ADOPTED - OCTOBER 28, 2003

Agenda Item No. 11



Introduced by the Human Services, County Services and Finance Committees of the:



INGHAM COUNTY BOARD OF COMMISSIONERS



RESOLUTION TO AUTHORIZE ADMINISTRATIVE SERVICE AND MEDICAL SERVICE AGREEMENTS WITH THE INGHAM HEALTH PLAN CORPORATION



RESOLUTION #03-270



WHEREAS, the Ingham Health Plan Corporation (IHPC) was organized in 1998 to establish and implement a health benefit plan for uninsured persons; and



WHEREAS, the IHPC has contracted with Ingham County since 1998 for administrative support services for the Corporation, provided by the Ingham County Health Department; and



WHEREAS, the IHPC has contracted with Ingham County since 1998 for primary care and speciality care services provided to a portion of the Ingham Health Plan enrolled population through the County's network of community health centers operated by the Health Department; and



WHEREAS, the IHPC has proposed to contract with Ingham County for administrative support services and medical services for the period October 1, 2003 through September 30, 2004; and



WHEREAS, the Health Officer has advised that the revenue and services that are facilitated by the proposed contracts are part of the Health Department's 2003-2004 budget; and



WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the administrative services and medical services contracts with the Ingham Health Plan Corporation for 2003-2004.



THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an Administrative Services Agreement with the Ingham Health Plan Corporation (IHPC) whereby the Corporation will provide Ingham County with $4.75 per month for each person enrolled in the Ingham Health Plan and whereby the Ingham County Health Department will provide administrative support services to the IHPC, including:



a. Administrative support services for the IHPC Board of Directors, organizing meetings, recording meetings, maintaining files and records, etc.

b. Developing and implementing a system for enrolling persons meeting the eligibility standards established by the IHPC Board.

c. Developing and operating a system to support the enrolled population.

d. Assisting the Corporation in the development of a provider network.

e. Assisting the Corporation in the management of provider contracts and relationships.

BE IT FURTHER RESOLVED, that the Corporation will make a one-time payment of $8,000 and reimburse Ingham County $2,500 per month for services related to development and implementation of the Ingham Advantage program (small employer subsidy program).



ADOPTED - OCTOBER 28, 2003

Agenda Item No. 11



RESOLUTION #03-270



BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes a Medical Services Agreement with the IHPC whereby the Corporation will pay Ingham County $12.75 per month for each IHP enrollee assigned to the Health Department who does not meet the qualifications for the State Medical Plan (Plan B members) and the Corporation will pay Ingham County $22.00 per month for each IHP enrollee assigned to the Health Department who meets the qualifications for the State Medical Plan (Plan A members) and whereby the Ingham County Health Department will provide primary care services to the IHP enrolled population assigned to it.



BE IT FURTHER RESOLVED, that the IHPC shall, through the Medical Services Agreement, pay Ingham County $400,000 to support the operation of the Adult Dental Clinic and shall pay the County $236,325 for other services provided by the Health Department to support public health nursing services to women, infants and children and to low income adults.



BE IT FURTHER RESOLVED, that a full-time Nurse Case Manager position (ICEA Public Health Nurse 03) shall be created in the Health Plan Management Bureau to support the services to the Ingham Health Plan Corporation, focusing on the emergency room utilization.



BE IT FURTHER RESOLVED, that the Controller is authorized to adjust the Health Department's 2004 budget to recognize additional revenue of $57,450 to support the Nurse Case Manager position.



BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the Administrative Services and the Medical Services Agreements after review by the County Attorney.



HUMAN SERVICES: Yeas: Dedden, Weatherwax-Grant, Celentino, Swope, Hertel, Severino

Nays: None Absent: None Approved 10/20/03



COUNTY SERVICES: Yeas: Celentino, Holman, De Leon, Schor, Severino

Nays: None Absent: Nevin Approved 10/21/03



FINANCE: Yeas: Grebner, Swope, Dedden, Hertel, Thomas, Minter

Nays: None Absent: None Approved 10/22/03