To: Board of Supervisors
From: Public Health
Meeting Date: September 26, 2023
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Department Contact: |
Sara Pierce |
Phone: |
707-463-4441 |
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Department Contact: |
Kirsty Bates |
Phone: |
707-472-2791 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Retroactive Evergreen Revenue Agreement with the California Department of Health Care Services for County-Based Medi-Cal Administrative Activities, Effective July 1, 2022 through Termination; and Adoption of Resolution Authorizing the Mendocino County Board of Supervisors Chair to Approve the Agreement and Authorizing the Chief Executive Officer or Designee to Sign the Agreement and any Future Amendments that do not Exceed the Maximum Amount
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Recommended Action/Motion:
recommendation
Approve retroactive evergreen revenue Agreement with the California Department of Health Care Services for County-Based Medi-Cal Administrative Activities, effective July 1, 2022 through termination; adopt Resolution authorizing the Mendocino County Board of Supervisors Chair to approve the Agreement and authorizing the Chief Executive Officer or designee to sign the Agreement and any future amendments that do not exceed the maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
April 2, 2022, Item No. 3(j), Approval of Agreement No. 22-200123, BOS-22-198, for Fiscal Years 2022-2025.
Summary of Request:
Mendocino County Department of Public Health (PH) performs County-Based Medi-Cal Administrative Activities (CMAA) on behalf of the California Department of Health Care Services (DHCS) to assist in the proper and efficient administration of the Medi-Cal Program by improving the availability and accessibility of Medi-Cal services to eligible and potentially eligible individuals and families.
PH has entered into revenue Agreements with DHCS for CMAA since 2016, with the most recent Agreement No. 22-200123, BOS-22-198 executed by the Mendocino County Board of Supervisors on August 2, 2022, in the amount of $1,500,000, for Fiscal Year 2022 through 2025. Through Agreement No. 22-200123, BOS-22-198, specific CMAA services include but are not limited to: Medi-Cal outreach; referral coordination and monitoring of Medi-Cal services; facilitation of Medi-Cal applications (eligibility intake); arrangement of non-emergency, non-medical transportation to a Medi-Cal covered service; contract administration for Medi-Cal services; and program planning and policy development for Medi-Cal services. PH is reimbursed for CMAA services through Federal Financial Participation only when the services are identified in a CMAA Claiming Plan approved by the State and the Centers for Medicare and Medicaid Services.
PH received the proposed Agreement from DHCS on June 8, 2022, with a start date of July 1, 2022. Once executed, the proposed Agreement will replace Agreement No. 22-200123, BOS-22-198 in order to keep CMAA services current until the Agreement is terminated by DHCS or PH. Due to lengthy staff discussions regarding the evergreen status of the proposed Agreement, and details about replacing the current Agreement No. 22-200123, BOS-22-198, PH started processing the Agreement in June 2023, an entire year after receiving it, creating a retroactive start date.
Alternative Action/Motion:
Return to staff for alternative handling.
Does This Item Support the General Plan? Yes
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: County-Based Medi-Cal Administrative Activities (CMAA) |
budgeted in current f/y: Yes |
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current f/y cost: N/A |
if no, please describe: |
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annual recurring cost: N/A |
revenue agreement: Yes |
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budget clarification: N/A |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Executive Office |
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CEO Review: Yes |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Adopted |
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Date: September 26, 2023 |
Executed Item Type: Resolution Number: 23-162 Executed Item Type: Interim Agreement Number: *23-174 |
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