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43.

Meeting Date:	12/14/2015
1115 Waiver IGT Contributions FY 2015-2016
Submitted for:	Nancy Cadena	Submitted By:	Nora Prado
Department:	Public Health Services

Subject:

Discussion and possible action to authorize Inter-Governmental Transfers (IGT's) to the State of Texas in connection with the Texas Healthcare Transformation and Quality Improvement Program/1115 Waiver in amounts not to exceed a total of $1,200,000 for Fiscal Year 2015-2016. [Accounts #001-4100-6714-3 (Hospital Inpatient) and #001-4100-6714-4 (Hospital Outpatient) from Fiscal Year 2015-2016 Budget]

Issue: Since 2006, Webb County has participated as the Inter-Governmental Transfer entity for Laredo Medical Center and Doctors Hospital of Laredo. The IGT submitted allows our local hospitals to receive matching funds from the federal government that is used to offset the uncompensated care that both hospitals provide.

Solution: The Commissioners Court may approve (quarterly, bi-annually, or yearly) contribution amounts that Webb County will submit on behalf of both hospitals.

Result: The authorization of IGT will allow local hospitals to access matching federal funds for FY 2015-2016 to offset uncompensated care costs as well as receive incentive payments from the State of Texas for successful completion of 1115 Waiver project milestones and metrics.

Background:

Webb County provides the non-federal share required to draw down matching federal funds under the Uncompensated Care program (formerly Upper Payment Limit program) and the 1115 Waiver DSRIP projects.

Previous Court Action:

The court has approved the Inter-Governmental Transfer (IGT) in the past as the non-federal share.

Fiscal Impact

Budget Account Number:	001-4100-6714-3&4
Funding Source:	Hosp Inpt/Outpt
Balance:	1,403,000
Financial Impact:
There are sufficient funds in these accounts to fund the Inter-Governmental Transfers (IGT).