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Health and Human Services Agency, Mental Health Division, recommending the Board consider the following:
1) Approve and authorize the Chair to sign non-financial Memorandum of Understanding 622-M1410 with Blue Cross of California Partnership Plan, Inc. (Anthem) to establish each party’s roles and responsibilities in the delivery of Specialty Mental Health Services to Blue Cross members for a term that becomes effective upon execution and continues in perpetuity;
2) Approve and authorize the Chair to sign revenue-generating Memorandum of Understanding 164-M1310 with Blue Cross of California Partnership Plan, Inc. for the reimbursement of authorized Specialty Mental Health Services provided to Blue Cross members for a term that becomes effective upon execution and continues in perpetuity; and
3) Authorize the Chief Administrative Officer or their designee to execute further documents relating to 622-M1410 or 164-M1310, including amendments which do not affect the maximum dollar amount or term of the Memorandum of Understandings, and contingent upon approval by County Counsel and Risk Management and further authorize the Director of the Health and Human Services Agency or their designee to execute any administrative documents relating to said Memorandum of Understandings, including required fiscal and programmatic reports.
FUNDING: Medi-Cal Managed Care.
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Fiscal Impact/Change to Net County Cost
There is no net County cost associated with the non-financial Memorandum of Understanding (MOU) 622-M1410 or the revenue-generating MOU 164-M1310. Sufficient appropriations were included in the Fiscal Year (FY) 2014/15 budget, and will be included in future budgets for the term of the MOUs.
Background
Medi-Cal Managed Care Rural Expansion is the result of State Assembly Bill 1467, which added Article 2.82 (commencing with Section 14087.98) to the Welfare and Institutions Code (WIC). WIC Section 14087 et al. includes a procedure for the transition to a Medi-C...
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