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Health and Human Services Agency, Mental Health Division, recommending the Board consider the following:
1) Approve retroactive Amendment III to Agreement for Services 038-S1011 with Anthem Blue Cross of California, acting as third party administrator for the County Medical Services Program, providing reimbursement for services at the County Psychiatric Health Facility for County Medical Services Program-eligible beneficiaries. This Amendment III is effective January 1, 2014 and modifies the current end term date from December 31, 2013 to December 31, 2015. Thereafter, the Agreement will continue upon the same terms and conditions unless terminated by either party with 120 days prior written notice; and
2) Authorize the Chief Administrative Officer to execute further documents relating to the above noted Agreement, including amendments thereto, contingent upon approval by County Counsel and Risk Management that do not affect the maximum dollar amount or the term.
FUNDING: State Realignment Funding.
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Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with this revenue-generating Agreement for services provided by the County.
Background
In 1982, California law was amended to eliminate the medically indigent adult (MIA) category of Medi-Cal eligibility and this population became the responsibility of counties under California Welfare and Institutions Code ยง 17000. The law recognized that smaller, rural counties were not in a position to assume this responsibility; therefore, the law also provided that counties with a population of 300,000 or less could contract back with the State to provide health care services for indigent adults. The organization created to provide oversight and management of funds for indigent care services in these rural communities was the County Medical Services Program (CMSP). In 1991, the State/Local Program Realignment resulted in the State General Fund contribution for CMSP being capped at $...
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