Introduced by the Human Services, Administrative Services/Personnel and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

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

WHEREAS, the IHPC contracted with Ingham County during FY 1998-99 for administrative support services for the Corporation to be provided by the Ingham County Health Department; and

WHEREAS, the IHPC contracted with Ingham County during FY 1998-99 for primary care and speciality physician services to be provided to a portion of the Ingham Health Plan enrolled population through the community health center network operated by the Ingham County Health Department; and

WHEREAS, the IHPC has proposed to contract with Ingham County to continue these services during FY 2000-2001; and

WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the Administrative Services and the Medical Services agreements with the Ingham Health Plan Corporation and has advised that the revenue anticipated through these contracts is anticipated in the adopted FY 2001 Health Department budget.

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 $2.50 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:

BE IT FURTHER RESOLVED, that a Community Health Representative II (HLHCAN010) position established effective June 1, 2000 will be continued.

BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes a Medical Services Support agreement with the IHPC whereby the Corporation will pay Ingham County $12.36 per month for each IHP enrollee assigned to the Health Department who does not meet the qualifications for the State Medical Plan and the Corporation will pay Ingham County $42.23 per month for each IHP enrollee assigned to the Health Department who meets the qualifications for the State Medical Plan 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 Medical Services Support agreement shall also require the Health Department to make arrangements for speciality care services with area providers and make payments to those providers for eligible service for the IHP enrolled population assigned to the Health Department and may assign other IHP enrollees to the Health Department for speciality care services coordination only, and that the IHPC will pay Ingham County $9.27 per month for each IHP enrolled person assigned to the Health Department for primary care and speciality care services or specifically for speciality care services.

BE IT FURTHER RESOLVED, that the Medical Services Support agreement shall provide that the County may use up to $35,000 annually from the speciality care payment funds, continue to support a full-time Account Clerk (HLHCAN009) and a part-time Account Clerk (HLHRCP011) positions in the Health Department.

BE IT FURTHER RESOLVED, that the period of both agreements shall be October 1, 2000 through September 30, 2001, and that the agreement may be continued on a month to month basis upon authorization by the Ingham Health Plan Corporation Board of Directors, in the event that another successor agreement is not executed by September 30, 2001.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreements after review by the County Attorney.

HUMAN SERVICES: Yeas: Czarnecki, Smiley, Grebner, Schmidt, Severino,

Nays: None Absent: None Approved 11/06/00

ADMINISTRATIVE SERVICES/PERSONNEL: Administrative Services/Personnel Committee will meet on November 8, 2000

FINANCE: Finance will meet on November 8, 2000