Coversheet


	BOCC AGENDA ITEM

Item Title:	County Medically Indigent Program (CMIP)
Date:	9/23/2019
Department:	Health Department

Background:
The Health Care Responsibility Act (HCRA) places the financial responsibility for emergency services at out-of-county hospitals on the patient's county of residents. Generally, these funds pay for hospital services only. The County Medically Indigent Program (CMIP) created by the BOCC in the 1980's is a companion to HCRA which provides early intervention with medical specialists to reduce the incident of emergency room admissions and provides assistance to clients who otherwise cannot afford maintenance medication. Reimbursement for sponsored services is at the Medicaid rate. In Fiscal Year 2007-2008, the BOCC requested that the Health Department fund the CMIP from operating revenues, rather than as a separate line item in the BOCC Budget.
Request:
Approve and authorize the Chairman to sign a Memorandum of Understanding with the Nassau County Health Department for the County Medically Indigent Program (CMIP). (CM2723)
Financial/Economic Impact to Future Years Budgeting Process or Effect on Citizens:
Impact of changing funding source will be a proportional decrease in indigent care services at Health Department clinics and other safety net providers, as well as emergency hospitalizations due to critical or advanced stage conditions.
Action Requested and Recommendation:
Approve the Memorandum of Understanding for CMIP
Is this action consistent with the Nassau County Comprehensive Land Use Plan?

Funding Source:
Nassau County Department of Health

Additional Information Needed for Contracts/Agreements (If Applicable)

Contract Number assigned by Contracts Management:
CM2723
For non-governmental agencies, has the document been sent to the vendor for signature?
No
Does the document need to be recorded? If so, who will pay the recordation fee?
N/A
Are there any special mailing instructions? (Include contact name, address, deadline for submittal, how to mail such as express mail, FedEx, etc):
Return both originals to the Health Department for final execution. One should be returned to the County
How many originals are needed?
Two