Commissioners Court Special Meeting

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Meeting Date:	11/02/2017
HHSC 1115 Waiver Amendment No. 2
Submitted for:	Nancy Cadena	Submitted By:	Nora Prado
Department:	Public Health Services

Information

Subject:

Discussion and possible action to approve Amendment No. 2 to the inter-local agreement between Webb County (Anchors) and the Texas Department of Health and Human Services Commission (HHSC) as required to receive the federal matching funds available from the Delivery System Reform Incentive Payment (DSRIP) Program under the Texas Healthcare Transformation & Quality Improvement Program/1115 Waiver; and authorizing the County Judge to sign all relevant documents; and any other matters incident thereto.

Issue: The current inter-local agreement is set to terminate on January 31, 2018. The Texas Department of Health and Human Services Commission (HHSC) has requested an additional extension thru January 31, 2020 and the amendment will reflect this change.

Solution: The Commissioners Court approves the amendment to the inter-local agreement to reflect the change in the termination date from January 31, 2018 to January 31, 2020.

Result: Webb County, as the anchor for RHP20, will continue to perform its administrative functions and be eligible for an additional administrative payment up to $800,000. The release of these funds will be contingent upon Webb County providing the non-federal share via an Inter-Governmental Transfer (IGT).

Background:

The court approved the initial inter-local agreement on April 8, 2013 and the first amendment on September 26, 2016.

Previous Court Action:

The court approved the initial inter-local agreement on April 8, 2013 and the first amendment on September 26, 2016.

Fiscal Impact

Budget Account Number:	2002
Funding Source:	Anchor 20 Fund
Balance:	298,000
Financial Impact:
Approval of Amendment No. 2 will allow Webb County to be eligible for an additional administrative payment up to $800,000 for its administrative duties as Anchor for Region 20.

Attachments
HHSC Amendment No. 2
Amendment No. 1 (09-2016)
Original Inter-local agreement (04-2013)