Agenda

Return

C. 43

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	February 26, 2019

Contra

Costa

County

Subject:

Amendment Agreement #28-344-7 with the California Department of Health Care Services

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/26/2019

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

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

ABSENT:

Diane Burgis, District III Supervisor

Contact:	Daniel Peddycord, 925-313-6712
cc:	Marcy 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: February 26, 2019
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Amendment Agreement #28-344-7 (07-17EVRGRN) with the California Department of Health Care Services (DHCS), effective July 1, 2019, to make minor language changes to allow the County to continue to participate in and be reimbursed for Targeted Case Management (TCM) services provided to County recipients.

FISCAL IMPACT:

Approval of this Agreement will result in approximately $10,000,000 per year in funds payable to County for the TCM services, from the California Department of Health Care Services. No additional County match is required.

CONSEQUENCE OF NEGATIVE ACTION:

If this agreement is not approved, the County will not receive funds accessible to continue the TCM services.

BACKGROUND:

Since 1997, the Department of Health Care Services has funded many Local Governmental Agencies to provide TCM. TCM is a Federal Program which provides 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, new TCM policies and procedures require a new TCM Provider Participation Agreement with the DHCS including transitioning to an evergreen agreement.

Approval of Amendment Agreement #28-344-7 will replace the prior MEDS language and replace with MEDSLITE language and allow the County to continue to provide and be reimbursed for TCM services until terminated by either party. This agreement includes agreeing to indemnify the State for any claims arising out of the County’s performance under the agreement.