HomeMy WebLinkAboutResolutions - 1990.11.29 - 18286November 29, 1990
MISCELLANEOUS RESOLUTION # 90277
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: INDIGENT HEALTH CARE AD HOC COMMITTEE RECOMMENDATIONS
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS pursuant to Miscellaneous Resolution #90167, dated June 28,
1990, the Indigent Health Care Ad Hoc Committee was formed to analyze
indigent health care cost and recommend cost reduction and control
measures; and
WHEREAS the committee consisted of Commissioners Skarritt
(Chairperson), Gosling, and Price as well as the Directors of the County
Departments of Management and Budget, and Social Services, and the Manager
of the County Health Division; and
WHEREAS the committee, has met, solicited information from individuals
within the County and from the private sector, and explored a variety of
program options operated by the other counties in the state and in other
states in developing the following recommendations:
A. Recommendations to the County Social Services Board
1. RCHP applicants be required to participate in face to face
interview with a DSS worker at some point during the eligibility
determination process. Applicants who do not follow through on
the face to face requirement will be denied benefits.
2. The application for benefits must be sent to the local DSS office
within five (5) working days from date of discharge.
3. No payments are to be approved until all potential third party
reimbursement, including settlements have been explored. If
third party reimbursement is not forth coming, the client will
have a period of time to re-apply for RCHP benefits.
B. Recommendations to County Board of Commissioners
1. Explore contracting with an outside firm to review RCHP charges
at the hospital; ascertain their legitimacy, and make certain
that all other reimbursement options are explored.
2. To facilitate this contracting, transfer $100,000 from The
Department of Social Services 1991 RCHP Appropriation to The
Department of Management and Budget- Administration Unit
Professional Services line-item. The transfer and use of these
funds will be subject to The General Appropriations Act.
3. Direct continued exploration of other cost reductions and control
measures including legislative changes.
4. Request Management and Budget review a system to more actively
pursue reimbursement of RCHP expenses, and report back to the
General Government Committee and Finance Committee by March 1,
1991.
NOW THEREFORE BE IT RESOLVED that the Board of Commissioners accepts
the recommendations of the Indigent Health Care Ad Hoc Committee and
approves those amendments to the 1991 Budget necessary to facilitate the
recommendations.
Mr. Chairperson, on behalf of the Finance Committee, I move the
adoption of the foregoing resolution.
FINANCE COMMITTEE
GOING RESOLUTION
Date
TS7/no9006mr
COUNTY OF OAKLAND
RECOMMENDED BUDGET AMENDMENT TO COUNTY EXECUTIVE RECOMMENDATION
1991 BUDGET
1991 1991 REVISED REQUESTED
AMENDED COUNTY EXEC. 1991 CO. EXEC. INCREASE/
ACCOUNT NUMBER ACCOUNT BUDGET REC. BUDGET RECOMMEND (DECREASE)
EXPENSES
4-10100-168-01-00-3311 SOC. SVS.-HOSPITALS $3,600,000 $3,600,000 $3,500,000 $(100,000)
4-10100-121-01-00-3128 M&B-PROFESSIONAL SVS. 100,000 100,000 200,000 100,000
THIS AMENDMENT REFLECTS THE RECOMMENDATION OF THE INDIGENT
HEALTH CARE AD HOC COMMITTEE, FORMED PER M.R.#90167. THE
TRANSFERRED FUNDS WILL BE USED TO EXPLORE VARIOUS METHODS
FOR THE MONITORING AND CONTROL INDIGENT HEALTH CARE COSTS.
PREPARED BY:
BUDGET DIVISION/TS
NOVEMBER 8, 1990
November 29, 1990
REPORT TO FINANCE COMMITTEE
BY: INDIGENT HEALTH CARE Al) HOC COMMITTEE;
RICHARD G. SKARRITT, CHAIRPERSON
IN RE: INDIGENT HEALTH CARE AD HOC COMMITTEE RECOMMENDATIONS
Pursuant to Miscellaneous Resolution #90167, dated June 28, 1990 the
Indigent Health Care Ad Hoc Committee was formed to analyze indigent
health care cost and recommend cost reduction and control measures. The
committee consisted of the following members:
Richard Skarritt
Marilynn Gosling
Hubert Price
Russ Martin
Booker Dennis
Thomas Gordon, PhD
-County Commissioner (Chairperson)
-County Commissioner
-County Commissioner
-Director, Management and Budget
-Director, Social Services
-Manager, Health Division
The committee, has met, solicited information from individuals within
the County and from the private sector, and explored a variety of program
options operated by the other counties in the state and in other states.
The following recommendations are made:
A. Recommendations to the County Social Services Board
1. RCHP applicants be required to participate in face to face
interview with a DSS worker at some point during the eligibility
determination process. Applicants who do not follow through on
the face to face requirement will be denied benefits.
2. The application for benefits must be sent to the local DSS office
within five (5) working days from date of discharge.
3. No payments are to be approved until all potential third party
reimbursement, including settlements have been explored. If
third party reimbursement is not forth coming, the client will
have a period of time to re-apply for RCHP benefits.
B. Recommendations to County Board of Commissioners
1. Explore contracting with an outside firm to review RCHP charges
at the hospital; ascertain their legitimacy, and make certain
that all other reimbursement options are explored.
2. To facilitate this contracting, transfer $100,000 from The
Department of Social Services 1991 RCHP Appropriation to The
Department of Management and Budget- Administration Unit
Professional Services line-item. The transfer and use of these
funds will be subject to The General Appropriations Act.
Page 2
3. Direct continued exploration of other cost reductions and control
measures including legislative changes.
4. Request Management and Budget review a system to more actively
pursue reimbursement of RCHP expenses, and report back to the
General Government Committee and Finance Committee by March 1,
1991.
Mr. Chairperson, on behalf of the Indigent Health Care AD HOC
Committee, I submit the foregoing report.
ts7/no9005rt
In Testimony Whereof, I have hereunto set py hand and affixs.dIthe seal of the Co4p)ty
of Oakland at Pontiac, Michigan this 29th day of/---"NovEMblr— ,<,474!..19911_ of Oakland at Pontiac, Michigan this 29th
Resolution # 90277 November 29, 1990
Moved by Caddell supported by Skarritt the Report to the Finance
Committee by the Indigent Health Care Ad Hoc Committee be accepted.
A sufficient majority having voted therefor, the report was accepted.
Moved by Caddell supported by Chester the resolution be adopted.
AYES: Chester, Crake, Ferrers, Gosling, Huntoon, Johnson, R. Kuhn,
S. Kuhn, Law, McConnell, McCulloch, Moffitt, Oaks, Olsen, Pappageorge,
Pernick, Price, Rewold, Skarritt, Wolf, Aaron, Bishop, Caddell, Calandro.
(24)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was
adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND
I, Lynn D. Allen, Clerk of the County of Oakland, do hereby certify that the foregoing
resolution is a true and accurate copy of a resolution adopted by the Oakland County
.Board of Commissioners on November 29, 1990
with the original record thereof now remaining in my office.
Lynn 4( Allen, County Clerk