Commissioners Court Meeting

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Meeting Date:	10/24/2022
IHC IGT FY 2022-2023
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 2022-2023. IGT contributions for FY 2022-2023 may be paid out, if necessary, thru December 31, 2023, 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 2022-2023 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 local hospitals as requested by the State of Texas.

Result: The authorization of IGT will allow local hospitals to access matching federal funds for FY 2022-2023 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 an IGT entity for Doctors Hospital of Laredo and Laredo Medical Center since 2006.

Previous Court Action:

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

Fiscal Impact

Budget Account Number:	432063-015
Funding Source:	1001-5030-001
Balance:	$728,700
Financial Impact:
Sufficient funding is available for this agenda item

Budget Account Number:	432063-020
Funding Source:	1001-5030-001
Balance:	$473,200
Financial Impact:
Sufficient funding is available for this agenda item