Agenda

Return

C. 38

To:	Board of Supervisors
From:	Anna Roth, Health Services
Date:	July 12, 2022

Contra

Costa

County

Subject:

Add One (1) Registered Nurse, One (1) Clerical Supervisor, & Three (3) Clerk–Experienced Level Positions in the Health Services Department

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/12/2022

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:	Lauren Jimenez, (925) 957-5262
cc:	Lauren Jimenez Kathi Caudel Viviana Garcia Pam Gomez Sharron Mackey Paralee Purviance

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: July 12, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 25986 to add one (1) permanent full-time Registered Nurse (VWXG) position at salary plan and grade L32-1880 ($10,398 - $12,986) (Department 0860, Cost Center: 6125), add one (1) permanent full-time Clerical Supervisor (JWHF) position at salary plan and grade K6X-1290 ($4,848 - $6,191) (Department 0860, Cost Center: 6109), and three (3) permanent full-time Clerk – Experienced Level (JWXB) positions at salary plan and grade 3RH-0750 ($3,401 - $4,220) (Department 0860, Cost Centers: 6125, 6121, and 6115) in Contra Costa Health Plan (CCHP) within the Health Services Department. (Represented)

FISCAL IMPACT:

Upon approval, this action will result in an overall annual cost increase of $666,830 with $258,597 pensions included. (100% Member Premium Payments)

BACKGROUND:

Contra Costa Health Plan's (CCHP) Facility Site Reviews (FSR) were paused during the COVID-19 Pandemic and now the California Department of Health Care Services (DHCS) requires health plans to perform and execute all past due and renewals of Facility Site Reviews (FSR). A Facility Site Review (FSR) is when all primary care physician sites who participate in the Medi-Cal Managed Care Program and the Medicare-Medicaid Plans are required to complete an initial review, subsequent periodic full scope reviews, and complete corrective action plans (CAPs) within California Department of Health Care Services (DHCS)-specified timelines for cited deficiencies. Facility Site Reviews (FSR) are conducted to ensure that all contracted primary care physician sites have sufficient capacity to provide appropriate primary healthcare services and can maintain patient safety standards and practices. The review confirms the primary care physician site operates in compliance with all applicable local, state, and federal laws and regulations.

In order to execute this requirement in a timely manner, an additional Registered Nurse is being requested to work in the Provider Relations Unit to perform the required tasks to remain compliant with State and Federal mandates. The Registered Nurse will also be responsible for submitting the data obtained from the Facility Site Reviews (FSR) and submit to the Department of Health Care Services (DHCS) on a quarterly basis through their web portal. There has been an exponential growth in memberships (approximately 40,000 new members) and new providers in the health plan network which will increase the number of required site reviews.

The division is also requesting to add one Clerical Supervisor to their Utilization and Review/Authorizations Unit to supervise new programs in order to meet regulatory requirements. The new programs are as follows: Justice Re-entry program, Long Term Care, Population Health, and the division's expanded business model as a Dual Special Needs Plan for members who qualify.

Last, the division is requesting to add three Clerk – Experienced Level positions to work in Provider Relations, Member Services, and Behavioral Health units where the positions will process high volumes of credential applications and contract documents, and also provide administrative support to meet strict regulatory requirements.

CONSEQUENCE OF NEGATIVE ACTION:

If this request is not approved, Contra Costa Health Plan will lack the operational structure it needs to remain compliant with State and Federal mandates.