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Meeting Date:
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10/13/2009 - 7:30 PM
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Category:
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Consent Agenda
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Type:
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Action
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Subject:
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8.41 (Item 41) Approve increase of contract amount between Mt. Diablo Unified School District (MDUSD) and Paradigm HealthCare Services, Inc. for the 2009/10 school year.
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LCAP (Local Control Accountability Plan) Goal:
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Enclosure
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Contract and Paradigm Letter: EDS Inflation and FMAP Adjustments
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File Attachment:
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Summary:
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The California Department of Health Care Services (DHCS) has recently increased reimbursements to school districts in the process of correcting an error pertaining to the service reimbursement rates for Medi-Cal. Since 2006, the wrong reimbursement rates were being used. DHCS is now retroactively applying the higher reimbursement rates to past paid claims and sending out reimbursement checks to all Local Educational Agencies (LEA).
In addition to the increase in Medi-Cal reimbursement mentioned above, the Federal Medical Assistance Percentage (FMAP) was increased due to the increase in unemployment in California. This also results in an increase in federal match reimbursement.
Mt. Diablo Unified has a contract with Paradigm HealthCare Services, Inc. to prepare and submit Medi-Cal claims to DHCS for the reimbursement of health care services provided by MDUSD as a Local Education Agency (LEA). The 2009/10 contract was approved by the Board on 5/26/09 for $31,000.
Under our contract, our service charges are based on a percentage of our reimbursements. Since MDUSD is now receiving an additional amount of reimbursement, there has been an increase in service charges from Paradigm HealthCare Services, Inc. Staff requests an increase of $31,000 to bring the total Paradigm HealthCare Services, Inc. contract to $62,000.
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Funding:
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Medi-Cal (California’s Medicaid Program). Program Code: 3091
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Fiscal Impact
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Up to $62,000
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Recommendation:
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Approve increase in contract amount as presented.
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Approvals:
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Recommended By:
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Signed By:
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Margot Tobias - Director Student Services
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Signed By:
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Mildred Browne - Assistant Superintendent
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Signed By:
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Richard Nicoll - Interim Sup
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