Commissioners Court Special Meeting

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Meeting Date:	06/04/2015
IGT Transfer - 1115 Waiver
Submitted for:	Nancy Cadena	Submitted By:	Nora Prado
Department:	Public Health Services

Information

Subject:

Discussion and possible action to authorize an Inter-Governmental Transfer (IGT) to the State of Texas in connection with the Texas Healthcare Transformation and Quality Improvement Program/1115 Waiver in an amount not to exceed $1,200,000 for FY 2014-2015 (First Quarter: Oct. 2014 – Dec. 2014) (Second Quarter: Jan. 2015 – Mar. 2015) (Third Quarter: Apr. 2015 – June 2015) (Fourth Quarter: July 2015 – Sept. 2015). [Accounts #001-4100-6714-3 (Hospital Inpatient) and #001-4100-6714-4 (Hospital Outpatient) from Fiscal Year 2014-2015 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 2014-2015 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 has been the Inter-Governmental Transfer entity for Laredo Medical Center and Doctors Hospital of Laredo since 2006 for the former Upper Payment Limit (UPL) Program, and the current Uncompensated Care (UC) and Delivery System Reform Incentive Payment (DSRIP) programs under the 1115 Waiver.

Previous Court Action:

The Commissioners Court has authorized multiple Inter-Governmental Transfer (IGT) contributions since 2006.

Fiscal Impact

Budget Account Number:	001-4100-6714-3
Funding Source:	Indigent Health
Balance:	$805,493
Financial Impact:
There are sufficient funds in the account for the transfer requested.

Budget Account Number:	001-4100-6714-4
Funding Source:	Indigent Health
Balance:	$541,561
Financial Impact:
There are sufficient funds in the account for the transfer requested.