RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Standard Agreement (Amendment) #29-772-37 (State #04-36067, A-24) 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 #29-772-36) to add language with regard to requirements for Mental Health Parity, American Indian Health Services Program and Adult Expansion Risk Corridor, and adjust capitation rates with no change in the original amount payable to the County not to exceed $317,472,000 or term through December 31, 2020.

FISCAL IMPACT:

No change in the original amount payable to County not to exceed $317,472,000 for the Medi-Cal Managed Care Local Initiative Project. No County match required.

BACKGROUND:

On April 26, 2005, the Board of Supervisors approved Standard Agreement #29-772-13 (as amended by subsequent Amendments #29-772-14 through #29-772-36) 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.