Agenda

Return

C. 66

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	July 26, 2022

Contra

Costa

County

Subject:

Agreement #72-142-1 with County of Santa Cruz

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/26/2022

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:	Ori Tzvieli, M.D., 925-608-5267
cc:	L Walker 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: July 26, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Agreement #72-142-1 containing mutual indemnification with the County of Santa Cruz, a government agency, to pay the County of Santa Cruz (Host County), 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, 2022 through June 30, 2025.

FISCAL IMPACT:

This agreement will result in budgeted expenditures not to exceed $900,000 over a 3-year period and will be 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.

On March 10, 2020, the Board of Supervisors approved Agreement #72-142 with the County of Santa Cruz in an amount not to exceed $900,000 to provide MAA/TCM host county services for the period July 1, 2019 through June 30, 2022.

Approval of Agreement #72-142-1 will allow the County of Santa Cruz to continue providing MAA/TCM host county services through June 30, 2025, including mutual indemnification and self-insurance for all participating agencies.

CONSEQUENCE OF NEGATIVE ACTION:

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