DEPARTMENT: Health
DEPARTMENT HEAD: Dr. Thomas L. Schlenker
COUNCIL DISTRICTS IMPACTED: City Wide
SUBJECT:
1115 Waiver Program - Demonstration Year 4
SUMMARY:
This Ordinance authorizes budgets, staffing complements and other related items in order to participate in the Medicaid 1115 Waiver Program for Demonstration Year 4 which begins October 1, 2014 and ends on September 30, 2015. The San Antonio Metropolitan Health District (Metro Health) will request approval of proposed budgets in a cumulative amount of approximately $10,667,810.00. This ordinance will also authorize the Director of Metro Health to execute contract amendments pertaining to a) line item budget revisions authorized by the funding agency; b) modifications to the performance measures authorized by the funding agency and listed in the contracts so long as the terms of the amendment stay within the general parameters of the grant's intention; and c) changes in State or Federal regulations mandated by the funding agency.
BACKGROUND INFORMATION:
On January 31, 2013, City Council authorized the submission of six project proposals for consideration and funding through the new Delivery System Reform Incentive Payment (DSRIP) arm of the "Texas Healthcare Transformation and Quality Improvement Program" or Texas Medicaid 1115 Waiver. Metro Health carefully selected projects in the following areas: diabetes prevention, children's oral health services, HIV and Syphilis
prevention, breastfeeding promotion, teen pregnancy prevention and neighborhood health promotion. All six projects were approved for funding through two phases of approvals in April and September of 2013.
Additionally, City Council authorized Metro Health to submit intergovernmental funding transfers to the DSRIP in a cumulative amount up to $29,361,991.00, and accept $72,754,933.00 from the program. The proposed budget falls within the amount previously authorized to accept.
ISSUE:
Metro Health is requesting City Council approve an ordinance authorizing proposed project budgets and personnel complements for DY 4 which will allow Metro Health to improve health outcomes by investing in projects that incentivize providers to transform service delivery practices to improve quality, health status, patient experience, coordination, and cost effectiveness.
ALTERNATIVES:
Metro Health is requesting City Council approve an ordinance authorizing proposed project budgets and personnel complements for DY 4 which will allow Metro Health to improve health outcomes by investing in projects that incentivize providers to transform service delivery practices to improve quality, health status, patient experience, coordination, and cost effectiveness.
FISCAL IMPACT:
This Ordinance will authorize proposed program budgets in a cumulative amount of approximately $10,667,810.00 and authorize a total of 38 positions which is an increase of six positions from the previous year. This grant does not require a cash match. The General Fund will be required to provide funding mandated by the Texas Health and Human Services Commission (HHSC) for the Delivery System Reform Incentive Payment (DSRIP) Monitoring of all Medicaid 1115 Waiver projects in the amount of approximately $31,000.00.
RECOMMENDATION:
Staff recommends approval of proposed project budgets and personnel complements for Demonstration Year 4 in order to continue to participate in this opportunity to transform health care systems and public health outcomes which will further allow Metro Health to move forward with the implementation of goals set forth in the department strategic plan and Medicaid 1115 Waiver projects.