Agenda

Return

C. 58

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	October 18, 2016

Contra

Costa

County

Subject:

Application #28-364 and Agreement #28-364-1 for the Whole Person Care Medi-Cal Waiver Pilot Program

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 10/18/2016

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	William Walker, MD, 957-5403
cc:	Tasha Scott M Wilhelm

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: October 18, 2016
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Department to submit an Application #28-364 for the Whole Person Care (WPC) Medi-Cal Waiver Pilot Program and authorize the Health Services Director or his designee to execute the subsequent Agreement #28-364-1 with State Department of Health Care Services, subject to approval as to form by County Counsel.

FISCAL IMPACT:

The pilot program will provide $20 million net annually over a five year period to lead entities for identifying high cost Medi-Cal utilizers that may benefit from the development and provision of low cost alternative services.

BACKGROUND:

The application for the Medi-Cal Waiver pilot program has been submitted and State/CMS approval is imminent. Whole Person Care (WPC) lead entities that are approved to move forward and implement must indicate formal acceptance within 10 calendar days.

BACKGROUND: (CONT'D)

Terms and Conditions of the Medi-Cal 2020 Demonstration Waiver requires the lead entity to formally accept or decline approval of the application. The California Department of Health Care Services (DHCS) anticipates notifying lead entities of application approval no later than October 24, 2016, and recommends that lead entities obtain delegation authority for signature from the governing board/board of supervisors prior to that date.

DHCS will provide the WPC agreement with the approval letter. The approved WPC pilot application will become the agreement between DHCS and the WPC lead entity with supplementary terms and provisions. The authorized signatory must be duly authorized in a resolution by the governing board as having authority to sign on behalf of the lead entity and designated to enter into the agreement on behalf of the lead entity.

To insure a timely response, the Department is requesting Board approval to sign the boiler plate State contract to indicate formal acceptance of the application, pending County Counsel approval.

CONSEQUENCE OF NEGATIVE ACTION:

Failure to sign the acceptance letter within 10 calendar days will result in a net revenue loss of $20 million annually over a five year period.