Res 2012-126 - Laserfiche WebLink

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INDIGENT CARE AFFILIATION AGREEMENT BETWEEN THE CITY OF SAN MARCOS AND CENTRAL TEXAS MEDICAL CENTER This Indigent Care Affiliation Agreement (the Agreement) is entered into as of the 16th day of October, 2012 (Effective Date), by and between by and between the City of San Marcos (the City) and Central Texas Medical Center (the Hospital). RECITALS: WHEREAS, the Hospital provides a significant amount of uncompensated care to the Indigent in Hays County (the County) and the City; WHEREAS, reductions in reimbursement under the Medicaid program and the growing uninsured population have created a gap between the costs the Hospital incurs for treating Medicaid patients and the Indigent and the reimbursement the Hospital actually receives; WHEREAS, the City and the Hospital recognize that the Indigent numbers in the City will continue to grow, and that the burden of providing health care to the Indigent will continue to shift to the Hospital, the City, the County, and the local communities in the County; WHEREAS, the Hospital and the City desire to collaborate to ensure that the Indigent have access to and receive quality health care services; and WHEREAS, the City and the Hospital recognize that it is in their mutual best interest and in the best interest of the Indigent population of the City to increase Medicaid funding for the Medicaid population of the City and to access local and federal funding to which the Hospital is entitled under the SECTION 1115 DEMONSTRATION WAIVER FOR THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM (the Waiver Program); NOW, THEREFORE, in consideration of the promises and covenants contained in this Agreement, and other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged and agreed, the parties agree as follows: ARTICLE I DEFINITIONS 1.1 Health Care Services means those services necessary to enhance the delivery of health care to the Indigent, as defined in Section 1.2 of this Agreement. 1.2 Indigent means any person eligible to participate in a state Medicaid program, a county program adopted under the Indigent Health Care and Treatment Act, as defined by the eligibility criteria described in CHAPTER 61 OF THE TEXAS HEALTH AND SAFETY CODE, or a hospital charity care program. 1.3 Waiver Program means the SECTION 1115 DEMONSTRATION WAIVER FOR THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM, under which the City transfers Public Funds via intergovernmental transfer (IGT) to the Texas Health INDIGENT CARE AFFILIATION AGREEMENT BETWEEN THE CITY OF SAN MARCOS AND CENTRAL TEXAS MEDICAL CENTER PAGE 1