Agenda

Return

C. 54

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	February 28, 2023

Contra

Costa

County

Subject:

Standard Agreement (Amendments) #29-772-49 and #29-772-50 with the State of California, Department of Health Care Services

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/28/2023

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:	Sharron Mackey, 925-313-6004
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 28, 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 Standard Agreement (Amendments) #29-772-49 and #29-772-50 (State #04-36067, A36 and A39) 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 #29-772-48) to add new language, modify existing language and add new codes for medical services to recipients of Medi-Cal Managed Care, with no change in the original amount payable to the County of up to $317,472,000 or term of April 1, 2005 to December 31, 2023.

FISCAL IMPACT:

There is no change to the original amount payable to County for the Medi-Cal Managed Care Local Initiative Project. No County match is required.

BACKGROUND:

The State has been contracting with the Health Services Department’s Contra Costa Health Plan to provide health care services to eligible Medi-Cal recipients within the scope of Medi-Cal benefits under the Medi-Cal Local Initiative Health Plan since February 1, 1997.

BACKGROUND: (CONT'D)

On April 26, 2005, the Board of Supervisors approved Standard Agreement #29-772-13 (as amended by subsequent Amendments #29-772-14 through #29-772-48) 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.

Approval of Standard Agreement (Amendment) #29-772-49 incorporates new language for Alternative Format Section (AFS), Interoperability API System requirements, and the No Wrong Door policy for mental health services, and updates existing language for the Community Based Adult Services benefit and Home and Community-Based Services, with no change in the payment limit or term.

Approval of Standard Agreement (Amendment) #29-772-50 incorporates changes to new requirements for Population Health Management, Dyadic Care Services, Risk Sharing Mechanisms, and adds new aid codes, as well as carves-in Long-Term Care services, with no change in the payment limit or term.

CONSEQUENCE OF NEGATIVE ACTION:

If these amendments is not approved, the County will not fulfill the new State requirements and not be able to continue the Medi-Cal Managed Care Local Initiative Project.