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C. 41
To: Board of Supervisors
From: Anna Roth, Health Services
Date: January  11, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Add Eleven (11) Positions in the Public Health Division within the Health Services Department

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   01/11/2022
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Lauren Jimenez, (925) 957-5262
cc: Sherry Martija     Lauren Jimenez     Jo-Anne Linares     Dora Regalado    
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED:     January  11, 2022
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 25867 to add three (3) Homeless Services Specialist (V9SD) positions at salary plan and grade ZB5-1404 ($5,441 - $6,614); six (6) Community Health Worker Specialist (VKTA) positions at salary plan and grade TC5-1103 ($4,039 - $4,909); one (1) Director of Safety and Performance Improvement (VWFA) position at salary plan and grade ZZX-1000 ($13,668 - $16,614); and one (1) Health Services Information Systems Specialist (LBTB) position at salary plan and grade ZB5-1541 ($6,231 - $8,351) in the Health Services Department. (Represented)

FISCAL IMPACT:

Upon approval, the action will result in an approximate annual cost increase of $1,548,670 with $600,574 in pension costs already included. This will be 100% funded by Contra Costa Health Plan (CCHP) revenues related to the new Enhanced Care Management (ECM) Medi-Cal benefit.









BACKGROUND:

The California Department of Health Care Services (DHCS) Enhanced Care Management (ECM) program is part of the California Advancing and Innovating Medi-Cal (CalAIM) initiative that transforms the Medi-Cal delivery system. CalAIM is a population health approach that prioritizes prevention and whole person care to extend support and services beyond hospitals and health care settings directly into California communities. One of the CalAIM initiatives is Enhanced Care Management, a person-centered care management program provided to the highest-need Medi-Cal enrollees, primarily through in-person engagement where enrollees live, seek care, and choose to access services. CalAIM intends to transform existing Whole Person Care Pilot Programs to Enhanced Care Management by January 1, 2022 in Public Health.  
  
Staffing for the Enhanced Care Management team will include a Director of Safety and Performance Improvement, three (3) Homeless Services Specialists, six (6) Community Health Worker Specialists and one (1) Health Services Information Systems Specialists. These positions are necessary to meet the operational program services in order to provide the care management services required by the Cal-AIM initiative.

CONSEQUENCE OF NEGATIVE ACTION:

Contra Costa Health Services will not be able to fulfill the requirements of the Enhanced Care Management program and not be able to provide care management services to the highest need Medi-Cal enrollees.

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