TO: BOARD OF SUPERVISORS
FROM: Public Health
MEETING DATE: June 3, 2025
DEPARTMENT CONTACT:
Jenine Miller
PHONE:
707-472-2341
ITEM TYPE: Consent Agenda
TIME ALLOCATED FOR ITEM: N/A
AGENDA TITLE:
title
Approval of Agreement with Partnership HealthPlan of California, a Per Member Per Month Fee for Service Revenue Agreement, for the Enhanced Care Management (ECM) Program, Effective Upon Signature, with Automatic Yearly Renewals Until Either Party Terminates the Agreement
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RECOMMENDED ACTION/MOTION:
recommendation
Approve Agreement with Partnership HealthPlan of California, a per member per month fee for service revenue Agreement, for the Enhanced Care Management (ECM) Program, effective upon signature, with automatic yearly renewals until either party terminates the Agreement; authorize the Health Services Agency Director or designee to sign Agreement and any renewals or amendments that do not exceed the annual maximum amount; and authorize Chair to sign same.
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PREVIOUS BOARD/BOARD COMMITTEE ACTIONS:
None.
SUMMARY OF REQUEST:
In 2022, the Department of Health Care Services (DHCS) introduced California Advancing and Innovating Medi-Cal (CalAIM), a transformative framework designed to enhance the delivery system, program, and payment reforms across the Medi-Cal program. CalAIM leverages Medicaid as a tool to address some of California's most pressing challenges, particularly among the state's most vulnerable populations. This initiative targets individuals facing homelessness, those with mental health and/or substance use disorders, and people involved in the criminal justice system. Research shows that the top 5% of Medi-Cal beneficiaries-those with the highest needs-account for the majority of costs within the system. By focusing on these individuals, CalAIM aims to deliver more effective care that improves health outcomes while reducing long-term costs.
As part of this reform, DHCS introduced Enhanced Care Management (ECM), w...
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