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'...
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