Agenda

Return

C.47

To:	Board of Supervisors
From:	Marla Stuart, Employment and Human Services Director
Date:	March 7, 2023

Contra

Costa

County

Subject:

2019 Medi-Cal Privacy and Security Agreement Amendment

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/07/2023

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:

L.Pacheco 608-4963

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 7, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

RATIFY the execution of 2019 Medi-Cal Privacy and Security Agreement No. 19-07 by the Employment and Human Services Department Director signed on October 31, 2019, and APPROVE and AUTHORIZE the Employment and Human Services Director or designee to execute an amendment to the 2019 Medi-Cal Privacy Agreement 19-07 with the California Department of Health Care Services to extend the termination date to March 1, 2024, or until a successor Agreement is executed, whichever occurs first.

FISCAL IMPACT:

There is no fiscal impact for this action.

BACKGROUND:

The Department of Health Care Services (DHCS) notified counties of the 2019 Medi-Cal Privacy and Security Agreement (Agreement) on June 21, 2019, with instructions for returning the signed Agreement to DHCS. The purpose of the Agreement is to ensure the security and privacy of Medi-Cal Personally Identifiable Information (PII) contained in the Medi-Cal Eligibility Data System (MEDS), the Applicant Income and Eligibility Verification System (IEVS), and in data received from the Social Security Administration (SSA) and other sources. Because counties have access to SSA-provided information, SSA requires that DHCS enter into individual agreements with the counties to safeguard this information. The current Agreement expired March 1, 2023.

DHCS notified counties of an Amendment to the Agreement on November 30, 2022. The purpose of the Amendment is to extend the termination date of the 2019 Agreement by one (1) year to allow ongoing transmissions of Personally Identifiable Information (PII) while the 2022 renewal of the Agreement is negotiated and finalized between DHCS and the County Departments/Agencies. The Agreement, as modified by the enclosed Amendment, will remain in effect until March 1, 2024 or until a successor Agreement is executed, whichever occurs first. All fifty-eight (58) CWDs are required to sign the 2019 Agreement Amendment to prevent disruptions to the transmission of PII between the counties and DHCS.

This Board Order is to ratify the execution of the Agreement by the Employment and Human Services Department (EHSD) Director and to approve and authorize the EHSD Director or designee to execute an Amendment to the Agreement to extend the termination date to March 1, 2024, or until a successor Agreement is executed, which ever occur first.

CONSEQUENCE OF NEGATIVE ACTION:

If the 2019 Amendment Agreement is not approved, this will cause disruptions to the transmission of PII between the County and DHCS and CDSS.