To: Board of Supervisors
From: Health and Human Services Agency Choose an item.
Meeting Date: June 18, 2019
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Department Contact: |
Tammy Moss Chandler |
Phone: |
707-463-7774 |
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Department Contact: |
Bekkie Emery |
Phone: |
707-463-7761 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Agreement with Solutions West in the Amount of $450,000 to Provide Medi-Cal Case Processing for the Period of July 1, 2019 through June 30, 2020
End
Recommended Action/Motion:
recommendation
Approve Agreement with Solutions West in the amount of $450,000 to provide Medi-Cal case processing for the period of July 1, 2019 through June 30, 2020; authorization for the Health and Human Services Agency Director or designee to sign any amendments that do not increase the annual maximum amount; and authorization for Chair to sign same.
End
Previous Board/Board Committee Actions:
February 6, 2018, Item 4(q), BOS Agreement No. 18-014; September 11, 2018, Item 4(l), BOS Agreement No. 18-133.
Summary of Request:
As a direct result of the implementation of the Affordable Care Act, Mendocino County has experienced a Medi-Cal caseload increase from 8,466 cases in January 2014 to 19,366 in January 2019. The Health and Human Services Agency currently has an excessively high vacancy rate of 32% for eligibility staff, with 20 of the 62 positions vacant. Additionally, there are too few eligibility staff, and many are of insufficient level and experience, therefore unable to process the volume of Medi-Cal applications and redeterminations received each year. Efforts to increase the number of eligibility staff were undertaken, and the vacancy rate in the Eligibility Specialist classification has decreased. Still, new staff are not at the experience level required to process cases independently. The proposed contract provides resources to assist in addressing this problem.
Solutions West first contracted with Mendocino County in February 2018. Since then, Solutions West has reduced Mendocino County’s pending Medi-Cal backlog, and processed several thousand cases and tasks. This contract will ensure that Solutions West continues to support Mendocino County, enabling compliance with regulations and federal mandates. Solutions West will provide temporary staffing to assist with the Medi-Cal caseload, while the Health and Human Services Agency continues to recruit, hire, and train Eligibility Specialists.
Alternative Action/Motion:
Return to staff for alternative handling.
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: California Department of Health Care Services, Administrative Allocation |
budgeted in current f/y: Yes |
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current f/y cost: $450,000 |
if no, please describe: |
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annual recurring cost: $450,000 |
revenue agreement: No |
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budget clarification:
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Darcie Antle, Deputy CEO |
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CEO Review: Yes |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Lindsey Dunham, Deputy Clerk I |
Final Status:Approved |
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Date: June 20, 2019 |
Executed Item Number: Agreement Number: 19-155 |
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Note to Department Number of Original Agreements Returned to Dept: 3 Original Agreement Delivered to Auditor? Yes |
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