County of El Dorado - File #: 15-0581

• File #: 15-0581
• Version: 1
• Type: Agenda Item
• Status: Approved
• File created: 4/23/2015
• In control: Board of Supervisors
• On agenda: 5/12/2015
• Final action: 5/12/2015
• Title: Health and Human Services Agency recommending the Board: 1) Approve and authorize the Chair to sign non-financial Memorandum of Understanding 124-M1510 (MOU) with Kaiser Permanente to establish the roles and responsibilities of the Health and Human Services Agency and Kaiser Permanente for the provision of services for the beneficiaries of the Medi-Cal Managed Care program for Kaiser Permanente Members with a retroactive three-year term that commenced on March 1, 2015; 2) Authorize the Chief Administrative Officer to execute further documents relating to the above noted Agreement, including amendments which do not increase the maximum dollar amount or term of the MOU, and contingent upon approval by County Counsel; and 3) Authorize the Director of Health and Human Services Agency, or designee, to administer said MOU and execute any subsequent administrative documents relating to said MOU including required fiscal and programmatic reports. FUNDING: Medi-Cal Managed Care.

Date	Ver.	Action By	Action	Result
5/12/2015	1	Board of Supervisors	Approved	Pass

Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign non-financial Memorandum of Understanding 124-M1510 (MOU) with Kaiser Permanente to establish the roles and responsibilities of the Health and Human Services Agency and Kaiser Permanente for the provision of services for the beneficiaries of the Medi-Cal Managed Care program for Kaiser Permanente Members with a retroactive three-year term that commenced on March 1, 2015;
2) Authorize the Chief Administrative Officer to execute further documents relating to the above noted Agreement, including amendments which do not increase the maximum dollar amount or term of the MOU, and contingent upon approval by County Counsel; and
3) Authorize the Director of Health and Human Services Agency, or designee, to administer said MOU and execute any subsequent administrative documents relating to said MOU including required fiscal and programmatic reports.

FUNDING: Medi-Cal Managed Care.
Body
DEPARTMENT RECOMMENDATION:
The Health and Human Services Agency (HHSA) provides a variety of mandated health services to the community. Approval of Memorandum of Understanding 124-M1510 (MOU) with Kaiser Permanente (Kaiser) will ensure compliance with AB 1467 and the various statutes amended by AB 1467 to expand Medi-Cal Managed Care within the State of California.

DISCUSSION / BACKGROUND:
In June 2013, the Governor’s Budget expanded managed health care into rural areas that had previously been Fee-For-Service (FFS) only. This rural expansion provides beneficiaries throughout the State with care through an organized delivery system. El Dorado County is one of 28 FFS counties being transitioned to Medi-Cal Managed Care rural expansion, which is the result of State Assembly Bill 1467 and that added Article 2.82 (commencing with Section 14087.98) to the Welfare and Institutions Code. Section 14087.98 includes a procedure for transitioning to a Medi-Cal Managed Care Plan (MCMCP)...