REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 9, 2023
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Revenue Provider Services Agreement with Inland Faculty Medical Group, Inc. for Ancillary Services
End
RECOMMENDATION(S)
Recommendation
1. Approve Revenue Provider Services Agreement, including non-standard terms, with Inland Faculty Medical Group, Inc. to reimburse Arrowhead Regional Medical Center for providing outpatient health care services to designated Medi-Cal Managed Care members, retroactively effective January 1, 2022 through December 31, 2026.
2. Direct the Clerk of the Board of Supervisors to maintain the confidentiality of the Provider Services Agreement pursuant to Health and Safety Code Section 1457(c)(1).
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). This revenue agreement will be utilized to ensure reimbursement to Arrowhead Regional Medical Center (ARMC) from Inland Faculty Medical Group, Inc. (Inland Faculty) for providing outpatient care to certain Medi-Cal managed care plan members who are assigned to Inland Faculty.
BACKGROUND INFORMATION
Health plans contract with Independent Practice Associations (IPA), such as Inland Faculty, for the provision of care for their Medi-Cal managed care members. The recommended revenue agreement will provide reimbursement from Inland Faculty to ARMC for outpatient care services to Medi-Cal managed care plan members who are assigned to Inland Faculty. The agreement is retroactive to January 1, 2022, as that is the date Inland Empire Health Plan (IEHP), the primary Medi-Cal man...
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