San Bernardino header
File #: 3688   
Type: Consent Status: Passed
File created: 2/5/2021 Department: County Administrative Office
On agenda: 2/9/2021 Final action: 2/9/2021
Subject: Approve Restatement No. 1 to Inland Empire Health Plan Joint Powers Agreement to Allow Provision of Services to Non-Medi-Cal Healthcare Systems
Attachments: 1. COV-CAO-020921-IEHP JPA Restatement, 2. ATT-CAO-020921-Restatement No. 1 to IEHP Joint Powers Agreement, 3. Item #28 Executed BAI, 4. 21-141 Unexecuted Contract
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION

February 9, 2021

FROM
LEONARD X. HERNANDEZ, Chief Executive Officer, County Administrative Office

SUBJECT
Title
Approve Restatement No. 1 to Inland Empire Health Plan Joint Powers Agreement to Allow Provision of Services to Non-Medi-Cal Healthcare Systems
End

RECOMMENDATION(S)
Recommendation
Approve Restatement No. 1 to Inland Empire Health Plan Joint Powers Agreement, between San Bernardino County and County of Riverside, which will result in an Amended and Restated Joint Powers Agreement, to allow Inland Empire Health Plan to provide services to non-Medi-Cal healthcare systems.
(Presenter: Leonard X. Hernandez, Chief Executive Officer, 387-5417)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Pursue County Goals and Objectives by Working with Other Agencies.

FINANCIAL IMPACT
Approval of this item will not result in the use of additional Discretionary General Funding (Net County Cost).

BACKGROUND INFORMATION
In 1994, the Board of Supervisors for the Counties of San Bernardino and Riverside (Counties) established the Inland Empire Health Plan (IEHP), a joint powers authority, to provide the health plan administration for the members enrolled in the Medi-Cal managed care plan as legislated by the State. In 2003, the California Legislature amended the California Welfare and Institutions Code to authorize the Department of Health Care Services (DHCS) to impose a quality improvement fee (QIF) on capitation payments (fixed payments for a certain amount of time) to Medi-Cal managed care plans. Some managed care plans created separate affiliate entities, often referred to as QIF Plans, to protect certain managed care contracts, including non-Medi-Cal managed care contracts, from being included in the calculation of the QIF. The Counties approved a sixth amendment to IEHP'...

Click here for full text