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23. AMENDMENT TO IGA WITH AHCCCS FOR HOSPITAL PAYMENTS FOR ELIGIBLE INMATES Approve Amendment No. 4 to Intergovernmental Agreement (IGY YH05-0024-00) between Arizona Health Care Cost Containment System (AHCCCS) and Maricopa County through the Department of Correctional Health Services. The purpose of this amendment is to extend the term for an additional 12 months, revise rates and add language. This amendment is effective from October 1, 2008 to September 30, 2009. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. Extension of the IGA will provide Maricopa County an estimated (based on current utilization rates) net annual benefit of $950,000 in the form of payment on behalf of the County for acute care hospital costs for certain AHCCCS eligible inmates who are treated in a “non-locked down” hospital ward. (C-26-05-009-2-03)

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22. AMENDMENT TO IGA WITH ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM Approve Amendment No. 5 to Intergovernmental Agreement (IGA) YH05-0024 between Arizona Health Care Cost Containment System (AHCCCS) and Maricopa County through the Department of Correctional Health Services in the not-to-exceed amount of $18,100. The purpose of this amendment is to extend for one year. This amendment is effective from October 1, 2009 to September 30, 2010. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. This agreement will save Correctional Health Services approximately $500,000 on an annual basis. (C-26-05-009-2-04)

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33. AMENDMENT TO EXTEND IGA WITH AHCCCS MEDICAID ELIGIBLE Approve Amendment No. 6 to an Intergovernmental Agreement (IGA) between Arizona Health Care Cost Containment System (AHCCCS) and Maricopa County through the Department of Correctional Health Services in the not-to-exceed amount of $100,000. The purpose of this amendment is to extend the agreement for 12 months. This amendment is effective from October 1, 2010 to September 30, 2011. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. (C-26-05-009-2-05)

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22. EXTENSION OF AHCCCS IGA TO PROCESS PAYMENTS FOR MEDICAID ELIGIBLE INCARCERATED PATIENTS Approve Amendment No. 8 to an Intergovernmental Agreement between Arizona Health Care cost Containment System (AHCCCS) (YH05-0024-01) and Maricopa County through the Department of Correctional Health Services in the not-to-exceed amount of $20,000. The purpose of this amendment is to extend agreement for 12 months. This amendment is effective from October 1, 2013 to September 30, 2014. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. Approve amendment to the AHCCCS Medicaid eligible agreement to extend for a 12 month period. This IGA allows AHCCCS to process the claims for patients who are Medicaid eligible and enrolled in the AHCCCS program. (C-26-05-009-2-07)

Attachments (1)

Vote — approved

Gallardo Assessor	yes
and Steve Chucri	yes

11.IGA WITH ARIZONA HEALTH CARE COST CONTAINMENT FOR AHCCCS INMATE HOSPITALIZATIONApprove an Intergovernmental Agreement (IGA) between Arizona Cost Containment System (AHCCCS) (YH-15-0006-02) and Maricopa County through the Department of Correctional Health Services, in the not-to-exceed amount of $250,000. The purpose of this Intergovernmental Agreement is to change language to an agreement that began in 2004 (C-26-05-009-2-00) to allow incarcerated individuals that are patients in an "off-ward

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11. IGA WITH ARIZONA HEALTH CARE COST CONTAINMENT FOR AHCCCS INMATE HOSPITALIZATION Approve an Intergovernmental Agreement (IGA) between Arizona Cost Containment System (AHCCCS) (YH-15-0006-02) and Maricopa County through the Department of Correctional Health Services, in the not-to-exceed amount of $250,000. The purpose of this Intergovernmental Agreement is to change language to an agreement that began in 2004 (C-26-05-009-2-00) to allow incarcerated individuals that are patients in an "off-ward" setting to be covered under AHCCCS. This Intergovernmental Agreement is effective from October 1, 2014 until September 30, 2015. Approve a new template for the IGA with AHCCCS that allows otherwise medically eligible incarcerated individuals that are hospitalized in an "off-ward" setting to become AHCCCS eligible for their hospitalization stay. This agreement funds the administrative functions of the claims payment and eligibility units of AHCCS on a per claim/enrollment basis and pays for one third of the medical care. This is a cost avoidance for Maricopa County, as Correctional Health Services would be responsible for 100% of the cost if patients are not approved to be AHCCCS eligible, and thereby making AHCCCS the payer rather than the County as payor of last resort. (C-26-15-005-3-00)

Attachments (1)

Vote — approved

Steve Gallardo	abstain
Bill Gates	abstain
Clint Hickman	abstain
and Steve Gallardo	yes
and Clint Hickman	yes
Denny Barney	abstain
Steve Chucri	yes

36.AMENDMENTS TO IGA WITH ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM FOR INMATE HOSPITALIZATIONApprove Amendment No. 1 and No. 2 to an Intergovernmental Agreement (IGA) between Arizona Health Care Cost Containment System (AHCCCS) and Maricopa County through the Department of Correctional Health Services. The purpose of amendment no. 1 was to revise yearly AHCCCS rates for a twelve (12) month period ending September 30, 2017 and to add a Business Associate Agreement. Amendment no. 2 revises the 

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36. AMENDMENTS TO IGA WITH ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM FOR INMATE HOSPITALIZATION Approve Amendment No. 1 and No. 2 to an Intergovernmental Agreement (IGA) between Arizona Health Care Cost Containment System (AHCCCS) and Maricopa County through the Department of Correctional Health Services. The purpose of amendment no. 1 was to revise yearly AHCCCS rates for a twelve (12) month period ending September 30, 2017 and to add a Business Associate Agreement. Amendment no. 2 revises the AHCCCS agreement rates not to exceed $500,000 for a twelve (12) month period ending September 30, 2018. All other terms and conditions of the Intergovernmental Agreement not amended hereby remain in full force and effect as previously approved and amended. This is a retroactive approval request. Correctional Health Services did not receive the signed amendment from the State until April 2018. The main purpose of this IGA is to change language to an agreement that began in 2004 (C-26-05-009-2-00) to allow incarcerated individuals that are patients in an "off-ward" setting to be covered under AHCCCS. (C-26-15-005-3-01)

Attachments (2)