Agenda

Return

C. 51

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	February 7, 2023

Contra

Costa

County

Subject:

Participation Agreement #28-300-10 with the California Department of Health Care Services

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/07/2023

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Patrick Godley, 925-957-5410
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 7, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Participation Agreement #28-300-10 with the California Department of Health Care Services (DHCS), to replace current Standard Agreement #28-300-7 (and subsequent Amendment #28-300-9) as required by DHCS and allow the County to continue to participate in the County-Based Medi-Cal Administrative Activities (CMAA) Program and receive reimbursement for these services, effective July 1, 2021 and continuing until terminated by either party with 30-day advanced notice.

FISCAL IMPACT:

Under this participation agreement DHCS will reimburse the County for actual quarterly CMAA expenditures incurred in accordance with the allowable costs. Reimbursements of up to $27,000,000 may be received by the County under the current agreement. The County will pay a participation fee not to exceed $200,000 to cover the cost of administering the program including, but not limited to, claims processing, technical assistance and monitoring. No County match is required.

BACKGROUND:

The DHCS is responsible for administering the CMAA Program which is authorized by Title 42, United States Code Section 1396 and Welfare and Institutions Code Division 9, Part 3, Chapter 7 (commencing with Section 14000) and Chapter 8 (commencing with Section 14200). The Federal Social Security Act mandates cooperative arrangements between the single state agency and participating local government agencies (LGA’s) responsible for providing health related administrative activities. The goal of this agreement is to ensure that Contra Costa County Medi-Cal potentially eligible individuals and their families are appropriately informed of the Medi-Cal Program, how to access it, and assisted in accessing the CMAA services.

On March 9, 2021, the Board of Supervisors approved Standard Agreement #28-300-7 with the DHCS in an amount no to exceed $27,000,000 for the Medi-Cal Administrative Activities Program, for the period July 1, 2021 through June 30, 2024.

On June 21, 2022, the Board of Supervisors approved Standard Agreement Amendment #28-300-9 with DHCS to revise contract language for clarification purposes, update existing exhibits and add a new exhibit for continuation of the County’s Health Services Department for the CMAA Program, through June 30, 2024.

This agreement is being processed late because the documents were not received by the Health Services Department from DHCS until November 29, 2022.

Approval of this Participation Agreement #28-300-10 will replace Standard Agreement #28-300-7 (and subsequent Amendment #28-300-9) and allow the County to continue to participate in the CMAA Program and receive reimbursement for these services. This agreement includes agreeing to indemnify the DHCS for any claims arising out of the County’s performance under the agreement.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, the County will not be able to partner with DHCS for their administration of CMAA Program and for the County to be reimbursed for CMAA expenditures.