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File #: 2544   
Type: Consent Status: Passed
File created: 7/7/2020 Department: Arrowhead Regional Medical Center
On agenda: 7/14/2020 Final action: 7/14/2020
Subject: Designate Director as Authorized Representative for Arrowhead Regional Medical Center for Medi-Cal Health Care Facility Letters
Attachments: 1. Item #9 Executed BAI
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION

July 14, 2020
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center

SUBJECT
Title
Designate Director as Authorized Representative for Arrowhead Regional Medical Center for Medi-Cal Health Care Facility Letters
End

RECOMMENDATION(S)
Recommendation
1. Designate the Director of Arrowhead Regional Medical Center as the authorized representative for purposes of preparing and signing Medi-Cal Health Care Facility letters for Arrowhead Regional Medical Center for a period of five years, from July 14, 2020 through July 13, 2025.
2. Authorize the Director of Arrowhead Regional Medical Center to prepare and sign Medi-Cal Health Care Facility letters as the authorized representative for Arrowhead Regional Medical Center for a period of five years, from July 14, 2020 through July 13, 2025.
(Presenter: William L. Gilbert, Director, 580-6150)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.

FINANCIAL IMPACT
Approval of the recommendations will not result in the use of Discretionary General Funding (Net County Cost), as these are non-financial documents.

BACKGROUND INFORMATION
The California Department of Health Care Services (DHCS) has established procedures for the enrollment of licensed or certificated healthcare providers, or applicants who are professional corporations, who render services to Medi-Cal beneficiaries exclusively in one or more licensed health facilities that are enrolled in the Medi-Cal program. One of the DHCS Medi-Cal enrollment requirements is for providers to submit a "Health Care Facility" letter for each Medi-Cal enrolled and licensed health facility at which the provider renders services to Medi-Cal beneficiaries.

According to DHCS, each Health Care Facility letter must be on the letterhead of the licensed health facil...

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