Michelle Baass | Director
California Department of Health Care Services
Capitated Rates Development Division
1501 Capitol Avenue, P.O. Box 997413
Sacramento, CA, 95899-7413
MS 4413 | Phone (916) 345-7070 | Fax (916) 650-6860
https://www.dhcs.ca.gov/
State of California
Gavin Newsom, Governor
California Health and Human Services Agency
October 1, 2024
Bryan Johnson
EMS Manager
City of Orange
300 E. Chapman Ave.
Orange, CA 92866
Dear Bryan Johnson:
The Department of Health Care Services (DHCS) has completed its calculation of the following:
1. Rating Period CY 2023 Voluntary Rate Range Program (service period of January 1, 2023, through December 31, 2023) payment transfer amounts for the Intergovernmental Agreement Regarding Transfer of Public Funds (Agreement), No.
IGT-23-0012. The executed Agreement is enclosed. As stated in Section 1.3 of the Agreement, the enrollment reconciliations will occur on an ongoing basis as updated enrollment figures become available. Actual enrollment will not be considered final until two years after December 31, 2023.
2. Rating Period CY 2022 Voluntary Rate Range Program (service period of January 1, 2022, through December 31, 2022) payment transfer amounts for the reconciliation to Intergovernmental Agreement Regarding Transfer of Public Funds (Agreement), No. IGT-22-0011. As stated in Section 1.3 of the Agreement, the enrollment reconciliations will occur on an ongoing basis as updated enrollment figures become available. Actual enrollment will not be considered final until two years after December 31, 2022.
3. DHCS correction (credit) from FY 18-19 Voluntary Rate Range Program (service period of July 1, 2018, through June 30, 2019) payment credit amounts for the reconciliation to Intergovernmental Agreement Regarding Transfer of Public Funds (Agreement).
Based on the above calculations, and as provided in the above referenced Agreements, DHCS is requesting that City of Orange transfer funds in the amount of $737,314 to DHCS by no later than Friday, November 22, 2024. Detailed invoices are attached to the email communications. Please transfer the above Total Amount to the following:
Docusign Envelope ID: 62F65F81-55D3-4183-8BE4-BAA1F16F0A5C
New Bank Information:
U.S. Bank
1 California Street, Suite 100
San Francisco, CA 94111
For Credit: Department of Health Care Services
Account Number: 1-583-0005-7623
Routing Number: 122235821
For Further Credit to: Department of Health Care Services Reference: CY 2023 Voluntary Rate Range Program Invoice
We require Governmental Funding Entity provide a 48-hour advance notice via e-mail prior to wiring any funds over 5 million dollars. As requested by the State Treasurer’s Office (STO), all ACH/wires must be transmitted prior to 10:00 a.m. on the date of payment. Please note: DHCS would prefer Automated Clearing House (ACH) payments, instead of wires. Once the Governmental Funding Entity has transferred funds to the specified account above, please email Vivian Beeck at [email protected]; Scott Gale at [email protected]; and Michael Ha at [email protected] with the completed transaction information.
If you have any questions regarding the Intergovernmental Transfer Agreement, please contact Vivian Beeck via email shown above.
Sincerely,
Michael Jordan
Staff Services Manager II
Capitated Rates Development Division
Department of Health Care Services
P.O. Box 997413, MS 4413
Sacramento, CA 95899-7413
Enclosures
cc: Vivian Beeck
Staff Services Manager I
Capitated Rates Development Division
Department of Health Care Services
P.O. Box 997413, MS 4413
Sacramento, CA 95899-7413
Docusign Envelope ID: 62F65F81-55D3-4183-8BE4-BAA1F16F0A5C September 30, 2024