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File #: 14-1848   
Type: Grant Applications and Awards
In control: City Council A Session
On agenda: 9/4/2014
Posting Language: An Ordinance authorizing budgets in a cumulative amount of approximately $10,667,810.00, 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. [Gloria Hurtado, Assistant City Manager; Dr. Thomas Schlenker, Director of Public Health]
Indexes: 1115 Waiver
Attachments: 1. Budgets - DY 4, 2. Draft Ordinance, 3. Ordinance 2014-09-04-0652
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 Hea...

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