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Health and Human Services Agency, Mental Health Division, recommending the Board authorize the Chair to sign Agreement for Services 118-F1310 with Blue Cross of California, acting as fiscal intermediary for County Medical Services Program, to reimburse the County for the provision of mental health services to clients eligible for CMSP sponsored "Path2Health" insurance, with a term to be effective upon execution and with no end term (perpetual).
FUNDING: County Medical Services Program (CMSP) and Path2Health, a low-income health program sponsored by CMSP.
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Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with this funding Agreement. Blue Cross, on behalf of CMSP, reimburses the Health and Human Services Agency, Mental Health Division ("HHSA/MHD") for the cost of services provided under the terms and conditions contained in Agreement for Services 118-F1310.
Compensation for Services
Payments are made to County within 60 days of receipt and approval of invoices; invoices must be submitted within 150 days of service for actual services performed and documented per contract requirements.
Contract Termination
This Agreement includes a provision for either party to terminate without cause upon ninety (90) days written notice.
Background
The El Dorado County Mental Health Plan ("MHP") mandates that the County Health and Human Services Agency, Mental Health Division provide mental health services to individuals in need of service, regardless of their ability to pay.
On November 2, 2010, the Federal government approved California's five-year $10 billion "Bridge to Reform" waiver of Section 1115 of the Social Security Act that allows the federal government to grant Medicaid (Medi-Cal in California) waivers. This waiver allows California to enhance its Medi-Cal program, thereby allowing the state to transition to the Federal reforms ("Affordable Care Act") that will take effect in January 2014. The Section 1115 ...
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