City of San Antonio - File #: 18-1608

• File #: 18-1608
• Type: Grant Applications and Awards
• In control: City Council A Session
• On agenda: 2/15/2018
• Posting Language: Ordinance authorizing the San Antonio Metropolitan Health District’s continued participation in the Medicaid 1115 (a) Demonstration Waiver Program known as the “Texas Healthcare Transformation and Quality Improvement Program” (the Waiver Program); submission of intergovernmental funding transfers (IGT) in an amount up to $16,928,278.00; acceptance of the submitted IGT reimbursement amount; acceptance of up to $22,935,794.00 in federal incentive payments from the Waiver Program; submission of up to $70,000.00 for non-reimbursable IGT to the Waiver Program for monitoring and compliance and authorizing revised program budgets and personnel complements for a period ending September 30, 2019. [Erik Walsh, Deputy City Manager; Colleen M. Bridger, MPH, PhD, Director of Health]

Date	Ver.	Action By	Action	Result
2/15/2018	1	City Council A Session	adopted	Pass

DEPARTMENT: Health


DEPARTMENT HEAD: Colleen M. Bridger, MPH, PhD



COUNCIL DISTRICTS IMPACTED: Citywide


SUBJECT:

Authorizing Continued Participation in the 1115 Medicaid Waiver



SUMMARY:

This Ordinance authorizes the San Antonio Metropolitan Health District's (Metro Health's) continued participation in the 1115 Medicaid Waiver Program, submission of intergovernmental funding transfers (IGT) in an amount up to $16,928,278.00, acceptance of IGT reimbursement payments, and the acceptance of up to $22,935,794.00 in federal incentive payments from the 1115 Medicaid Waiver Program.

This Ordinance also authorizes the submission of two non-reimbursable IGT payments in the amount of $35,000 per year, for a cumulative total not to exceed $70,000.00, to the Waiver Program for monitoring and compliance for a period ending September 30, 2019.

In addition, this Ordinance authorizes revised program budgets and personnel complements to convert a total of 24 City temporary staff positions to full-time grant positions for the following Metro Health Waiver programs: Oral Health, Operations, Healthy Neighborhoods and Stand Up SA for the current program year (Demonstration Year 7), ending September 30, 2018.

Furthermore, this Ordinance authorizes operational and program budgets and personnel complements to support Metro Health's 1115 Medicaid Waiver funded programs for Demonstration Year 8, beginning October 1, 2018 through September 30, 2019 as outlined below:

* Diabetes prevention and management
* Children's school based oral health
* STD/HIV prevention
* Baby Caf? breastfeeding promotion
* Teen pregnancy prevention
* Healthy Neighborhoods
* Stand Up SA
* Operations (for internal operational support)

Metro Health's participation in the 1115 Medicaid Waiver program serves a legitimate public purpose in that this funding will support improved health outcomes in Bexar County. This action also authorizes other related items in order to continue funding for p...