San Bernardino header
File #: 4261   
Type: Consent Status: Passed
File created: 5/28/2021 Department: Arrowhead Regional Medical Center
On agenda: 6/8/2021 Final action: 6/8/2021
Subject: Medi-Cal Graduate Medical Education Payment Program Provider Participation Agreement
Attachments: 1. CON-ARMC-6-8-21-DHCS GME Payment Program, 2. COV-ARMC-6-8-21-DHCS GME Payment Program, 3. Item #17 Executed BAI, 4. 21-394 Unexecuted Contract
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION

June 8, 2021

FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional 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 $42,000,000, 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, 2021 through June 30, 2024.
(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 Agreement with the California Department of Health Care Services (DHCS) will not result in the use of Discretionary General Funding (Net County Cost). The total estimated revenue is $42,000,000. Expenditures for Arrowhead Regional Medical Center's (ARMC) Graduate Medical Education (GME) Programs shall be fully funded through Medi-Cal, in the following amounts:

Fiscal Year (FY)
Amount
FY 2021-22
$12,000,000
FY 2022-23
$14,000,000
FY 2023-24
$16,000,000

A total of $21,000,000 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 the funds to the Health Administration Budget Unit. Sufficient appropriation and revenue has been included in the Arrowhead Regional Medical Center (ARMC) 2021-22 Recommended Budget and will be included in fut...

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