Share to Facebook Share to Twitter Bookmark and Share
File #: 15-0716    Version: 1
Type: Agenda Item Status: Approved
File created: 5/27/2015 In control: Board of Supervisors
On agenda: 9/29/2015 Final action: 9/29/2015
Title: Health and Human Services Agency recommending the Board consider the following: 1) Approve and authorize the Chair to sign a non-financial Memorandum of Understanding 529-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 Medi-Cal beneficiaries of the Targeted Case Management program for Kaiser Permanente Members for a perpetual term that shall commence upon execution; 2) Authorize the Chief Administrative Officer to execute further documents relating to the above noted Agreement, including amendments which do not affect the 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: Federal and State Funding.
Attachments: 1. A - Approved Contract Routing Sheet, 9-29-15, 2. B - Kaiser Memorandum of Understanding 529-M1510, 9-29-15, 3. Executed Memorandum of Understanding
Title
Health and Human Services Agency recommending the Board consider the following:
1) Approve and authorize the Chair to sign a non-financial Memorandum of Understanding 529-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 Medi-Cal beneficiaries of the Targeted Case Management program for Kaiser Permanente Members for a perpetual term that shall commence upon execution;
2) Authorize the Chief Administrative Officer to execute further documents relating to the above noted Agreement, including amendments which do not affect the 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: Federal and State Funding.
Body
DEPARTMENT RECOMMENDATION:
Health and Human Services Agency (HHSA) recommends approval of Memorandum of Understanding 529-M1510 (MOU) with Kaiser Permanente (Kaiser) to ensure compliance with California’s “Bridge to Reform”, Section 1115 Medicaid Demonstration Waiver and the related Medi-Cal Managed Care Expansion requirements within the State of California.

DISCUSSION / BACKGROUND:
In June 2013, the Governor’s Budget expanded managed health care, including Targeted Case Management (TCM) 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 which 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 Med...

Click here for full text