Transfer of Public Funds. 1.1 The GOVERNMENTAL FUNDING ENTITY agrees to make a transfer of funds to DHCS pursuant to sections 14164 and 14301.4 of the Welfare and Institutions Code. The amount transferred shall be based on the sum of the applicable rate category per member per month (“PMPM”) contribution increments multiplied by member months, as reflected in Exhibit
1. The GOVERNMENTAL FUNDING ENTITY agrees to initially transfer amounts that are calculated using the Estimated Member Months in Exhibit 1, which will be reconciled to actual enrollment for the service period of January 1, 2022, through December 31, 2022 in accordance with Sub-Section 1.3 of this Agreement. The funds transferred shall be used as described in Sub- Section 2.2 of this Agreement. The funds shall be transferred in accordance with the terms and conditions, including schedule and amount, established by DHCS.
1.2 The GOVERNMENTAL FUNDING ENTITY shall certify that the funds transferred qualify for Federal Financial Participation pursuant to 42 C.F.R. part 433, subpart B, and are not derived from impermissible sources such as recycled Medicaid payments, Federal money excluded from use as State match, impermissible taxes, and non-bona fide provider- DocuSign Envelope ID: 1695D3CA-5079-4793-A29C-3DD0664A1B86 related donations. Impermissible sources do not include patient care or other revenue received from programs such as Medicare or Medicaid to the extent that the program revenue is not obligated to the State as the source of funding.
1.3 DHCS shall reconcile the “Estimated Member Months,” in Exhibit 1, to actual enrollment in HEALTH PLAN(S) for the service period of January 1, 2022, through December 31, 2022 using actual enrollment figures taken from DHCS records. Enrollment reconciliation will occur on an ongoing basis as updated enrollment figures become available. Actual enrollment figures will be considered final two years after December 31, 2022. If reconciliation results in an increase to the total amount necessary to fund the nonfederal share of the payments described in Sub-Section 2.2, the GOVERNMENTAL FUNDING ENTITY agrees to transfer any additional funds necessary to cover the difference. If reconciliation results in a decrease to the total amount necessary to fund the nonfederal share of the payments described in Sub-Section 2.2, DHCS agrees to return the unexpended funds to the GOVERNMENTAL FUNDING ENTITY. If DHCS and the GOVERNMENTAL FUNDING ENTITY mutually agree, amounts due to or owed by the GO...
Transfer of Public Funds. 1.1 The Governmental Funding Entity authorizes DHCS to instruct the State Controller’s Office to offset from the accounts and in the amounts identified in Section 1.2, subject to the limitations identified in Section 1.3 and as modified by the provisions in Section 1.4, for the purposes described in Section 3.
1.2 The Governmental Funding Entity authorizes DHCS to instruct the State Controller’s Office to withhold 90% of the Governmental Funding Entity’s monthly distribution from the Behavioral Health Subaccount in the Local Revenue Fund 2011 (Fund 3217); 0% of the Governmental Funding Entity’s monthly distribution from the Mental Health Subaccount of the Sales Tax Account of the Local Revenue Fund (Fund 0351); and 0% of the Governmental Funding Entity’s monthly distribution from the Mental Health Services Fund (Fund 3085). In accordance with Subdivision (e) of Section 14184.403 of the Welfare and Institutions Code, the Governmental Funding Entity authorizes DHCS to instruct the State Controller’s Office to transfer the funds withheld into the Medi-Cal County Behavioral Health Fund (Fund 3420).
1.3 DHCS shall instruct the State Controller’s Office to stop withholding funds pursuant to Section 1.2 when the ending amount in the County Funds Accounting (CFA) report issued pursuant to Section 2 exceeds five times the monthly average county share of Medi-Cal Specialty Mental Health Services claims approved for payment during the prior fiscal year. The Governmental Funding Entity authorizes DHCS to instruct the State Controller’s Office to resume withholding funds pursuant to Section 1.2 once the ending amount in the CFA report issued pursuant to Section 2 is equal to or less than three times the monthly average county share of approved claims during the prior fiscal year.
Transfer of Public Funds. 1.1 The GOVERNMENT FUNDING ENTITY shall transfer funds to DHCS pursuant to sections 14164 and 14301.4 of the Welfare and Institutions Code, up to a maximum total amount of three hundred ninety thousand, two hundred twenty four dollars ($390,224) for the period of July 1, 2015 through June 30, 2016, and a maximum total amount of three hundred ninety thousand, two hundred twenty four dollars ($390,224) for the period of July 1, 2016 through June 30, 2017, to be used solely as a portion of the nonfederal share of actuarially sound Medi-Cal managed care capitation rate increases for HEALTH PLAN for the periods of July 1, 2015 through June 30, 2016, and July 1, 2016 through June 30, 2017 as described in section 2.2 below. The funds shall be transferred in accordance with a mutually agreed upon schedule between the GOVERNMENTAL FUNDING ENTITY and DHCS, in the amounts specified therein.
1.2 The GOVERNMENTAL FUNDING ENTITY shall certify that the funds transferred qualify for federal financial participation pursuant to 42 C.F.R. part 433 subpart B, and are not derived from impermissible sources such as recycled Medicaid payments, federal money excluded from use as State match, impermissible taxes, and non-bona fide provider-related donations. For transferring units of government that are also direct service providers, impermissible sources do not include patient care or other revenue received from programs such as Medicare or Medicaid to the extent that the program revenue is not obligated to the State as the source of funding.
Transfer of Public Funds. 1.1 The County of Los Angeles shall transfer funds to DHCS pursuant to sections 14164 and 14301.4 of the Welfare and Institutions Code, up to a maximum total amount of Fifty Eight Million, Two Hundred Ninety-Eight Thousand, Three Hundred Sixty-two Dollars ($58,298,362), to be used solely as a portion of the nonfederal share of actuarially sound Medi-Cal managed care capitation rate increases for L.A. Care for the period October 1, 2011 through September 30, 2012 as described in
Transfer of Public Funds. 1.1 The County shall make Intergovernmental Transfer(s) (“IGTs”) to State DHCS pursuant to section 14164 of the Welfare and Institutions Code and paragraph 1.1 of the Intergovernmental Agreement(s) Regarding the Transfer of Public Funds contract number(s) [INSERT IGT AGREEMENT CONTRACT NUMBER(S)], to be used as a portion of the non-federal share of actuarially sound Medi-Cal managed care rate range capitation increases (“non-federal share IGT”) to Orange County Health Authority, dba Orange Prevention and Treatment Integrated Medical Assistance, dba CalOptima (“CalOptima”) for the period of July 1, 2014 to June 30, 2015.
1.2 The parties acknowledge that State DHCS will obtain any necessary approvals from the Centers for Medicare and Medicaid Services (“CMS”) pertaining to the acceptance of non- federal share IGTs and the payment of non-federal share IGT related rate range capitation increases to CalOptima.
Transfer of Public Funds. 1.1 GOVERNMENTAL FUNDING ENTITY shall make Intergovernmental Transfer(s) (“IGTs”) to State DHCS pursuant to section 14164 of the Welfare and Institutions Code and paragraph 1.1 of the Intergovernmental Agreement(s) Regarding the Transfer of Public Funds contract number 16-93741 A1, to be used as a portion of the non-federal share of actuarially sound Medi-Cal managed care rate range capitation increases (“non-federal share IGT”) to HEALTH PLAN (Partnership HealthPlan of California) for the periods of July 1, 2015 to June 30, 2016, and July 1, 2016 to June 30, 2017.
1.2 The parties acknowledge that State DHCS will obtain any necessary approvals from the Centers for Medicare and Medicaid Services (“CMS”) pertaining to the acceptance of non-federal share IGTs and the payment of non-federal share IGT related rate range capitation increases to HEALTH PLAN.
Transfer of Public Funds. 1.1 The Governmental Funding Entity shall transfer funds to DHCS pursuant to Section 14182.15 of the Welfare and Institutions Code, up to a maximum total amount of Seventy-three Million One Hundred Ninety-one Thousand Three Hundred Nineteen dollars ($73,191,319), to be used solely as a portion of the nonfederal share of actuarially sound Medi- Cal managed care capitation rates for L.A. Care and Health Net for the period July 1, 2011 through September 30, 2012 as described in paragraph 2.2 below. The funds shall be transferred in accordance with a mutually agreed upon schedule between the Governmental Funding Entity and DHCS, in the amounts and components specified therein.
Transfer of Public Funds. 1.1 The County shall make Intergovernmental Transfer(s) (“IGTs”) to State DHCS pursuant to sections 14164 and 14301.4 of the Welfare and Institutions Code and paragraph 1.1 of the Intergovernmental Agreement(s) Regarding the Transfer of Public Funds contract number 11-88474, to be used as a portion of the non-federal share of actuarially sound Medi-Cal managed care rate range capitation increases (“non-federal share IGT”) to the Local Initiative Health Authority for Los Angeles County, doing business as L.A. Care Health Plan (“L.A. Care”) for the period of October 1, 2011 through September 30, 2012.
1.2 The parties acknowledge that State DHCS will obtain any necessary approvals from the Centers for Medicare and Medicaid Services (“CMS”) pertaining to the acceptance of
Transfer of Public Funds. 1.1 The County of Los Angeles shall make Intergovernmental Transfer(s) (“IGTs”) to State DHCS pursuant to sections 14164 and 14301.4 of the Welfare and Institutions Code and paragraph
1.1 of the Intergovernmental Agreement(s) Regarding the Transfer of Public Funds contract number11- 88477, to be used as a portion of the non-federal share of actuarially sound Medi-Cal managed care rate range capitation increases (“non-federal share IGT”) to Health Net Community Solutions for the period of October 1, 2011 through September 30, 2012.
1.2 The parties acknowledge that State DHCS will obtain any necessary approvals from the Centers for Medicare and Medicaid Services (“CMS”) pertaining to the acceptance of non-federal share IGTs, and the payment of non-federal share IGT related rate range capitation increases to Health Net Community Solutions.
Transfer of Public Funds. 1.1 The Governmental Funding Entity authorizes DHCS to instruct the State Controller’s Office to offset from the accounts and in the amounts identified in Section 1.2, subject to the limitations identified in Section 1.3 and as modified by the provisions in Section 1.4 for the purposes described in Section 3.
1.2 The Governmental Funding Entity authorizes DHCS to instruct the State Controller’s Office to withhold 87.50% of the Governmental Funding Entity’s monthly distribution from the Behavioral Health Subaccount in the Local Revenue Fund 2011 (Fund 3217); 72.50% of the Governmental Funding Entity’s monthly distribution from the Mental Health Subaccount of the Sales Tax Account of the Local Revenue Fund (Fund 0351); and 18.50% of the Governmental Funding Entity’s monthly distribution from the Mental Health Services Fund (Fund 3085). I n a c c o r d a n c e w i t h S u b d i v i s i o n ( e ) o f S e c t i o n
