Upon approval, this action has an annual cost of approximately $6,605,676 with estimated pension costs of $1,459,118 already included. The entire cost will be completely offset with Whole Person Care Pilot Program revenues, which will provide $20 million net annually over a five-year period for the Department to identify high cost Medi-Cal utilizers that may benefit from the development and provision on low cost alternative services.

Contra Costa County Health Services is one of eighteen counties who has applied for and expects to receive $20 million funding for a Whole Person Care (WPC) Pilot Program from the California Department of Health Care Services (DHCS). The Program provides integrated physical health, behavioral health, and social services in a patient-centered manner with the goals of improved health and well-being of a vulnerable population. It targets Medi-Cal patients who are high-risk, high-utilizers of high acuity medical services and/or across multiple delivery systems.  
  
The Program will provide coordination of services through a three-pronged approach: 1) Integrated and Coordinated Data Systems, 2) Enhanced and Coordinated Case Management, and 3) a Sobering Center. It requires a robust staffing profile to meet the deliverables set forth by the DHCS and to deliver the team-based case management and care coordination services to the County's highest utilizing Medi-Cal population. The Department is requesting 41 positions in varied classifications including administrative and technical support, clinic providers, information technology and management staff to provide enhanced case management services in order to address underlying social determinants of health that are leading to poor health outcomes.   
  
Immediately following Board approval, the Department plans to start recruitment processes to fill the positions and orient staff as the program implementation date is set for July 1, 2017.

If this action is not approved, the Department will lose $20 million funds for the Whole Person Care Pilot Program from the Department of Health Care Services.