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Health and Human Services Agency recommending the Board consider the following:
1) Approve and authorize the Chair to sign non-financial Memorandum of Understanding (MOU) 530-M1510 with California Health and Wellness Plan (CHWP) to establish the roles and responsibilities of the Health and Human Services Agency and CHWP for the provision of services for Medi-Cal beneficiaries of the Targeted Case Management program for CHWP 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 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: Federal and State Funding.
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DEPARTMENT RECOMMENDATION:
The Health and Human Services Agency (HHSA) recommends approval of Memorandum of Understanding 530-M1510 (MOU) with CHWP 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 ...
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