Agenda

Return

C. 37

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	December 8, 2015

Contra

Costa

County

Subject:

Agreement #28-881 with Anthem Blue Cross Health Plan

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/08/2015

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:	Daniel Peddycord, (925) 313-6712
cc:	J Pigg N Rios

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: December 8, 2015
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Memorandum of Understanding Agreement #28-881 with Anthem Blue Cross Health Plan, a non-financial agreement, for Targeted Case Management (TCM) Program to the County’s Public Health Clinics Services, for the period from July 1, 2015 through June 30, 2020.

FISCAL IMPACT:

None. This Non-Financial Agreement will provide assurance TCM claims are not duplicated for Medi-Cal Managed Care beneficiaries. No additional County match is required.

BACKGROUND:

Since 1997, the Department of Health Care Services has funded many Local Governmental Agencies (LGA) to provide Targeted Case Management (TCM) services. The Targeted Case Management (TCM) Program is a Federal Program funding the provisions of comprehensive case management services to individuals within a specified target group. Due to California’s “Bridge to Reform”, Section 1115 Medicaid demonstration waiver and the related Medi-Cal managed care expansion, the new TCM policies and procedures requires a current TCM provider Participation Agreement and Contra Costa County was selected as one of the managed care health plans for Contra Costa County. This Memorandum of Understanding defines protocol for health care plans to follow in order to avoid duplication of services and activities. These protocols will serve as the basis for the coordination of care and non-duplication of services.

Approval of Agreement #28-881 allows the County and Anthem Blue Cross Health Plan to adhere to the policies and procedures ensuring coordination and non-duplication of services set forth in the Targeted Case Management Program Memorandum of Understanding, through June 30, 2020. This agreement includes mutual indemnification.

CONSEQUENCE OF NEGATIVE ACTION:

If this agreement is not approved, the County will not have funds accessible to continue the Targeted Case Management Services.

CHILDREN'S IMPACT STATEMENT:

Not applicable.