RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Standard Agreement (Amendments) #29-772-38 and #29-772-39 (State #04-36067, A25 and A28) with the State of California, Department of Health Care Services (DHCS), to amend Agreement #29-772-13 (as amended by subsequent amendments #29-772-14 through #29-772-37) to adjust capitation rates with no change in the original amount payable to the County not to exceed $317,472,000 and extend the term from December 31, 2020 to December 31, 2021.

FISCAL IMPACT:

No change in the original amount payable to County not to exceed $317,472,000 for the Medi-Cal Managed Care Local Initiative Project. No County match is required.

BACKGROUND:

On April 26, 2005, the Board of Supervisors approved Standard Agreement #29-772-13 (as amended by subsequent Amendments #29-772-14 through #29-772-37) with the State of California, DHCS, for the Medi-Cal Local Initiative Health Plan, for the period from April 1, 2005 through December 31, 2020.