city of San Antonio


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File #: 20-7257   
Type: Grant Applications and Awards
In control: City Council A Session
On agenda: 1/14/2021
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”; submission of intergovernmental funding transfers in an amount up to $6,725,831.34; acceptance of the submitted IGT reimbursement amount; acceptance of up to $10,000,931.51 in federal incentive payments from the Waiver Program; and, approving the submission of up to $35,000.00 for non-reimbursable IGT to the Waiver Program for monitoring and compliance for a period beginning October 1, 2021 through September 30, 2022; and, approving Memoranda of Agreement that enhance program services with no exchange of funds associated with these grant-funded projects. [Colleen M. Bridger, MPH, PhD, Assistant City Manager, Interim Director, Health]
Attachments: 1. DY11 Budget Diabetes_FINAL, 2. DY11 Budget Neighborhood, 3. DY11 Budget Operations, 4. DY11 Budget Oral Health, 5. DY11 Budget Stand Up(V1), 6. DY11 Budget STD-HIV_Sian, 7. DY11 Budget Teen Pregnancy_Final
DEPARTMENT: Health


DEPARTMENT HEAD: Colleen M. Bridger, MPH, PhD


COUNCIL DISTRICTS IMPACTED: Citywide


SUBJECT:

Authorizing Continued Participation in the Medicaid 1115 Waiver

SUMMARY:

This Ordinance authorizes the San Antonio Metropolitan Health District's (Metro Health's) continued participation in the Medicaid 1115 Waiver Program, submission of intergovernmental funding transfers (IGT) in an amount up to $6,725,831.34, acceptance of IGT reimbursement payments, and the acceptance of up to $10,000,931.51 in federal incentive payments from the Medicaid 1115 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 Medicaid 1115 Waiver funded programs for Demonstration Year eleven (11), beginning October 1, 2021 through September 30, 2022 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 Medicaid 1115 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.

Finally, this ordinance authorizes the Director of Metro Health to execute Memoranda of Agreement (MOA) that enhance program services with no exchange of funds associated with these grant-funded programs, including Data Use Agreements and Business Associate Agreements.

BACKGROUND INFORMATION:

On January 31, 2013, City Council authorized the submission of six (6) program proposals for consideration and funding as par...

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