June 16, 2021 at 9:30 AM - Board Finance Committee - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF COMMITTEE MEMBERS

___ Daniel W. Dain, Chairman
___ Vishnu V. Reddy, M.D.
___ John E. Valls, M.B.A.
 

3. CALL TO ORDER, ESTABLISHMENT OF QUORUM, MEETING POSTING CONFIRMATION, AND CLOSED MEETNG NOTICE
 

3.A. Call to order.
 

3.B. Establish quorum.
 

3.C. Confirm posting of Meeting's public notice in accordance with Texas Open Meetings Act, Texas Government Code, Chapter 551.
 

3.D. Public notice is hereby given that the Committee may elect to go into Closed Meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551.
 

4. PUBLIC COMMENT - Persons attending in-person and wishing to comment on any item(s) on the agenda or any subject within the Committee's responsibilities must sign-in on the "Agenda Item Request to Speak" form provided at the entrance of the Committee meeting room at least five (5) minutes prior to commencement of the meeting. Persons attending via audio or video conference and wishing to comment on any item(s) on the agenda or any subject within the Committee's responsibilities must verbally notify the presiding officer of their desire to comment when the officer calls for public comment from those attending via audio and video conference. Commenters shall limit their comments to three (3) minutes, except that Commenters addressing the Committee through a translator shall limit their comments to six (6) minutes.
 

5. CONSENT AGENDA - The Consent Agenda consists of those agenda items which are routine, administrative in nature, not in need of separate attention, and which a member of the Committee has not requested be discussed separately. If requested to be discussed separately, that agenda item will be removed from the Consent Agenda by the presiding officer to the Regular Agenda and discussed as a part of the Regular Agenda at the appropriate time. All remaining items listed under the Consent Agenda will be voted upon in a single vote:
 

5.A. Approve Finance Committee Regular Meeting minutes of May 18, 2021.
 

5.B. Discuss and recommend receipt of summary payment information on Nueces County health care disbursements for fiscal year-to-date:

5.B.1. Salaries, benefits, supplies, and intergovernmental transfers at/for Corpus Christi/Nueces County Public Health Department;
 

5.B.2. Emergency medical services provided in unincorporated areas of Nueces County;
 

5.B.3. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
 

5.B.4. Medical services provided at County correctional facilities:

5.B.4.a. Nueces County Jail; and

5.B.4.b. Nueces County Juvenile Detention Center;
 

5.B.5. Funding for alcohol and drug abuse treatment programs:

5.B.5.a. Cenikor (Charlie's Place);

5.B.5.b. Council on Alcohol and Drug Abuse; and

5.B.5.c. Palmer Drug Abuse Program;
 

5.B.6. Funding for diabetes prevention and supporting programs;
 

5.B.7. Public health grants; and
 

5.B.8. Legal and professional fees.
 

5.C. Discuss and recommend receipt of summary imputed claims information on medical and hospital care provided to the Nueces Aid Program population consistent with the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement for fiscal year-to-date period-ended May 31, 2021.
 

5.D. Discuss and recommend receipt of fiscal year-to-date Specified Annual Percentage-related revenue reports; revenue receipts pursuant to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, Section 5.03.
 

5.E. Discuss and recommend receipt of monthly statement of escrow amounts deposited and/or withdrawn by CHRISTUS Spohn Health System Corporation; deposits pursuant to and consistent with Schedule 1 to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement; receive statement for month-ended May 31, 2021.
 

5.F. Discuss and recommend receipt of statement of amounts deposited to and/or withdrawn from Local Provider Participation Fund for fiscal year-to-date; deposits and withdrawals pursuant to Board of Managers Order authorizing participation in a health care provider participation program pursuant to Texas Health and Safety Code, Chapter 298C.
 

5.G. Discuss and recommend receipt of summary report of cumulative estimated provider payments and actual intergovernmental transfers made in support of local and other healthcare providers participating in Medicaid supplemental and directed payment programs sponsored by the Texas Health and Human Services Commission (HHSC); HHSC-funded Directed Managed Care Payment Programs allow Medicaid managed care organizations to make payments to healthcare providers that support overall Medicaid program goals and objectives; and HHSC-funded Supplemental Payments are made to hospitals for achieving certain goals or to support health care providers that see significant numbers of uninsured or persons without much money; and Phase-Out program to be discontinued by HHSC on October 1, 2021:

5.G.1. Directed Payment Programs:

5.G.1.a. Comprehensive Hospital Increase Reimbursement Program (CHIRP);

5.G.1.b. Network Access Improvement Program (NAIP);

5.G.1.c. Texas Incentives fir Physicians and Professional Services (TIPPS);

5.G.1.d. Uniform Hospital Rate Increase Program (UHRIP); and
 

5.G.2. Supplemental Payment Programs:

5.G.2.a. Disproportionate Share Hospitals (DSH) program;

5.G.2.b. Graduate Medical Education (GME);

5.G.2.c. Hospital Uncompensated Care (UC) pool; and
 

5.G.3. Phase-Out Program:

5.G.3.a. Delivery System Reform Incentive Payment (DSRIP) pool. (Finance Committee)
 

6. REGULAR AGENDA - The Regular Agenda consists of those agenda items which are non-routine, not administrative in nature, or otherwise in need of separate attention. Each Regular Agenda item will be voted upon separately if action is required:
 

6.A. Discuss and recommend approval of unaudited financial statements for the month and fiscal year-to-date period ended May 31, 2021. (ACTION)
 

6.B. Receive and discuss revenue, expense, and fund balance projections for Fiscal Year 2021 (October 1, 2020 - September 30, 2021) and subsequent Fiscal Years; consider related recommendations. (INFORMATION and/or ACTION)
 

6.C. Discuss and recommend receipt of reports relating to Nueces Aid Program enrollment for month-ended May 31, 2021.  (ACTION)
 

6.D. Discuss Nueces Aid Program's past and current enrollment data, current income eligibility guidelines, effects of federal COVID-19 Pandemic-related financial assistance and unemployment programs on past and current Program eligibility and enrollment, and discuss and consider recommending approval of changes to existing Program Handbook policies to mitigate the enrollment reduction effects of the Pandemic-related financial assistance and unemployment programs. (INFORMATION and/or ACTION)
 

6.E. Discuss and recommend action relating to County Healthcare Expenditures for Fiscal Year 2021 (October 1, 2020 - September 30, 2021); authorize additional funding for:

6.E.1. County Juvenile and Adult Diabetes Program ($10,000); and

6.E.2. Mobile Medical Clinic ($30,000). (ACTION)
 

7. ADMINISTRATOR'S BRIEFING:
 

7.A. Next regular Committee meeting (meeting's dates, times, and locations subject to change):

7.A.1. Finance Committee: July 20, 2021, 9:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.
 

8. ADJOURN