/ Sharon Dwiers Sharon Dwiers Clerk of the Board Approved: October 5, 2023 359 9 IN 0)'o . \ ' ..a T°/ City of 1 untington Beach > 2000 Main Street • Huntington Beach, CA 92648 a a (714) 6- 22 • www.huntin onbeachca. ov _ 53 5 7g Office of the CityClerk c�U NT9 ���Ae Robin Estanislau, ity Clerk November 20, 2023 Vivian Beeck Capitated Rated Development Division California Department.of Health Care Services 1501 Capitol Avenue, MS 4413 Sacramento, CA 95814 Dear Ms. Beeck: Enclosed are two partially executed original Intergovernmental Agreement Regarding Transfer of Public Funds contracts, for final execution by the California.Department of Health Care Services. Upon final execution, please provide a fully executed original to: City of Huntington Beach City Clerk's Office Attn: Donna Switzer, Senior Deputy City Clerk 2000 Main Street, 2nd Floor Huntington Beach CA 92648 Your attention to this matter is greatly appreciated. Sincerely, 01(1411 ed/444.41.44) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan v. // ... .SINC '' in. 04/ Imitik -**.r. oil P 0 RA 74•••• 4610 ‘ ;;mr ••• Voluntary Rate Range IGT _' i _ /) _ t ; i Program (VRRP IGT) -- _ _ 1 Huntington Beach Fire Department , _ .--odir;7. /,,,- ��- A November 7, 2023 • o% A... _7::_.:... . "__ t, • • •••�• 17 gp91 '':•• 0 •�...• °OUNTN •• i 1 ..•..►///,e, 360 Recommendation A) Approve and authorize execution of an agreement between the California Department of Health Care Services (DHCS) and City of Huntington Beach; B) Authorize designated city staff to execute the agreement; and C) Approve an appropriation of $2,282,450 for the agreement during FY 23/24. 0i NT I N G T v 0 '/0 O`�••,,yGpNPORATFO•'•� 63 frs \ =7 :B. o%Q'. v c065 t ii1 361 Background During FY 22/23, the City was notified of eligibility to participate in the Voluntary Rate Range IGT program (VRRP IGT) The City of Newport Beach and-the City of Orange have participated in the VRRP IGT for over five years and have received net revenue. Other entities eligible for this year's VRRP IGT through CalOptima include First 5 Orange County, Orange County Health Care Agency, UCI Health. 0,� �iNCTo - 362 Background The CalOptima Health Board Action Agenda Referral dated 08/31/2023 states: The Voluntary Rate Range IGT program allows DHCS and CalOptima Health to secure additional Medi-Cal dollars for eligible Orange County entities. For each IGT transaction, DHCS identifies the estimated member months for rate categories (e.g., adult, adult optional expansion, child, long term care, seniors and persons with disabilities, and whole child model) and provides the total amount available for Orange County to contribute through funding entities. To receive funds, entities provide a dollar amount to DHCS, which is then used to obtain a federal match. DHCS distributes the funds and the match to the eligible entities through CalOptima Health. 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Future The City's ongoing participation in the program is dependent on available federal funding for the program and the City's ability to provide the upfront contribution required. The contribution and net revenue received annually by the City is also dependent on other factors, such as the number of program participants in the County and number of Medi-Cal calls for service. 365 s x'i �'�*+.ram" ii'e _ xr d ,.a" - rLa, t"',� %7.� x ,fir"" '-fii .e f 'CC t + � y,§ '.p"J Questions ? . �e �� �6 ` z '�x n °a '$° ass° gy a 5k�a gee '� ' i ' i,�F e F i :"� 4r,gt41:-., f ,,,,,,,„.",,,,",,,,,,,rff,„„ II( ..,k .:., '"'''''!": "'“'"'-''''-- ''' "'—"URI Pliw 1:,:er,.;,,.:,-:::E4:-:::„..:;,---.-. '-- ,,,, s,,i , ,, 1 ,,, sE a -,max ;,a€ ' ;a � a _ &?� . .„, „. 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