RECOMMENDATION(S):
ADOPT County Ordinance No. 2021-31, as introduced on September 7, 2021, to authorize the Contra Costa Health Plan to serve as the single local plan for Medi-Cal managed care enrollees in the County commencing on January 1, 2024.
FISCAL IMPACT:
Conversion to a single plan model will increase CCHP’s Medi-Cal membership from 200,000 to approximately 238,000. The net income impact is expected to be positive and in the 2% to 4% of gross revenue.
BACKGROUND:
The State Department of Health Care Services (DHCS) has begun the procurement process for Commercial Medi-Cal Managed Care plans. As part of the procurement process, counties now have the option to request a change in the local plan model.
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