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C. 92
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: March  10, 2020
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Agreement #72-142 with County of Santa Cruz

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   03/10/2020
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
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Dan Peddycord, 925-313-6712
cc: E Suisala     M 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:     March  10, 2020
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Agreement #72-142 containing mutual indemnification with the County of Santa Cruz, a government agency, to pay the County of Santa Cruz (Host County), in an amount not to exceed $900,000, to participate in the Medi-Cal Administrative Activities (MAA) and Targeted Case Management (TCM) programs, for the period from July 1, 2019 through June 30, 2022.

FISCAL IMPACT:

This Agreement is funded 100% by County MAA/TCM funds.













BACKGROUND:

MAA is a program which allows local governing agencies (LGA), including Contra Costa County, to receive federal reimbursement for activities necessary for the proper and efficient administration of the Medi-Cal State plan. TCM allows LGAs to receive federal funds for providing services which assist a Medi-Cal individual in a defined target population to gain access to needed medical, social, educational, and other services. To participate in the MAA and TCM programs, each LGA must pay a participation fee. The participation fee is paid to the "host" (County of Santa Cruz). The "host" county administers the supporting funds for the state program that oversees the MAA/TCM programs and for the activities of the LGA consortium. The "host" county invoices each participating LGA on an annual basis. The participation fee is calculated yearly from base year, claiming amounts for county-based MAA/TCM for each participating LGA.  
  
Under Agreement #72-142, the County of Santa Cruz will provide MAA/TCM host county services through June 30, 2022, including mutual indemnification and self-insurance for all participating agencies.

CONSEQUENCE OF NEGATIVE ACTION:

If this agreement is not approved, County will not be a participant in the LGA consortium, and will not receive the financial support needed to provide MAA/TCM services for County’s Medi-Cal clients.

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