ADOPTED - JUNE 10, 2003

Agenda Item No. 16

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE AMENDMENTS TO THE MEDICAL SERVICES SUPPORT AGREEMENT AND TO THE ADMINISTRATIVE SERVICES AGREEMENT WITH THE INGHAM HEALTH PLAN CORPORATION

RESOLUTION #03-157

WHEREAS, the Ingham Health Plan Corporation (IHPC), through contracts, purchases services from Ingham County; and

WHEREAS, the IHPC proposes to amend the Administrative Services contract with Ingham County to extend the period of the contract through September 30, 2003; and

WHEREAS, the IHPC proposes to amend the Medical Services Support contract with Ingham County to extend the period of the contract through September 30, 2003, to adjust the capitation rate for speciality care services, to incorporate compensation for several new services and to implement a one-time payment to fund speciality care liabilities incurred but not yet received; and

WHEREAS, the Health Officer has advised the Board of Commissioners that these adjustments are necessary and appropriate to continue the operation of the Ingham Health Plan and to properly compensate Ingham County for services provided to the Ingham Health Plan Corporation and has recommended that the Board authorize the amendments to the two contracts.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an amendment to the Administrative Services contract with the Ingham Health Plan Corporation to extend the period of the contract though September 30, 2003, including all terms and conditions and payment rates of the original contract and all previously executed amendments.

BE IT FURTHER RESOLVED, that the Board authorizes an amendment to the Medical Services Support contract with the Ingham Health Plan Corporation to extend the period of the contract through September 30, 2003, including all terms and conditions and payment rates of the original contract and all previously executed amendments.

BE IT FURTHER RESOLVED, that the amendment to the Medical Services Support contract shall adjust the capitation rate paid to Ingham County to fund specialty care services for IHP enrollees effective May 1, 2003 as follows:

Group A members, capitation rate increases from $46.50 to $48.50

Group B members, capitation rate increases from $6.00 to $7.00

BE IT FURTHER RESOLVED, that the amendment to the Medical Services Support contract shall adjust the capitation rate paid to Ingham County to fund speciality care services for IHP enrollees effective July 1, 2003 as follows:

ADOPTED - JUNE 10, 2003

Agenda Item No. 16

RESOLUTION #03-157

Group A members, capitation rate increases from $48.50 to $72.50

Group B members, capitation rate increases from $7.00 to $7.50

BE IT FURTHER RESOLVED, that the Medical Services Support contract shall be amended to establish a one-time payment by the Ingham Health Plan Corporation to Ingham County of $803,534 to fund the special care services incurred but not yet billed by providers.

BE IT FURTHER RESOLVED, that the Medical Services Support contract shall be amended to establish a payment of $363,324 to Ingham County to support the following services:

$98,000 to support a sub-contract for an indigent care medical clinic operated by Gateway Community Services;

$100,000 to support the operation of the Health Department's child dental clinic (Healthy Smiles Dental Clinic);

$47,000 to support a subcontract for an indigent care medical clinic operated by Cristo Rey Community Center;

$118,324 to support generalized Public Health Nursing Services delivered by the Health Department.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the documents to amend the two contracts after review by the County Attorney.

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

Nays: None Absent: None Approved 6/2/03

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

Nays: None Absent: Minter Approved 6/4/03