Title
Health and Human Services Agency, Social Services Division, recommending the Board to consider the following:
1) Authorize the Chair to execute retroactive non-financial Operational Agreement for Services 068-O1411 with MAXIMUS, INC., for the term July 1, 2013 and no end date for the use of County workspace by MAXIMUS, Inc. for the preparation and presentation of the Health Care Options program under the California Department of Health Care Services' Medi-Cal Managed Care Division; and
2) Authorize the Chief Administrative Officer or their designee to execute further documents relating to the above noted Agreement, including amendments thereto, contingent upon approval by County Counsel and Risk Management, which do not affect the maximum dollar amount or term of the Agreement.
FUNDING: There is no funding associated with this Operational Agreement.
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Background
The FY 2012-13 California State Budget authorized the expansion of Medi-Cal managed care health plan services to Medi-Cal beneficiaries living in rural counties who currently receive Medi-Cal services on a fee-for-service basis. The new program is named "California Health Care Options Program." MAXIMUS was awarded the contract by California Department of Health Care Services, to locally support the California Health Care Options Program.
Termination
The Operational Agreement will remain in effect as long as MAXIMUS, Inc. holds the Department of Health Care Services ("DHCS") contract or unless terminated by either party for any reason upon thirty (30) day's notice to the other party. The Agreement also may be terminated by MAXIMUS, Inc. without prior notice if DHCS terminates the contract or if the State of California directs MAXIMUS, Inc. to terminate the Agreement.
Retroactive Term
This Operational Agreement is being submitted retroactively due to delayed notice by MAXIMUS, Inc.
Reason for Recommendation
Implementation of managed health care plan services in rural counties was mandated by the FY 2012-13 California State Budget.
Action(s) to be taken following Board approval
1) Chair to sign two (2) originals of Agreement 068-O1411.
2) Board Clerk's Office to return two (2) original Agreements to HHSA at Briw Road.
3) HHSA to distribute as appropriate and return one (1) fully executed contract to the Board Clerk's office.
4) Chief Administrative Officer or their designee to execute further documents relating to Operational Agreement 068-O1411, including amendments thereto, contingent upon approval by County Counsel and Risk Management, which do not affect the maximum dollar amount or term of the Agreement as applicable.
Contact
Janet Walker-Conroy, M.A., Interim Director
Concurrences
County Counsel, Risk Management, and Human Resources, have approved Operational Agreement 068-O1411.