City of San Antonio - File #: 19-1671

• File #: 19-1671
• Type: Grant Applications and Awards
• In control: City Council A Session
• On agenda: 2/14/2019
• Posting Language: Ordinance approving 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 in an amount up to $7,536,983.78; acceptance of the submitted IGT reimbursement amount; acceptance of up to $11,207,069.40 in federal incentive payments from the Waiver Program; and, authorizing the submission of up to $35,000 for non-reimbursable IGT to the Waiver Program for monitoring and compliance for a period beginning October 1, 2019 through September 30, 2020. [Erik Walsh, Deputy City Manager; Colleen M. Bridger, MPH, PhD, Director of Health]

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 $7,536,983.78, acceptance of IGT reimbursement payments, and the acceptance of up to $11,207,069.40 in federal incentive payments from the 1115 Medicaid Waiver Program.

This Ordinance also authorizes the submission of a non-reimbursable IGT payment in the amount of $35,000 to the Waiver Program for monitoring and compliance.

Furthermore, this Ordinance authorizes operational and program budgets and personnel complements to support Metro Health's 1115 Medicaid Waiver funded programs for Demonstration Year nine (9), beginning October 1, 2019 through September 30, 2020 as outlined below:

* Diabetes prevention and management
* Children's school based oral health
* STD/HIV prevention
* 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 program operations to include, incidental expenditures for program participants.



BACKGROUND INFORMATION:

On January 31, 2013, City Council authorized the submission of six (6) project proposals for consideration and funding as part of the "Texas Healthcare Transformation and Quality Improvement Program" or "1115 Medicaid Waiver Program." The 1115 Medicaid Waiver created two funding pools in Texas for Uncompensated Care reimbursement for hospitals and the Delivery System Reform Incentive Payme...