HomeMy WebLinkAboutResolutions - 1991.12.12 - 18434MISCELLANEOUS RESOLUTION 91278 December 12, 1991
BY: GENERAL GOVERNMENT COMMITTEE, RICHARD G. SKARRITT,
CHAIRPERSON
IN RE: OAKLAND COUNTY INDIGENT HOSPITALIZATION PROGRAM
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS prior to October 1, 1991, Oakland County funded a
Resident County Hospital Program (RCHP) administered by the Michigan
Department of Social Services' Medical Services Administration (NSA);
and
WHEREAS through Medical Assistance Program Bulletin #5310 -91 -08,
hospitals were notified that effective October 1, 1991 NSA would no
longer process RCHP claims and that the hospitals should contact
local DSS offices and Counties for the procedures to be followed
after the effective date; and
WHEREAS County Executive staff met with representatives of
Oakland County hospitals during October and November to develop a
program that would continue the County's commitment to support
hospitalization for the indigent at current levels, yet allow for
more efficient administration; and
WHEREAS the hospitals and the County Executive have agreed to
the program design specified in the attached agreement; and
WHEREAS funds have been included in the 1992/1993 Recommended
Biennial Budget for indigent hospitalization, this agreement requires
no additional County resources and allows the County to more
effectively control expenditures; and
WHEREAS this agreement has been included in the County
Executive's Contract Review process.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners approves the Oakland County Indigent Hospitalization
Program as detailed in the attached agreement, and authorizes the
County Executive to execute said agreements with those hospitals
listed in the agreement addendum.
Mr. Chairperson, on behalf of the General Government Committee,
I move the adoption of the foregoing resolution.
GENERAL GOVERNMENT COMMITTEE
Jerry Gilman
Controller
Dave Mellerowicz
Mr. Tucker's associate
ATTENDEES TO MEETING OF OCTOBER 30 - 1:00 p.m.
EXECUTIVE OFFICE CONFERENCE ROOM
INDIGENT HOSPITALIZATION
PONTIAC OSTEOPATHIC HOSPITAL HURON VALLEY
Richard Haener Al Tucker
Chief Financial Officer Chief Financial Officer
and
PROVIDENCE HOSPITAL
OAKLAND GENERAL HOSPITAL
PONTIAC GENERAL HOSPITAL
Dan Galford
James Wright Dir. of Business Services
President
CRITTENTON HOSPITAL
ST. JOSEPH MERCY HOSPITAL
Kenneth Belke
John P. Cullen V .P . of Finance
President
BOTSFORD HOSPITAL
Ed Chadwick Sharlene Priebe
V .P . of Finance Dir. of Reimbursement
and
WILLIAM BEAUMONT
Steven Schwartz
Asst. Corporate Controller
and
Lynn Weimeister
Government Relations Dept.
OAKLAND COUNTY
Russell D. Martin
Dir. of Management & Budget
OAKLAND COUNTY, MICHIGAN
INDIGENT HOSPITALIZATION PROGRAM
This Agreement-Letter of Understanding is made between the County of
Oakland (County), a Michigan Constitutional Corporation, located at 1200 N.
Telegraph Rd., Pontiac, Michigan 48341, and Hospital
(Hospital) , located at
Whereas, the County is willing to continue its commitment to serving the
hospitalization needs of the indigent who do not qualify for Medicaid or Medicare;
and
Whereas, the Hospital recognize the need to provide services to this
population.
Therefore, it is agreed between the County and the Hospital:
1) The Hospital will continue to provide hospital care for those qualified
under criteria attached hereto as "Addendum A".
2) The County will commit three million, five hundred and fifty thousand
dollars ($3,550,000.00) in 1992, and three million, six hundred and fifty
thousand dollars ($3,650,000.00) in 1993, subject to appropriation by the
Board of Commissioners, to be distributed to the nine (9) hospitals listed on
"Addendum B" to serve the hospitalization needs for the indigent.
3) The Hospital will receive a maximum payment of $ in
1992, in quarterly payments of $
4) Distribution of the County support will be made within the first fifteen
(15) days of the quarter commencing with January 1992.
5) Distribution in 1993 will be based on 1992 days of care provided any
adjustment required due to distribution of days of care will be made in the
second quarterly payment in 1993.
6) The Hospitals will subject themselves to audits by their independent
auditors or their association, with said results made
available to the County. Said audit to include review of days of care
provided, eligibility of population served, and that County per diem
participation does not exceed reasonable cost.
7) The County reserves the right to review said audits and if deemed
appropriate by the County to conduct its own audit at its expense.
8) This agreement may be modified or canceled by either party upon
ninety (90) days written notice by either the County or the Hospital and on
thirty (30) days notice by mutual consent.
9) The Hospital agrees to indemnify and hold the County harmless from
any and all liabilities, suits, damages, etc., arising from the actions or
omissions of the Hospital, its officers, agents and/or employees.
10) This agreement is subject to renewal for 1994 and beyond - such
renewal will be subject to the approval of the Oakland County Board of
Commissioners and the appropriate governing body of the Hospital.
11) In connection with services provided in conjunction with this
agreement, the Hospital agrees not to discriminate against any patient and/or
participant based on sex, race, religion, color, national origin or handicap, that
meet the eligibility criteria set forth in "Addendum A".
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ADDENDUM A
OAKLAND COUNTY INDIGENT HOSPITALIZATION PROGRAM
CLIENT ELIGIBILITY
To be eligible for the Oakland County Indigent Hospitalization
Program and individual must meet all the following criteria:
I) Oakland County resident;
2) Between 21-65 years of age;
3) Not able to cover their hospital cost by any other means
including personal income, private insurance, any other
private third party payer, public insurance or other
governmental benefit;
Ineligible for medicaid disability.
Addendum B
Oakland County, Michigan
Indigent hospitalization Program
1992 Allocation
Hospital
1989 1990 Total Percent Of 1992 Quarterly
Care Days Care Days Care Days Total Allocation Payment
Pontiac Osteopathic 1,333 1,208 2,541 26.71% $948,205 ;237,051.25
Beaumont 1,109 1,152 2,261 23.77% 843,835 210,958.75
Pontiac General 764 803 1,567 16.47% 584,685 146,171.25
St. Joseph's (Pontiac) 842 881 1,723 18.11% 642,905 160,726.25
Providence 197 327 524 5.51% 195,605 48,901.25
Cakland General 128 176 304 3.20% 113,600 25,400.00
Huron Valley 175 184 359 3.77% 133,835 33,458.75
Critteton 44 63 107 1.12% 39,760 9,940.00
rcfnrd 67 60 127 1.34% 47,570 11,892.50
4,659 4,854 9,513 100.00% $3,550,000 $887,500.00
Prepared by:
Budget Division/TS
November 5,1991
Total
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December 12, 1991
FISCAL NOTE ( —
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: OAKLAND COUNTY INDIGENT HOSPITALIZATION PROGRAM- MISCELLANEOUS
RESOLUTION #91XXX
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
Pursuant to Rule XI -G of this Board, the Finance Committee has
reviewed Miscellaneous Resolution #91xxx and finds:
1) Beginning October 1, 1991, the state Medical Services
Administration (MSA) ceased processing Resident County Hospital
Program (RCHP) claims leaving the funding and administration of
indigent hospitalization to Counties.
2) County Executive staff have met with representatives from
Oakland County hospitals and have agreed to the program
detailed in the agreement attached to the resolution.
The agreement specifies that total funding will not exceed
$3,550,000 in 1992 and $3,650,000 in 1993, with fixed payments
being made at the beginning of each quarter to the hospitals
under contract.
Funding for the program is identified in the 1992/1993
Recommended Biennial Budget under the Department of Social
Services; the following amendment is recommended to move that
funding to a non-departmental account as follows:
1992 1993
4-10100-168-01 -00 -3128 Pro. Services
4-10100-168-01 -00 -3311 Doc. /Hospitals
4-10100-901-01-00 -3311 Doc. /Hospitals
$ (150,000) $ (150,000)
(3,400,000) (3,500,000)
3,550,000 3,650,000
$ 0 $ 0
FINANCE COMMITTEE
i:\tim\dss\contract.fn
Committee Vote:
Motion carried unanimously on a roll cal] vote.
Resolution # 91278 December 12, 1991
Moved by Skarritt supported by Millard the Fiscal Note be accepted.
A sufficient majority having voted therefor, the Fiscal Note was accepted.
Moved by Skarritt supported by McCulloch the resolution be adopted.
AYES: Ferrens, Gosling, Huntoon, Jensen, Johnson, Krause, Law, McConnell,
McCulloch, McPherson, Millard, Moffitt, Oaks, Olsen, Palmer, Pappageorge, Pernick, Price,
Schmid, Serra, Skarritt, Wolf, Aaron, Caddell, Crake. (25)
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 December 12, 1991
with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County
of Oakland at Pontiac, Michigan this 12th day of) December
?„
„.;, 1991
Lynn Allen, County Clerk