REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 7, 2024
FROM
WILLIAM L. GILBERT, Director, Arrowhead Reginal Medical Center,
SUBJECT
Title
Medi-Cal Graduate Medical Education Payment Program Provider Participation Agreement
End
RECOMMENDATION(S)
Recommendation
Approve the Medi-Cal Graduate Medical Education Payment Program Provider Participation Agreement with the California Department of Health Care Services, for the provision of reimbursements at an estimated revenue of $54,000,000, for direct and indirect costs associated with the operations of the Graduate Medical Education Program at Arrowhead Regional Medical Center, with the agreement term of July 1, 2024 through June 30, 2027.
(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 this item will not result in the use of Discretionary General Funding (Net County Cost). The total estimated reimbursement of $54,000,000 is based on expenditures for Arrowhead Regional Medical Center's (ARMC) Graduate Medical Education (GME) Programs, which total $81,000,000. The reimbursement shall be funded by the California Department of Health Care Services (DHCS) through Medi-Cal in the amount of $16,000,000 for 2024-25, $18,000,000 for 2025-26, and $20,000,000 for 2026-27. DHCS requires the County to provide a local match of $27,000,000.
To meet the DHCS match requirement, $27,000,000 in intergovernmental transfers will be advanced from the County's Health Administration Budget Unit fund. This is used to guarantee the availability of the non-federal match funds for expenditures related to ARMC's GME program. Once the non-federal share portion is received from DHCS, ARMC will remit these funds to the County's Health Administration Budget Unit. Adequate appropriation and revenue hav...
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