To: Board of Supervisors
From: Behavioral Health
Meeting Date: June 7, 2022
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Department Contact: |
Jenine Miller |
Phone: |
707-472-2341 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Agreement (Retroactive Amendment to the Enhanced Care Management Provider Fee For Services Agreement No. MH-21-040) Between Partnership HealthPlan of California and Mendocino County Behavioral Health and Recovery Services, Effective on a New Start Date of January 1, 2022 (original start date of January 27, 2022) Through December 31, 2024
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Recommended Action/Motion:
recommendation
Approve Agreement (retroactive Amendment to the Enhanced Care Management Provider fee for services Agreement No. MH-21-040) between Mendocino County Behavioral Health and Recovery Services (BHRS) and Partnership HealthPlan of California, effective on a new start date of January 1, 2022 (original start date of January 27, 2022) through December 31, 2024; authorize the BHRS Director or designee to sign any future amendments to the Agreement that do not increase the annual maximum amount; and authorize Chair to sign same.
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Previous Board/Board Committee Actions:
N/A
Summary of Request:
The Department of Health Care Services (DHCS) developed the Enhanced Care Management (ECM) program under a 1915(b) waiver to implement broad delivery system and program changes in the Medi-Cal program. Under the ECM program, and in-lieu-of alternative nonmedical services (e.g., housing transition, recuperative care, sobering centers, etc.), whole-person, interdisciplinary care services are provided to address both the clinical and non-clinical needs of high-cost, high utilizing Medi-Cal beneficiaries through a collaborative and interdisciplinary whole-person care approach.
Mendocino County Behavioral Health and Recovery Services (BHRS) entered into Agreement No. MH-21-040 with Partnership HealthPlan of California (PHC) for ECM services effective January 27, 2022. The Agreement enables BHRS to provide reimbursable whole-person, interdisciplinary care to Medi-Cal members, through intensive care management services to ensure beneficiaries receive the multiple types of care needed in a coordinated manner. The goal of these services is to improve overall health outcomes through intensely coordinated care management, mitigation of social determinants of health, and reduction of health disparities and inequities.
Agreement No. MH-21-040 was originally processed with a start date to commence upon signing, yielding the January 27, 2o22 effective date. Since then, PHC has requested the proposed Amendment be processed, changing the effective date to a retroactive start date of January 1, 2022, and adding specific ECM Quality Improvement Program language.
Alternative Action/Motion:
Return to staff for alternative handling
Does This Item Support the General Plan? Yes
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: Partnership HealthPlan of California |
budgeted in current f/y: No |
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current f/y cost: Varies |
if no, please describe: |
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annual recurring cost: Varies |
revenue agreement: Yes |
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budget clarification: This Agreement was not budgeted since there are no funds attached to the services. |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Darcie Antle, Assistant CEO |
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CEO Review: No |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Deputy Clerk II |
Final Status:Approved |
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Date: June 13, 2022 |
Executed Item Type: Agreement Number: 22-130 |
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