To: Board of Supervisors
From: Health and Human Services Agency
Meeting Date: September 11, 2018
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Department Contact: |
Anne Molgaard |
Phone: |
463-7885 |
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Department Contact: |
Rachel Ebel-Elliott |
Phone: |
463-7836 |
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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 October 1, 2018 through June 30, 2019
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 October 1, 2018 through June 30, 2019; authorize the Health and Human Services Agency Director or designee to sign any amendments that do not increase the annual maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
February 6, 2018, Item 4(q), BOS Agreement No. 18-014
Summary of Request:
As a direct result of the implementation of the Affordable Care Act, Mendocino County has experienced a Medi-Cal caseload increase of 195% from January 2014 to present. Additionally, 47.5% of eligibility positions within Employment and Family Assistance Services of the Health and Human Services Agency are vacant. This has resulted in a reduced capacity for processing of Medi-Cal requests for County residents. Efforts to increase the number of eligibility staff, the long-term solution for this problem, were supported by the recently-completed classification analysis recommending a salary increase for eligibility workers. On August 7, 2018, the Mendocino County Board of Supervisors adopted a resolution finalizing a change in classification for eligibility staff (from Eligibility Workers to Eligibility Specialists) along with a corresponding salary increase.
Pursuant to the proposed Agreement, Solutions West will continue to provide temporary staffing to assist with the Medi-Cal caseload while the Health and Human Services Agency recruits, hires, and trains Eligibility Specialists - current vacancies include 21 entry level positions, which require extensive training to be able to independently process and issue benefits. Since the start of its first contract in February 2018, Solutions West has reduced Mendocino County’s pending Medi-Cal backlog and processed several thousand cases and tasks.
Alternative Action/Motion:
Return to staff for alternative handling.
Supplemental Information Available Online at: N/A
Fiscal Impact:
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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 |
Annual Recurring Cost: $0 |
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Supervisorial District: All |
Vote Requirement: Majority |
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Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Janelle Rau, 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: Meribeth Dermond |
Final Status:Approved |
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Date: September 12, 2018 |
Executed Item Number: Agreement Item Number: 18-133 |
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Note to Department Number of Original Agreements Returned to Dept: Three Original Agreement Delivered to Auditor? Yes |
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