Commissioners Court Meeting

Issue viewing agenda items? Click here to switch to the old format.

Return to the Search Page Return to the Agenda

Meeting Date:	11/08/2021
IGT Transfers - FY 2022
Submitted for:	Nancy Cadena	Submitted By:	Nora Prado
Department:	Public Health Services

Subject:

Discussion and possible action to authorize Inter-Governmental Transfer (IGT) contributions payable to the Texas Health and Human Services Commission as required under the Texas Healthcare Transformation and Quality Improvement Program/1115 Waiver in amounts not to exceed a total of Nine Hundred Thousand Dollars ($900,000) for Fiscal Year 2021-2022. IGT contributions for FY 2021-2022 may be paid out, if necessary, thru December 31, 2022, contingent upon IGT transfer dates and deadlines established by the State of Texas. [Accounts #1001-5030-001-432063-015 (Hospital Inpatient) and #1001-5030-001-432063-020 (Hospital Outpatient) from Fiscal Year 2021-2022 Budget]

Issue: Since 2006, Webb County has participated as the Inter-Governmental Transfer (IGT) entity for Laredo Medical Center and Doctors Hospital of Laredo. The IGT submitted allows hospitals to receive federal matching funds that are used to offset the cost of uncompensated care that hospitals provide to Medicaid and uninsured patients.

Solution: Commissioners Court approval is needed in order to submit IGT contributions on behalf of both hospitals as requested by the State of Texas.

Result: The authorization of IGT will allow local hospitals to access matching federal funds for FY 2021-2022 to offset uncompensated care costs as well as receive incentive payments from the State of Texas for successful completion of 1115 Waiver project requirements.

Background:

Webb County has served as the IGT entity for Laredo Medical Center and Doctors Hospital of Laredo since 2006.

Previous Court Action:

Fiscal Impact

Budget Account Number:	5030-001-432063-015
Funding Source:	General Fund
Balance:	642,300
Financial Impact:
There is sufficient funding for this item.

Budget Account Number:	5030-001-432063-020
Funding Source:	General Fund
Balance:	450,200
Financial Impact:
There is sufficient funding for this item.