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Health and Human Services Agency, Public Health Division, recommending the Board:
1) Approve and authorize the Chair to sign non-financial Memorandum of Understanding (MOU) 546-M1411 with Anthem Blue Cross for a term effective upon signature and continuing until terminated by one of the parties thereto. This MOU establishes the roles and responsibilities of the Parties in the provision of services for the beneficiaries of the Medi-Cal Managed Care Plan and administered by Anthem Blue Cross;
2) Authorize the Chief Administrative Officer to execute further documents relating to the above noted MOU, including future amendments, contingent upon approval by County Counsel; and
3) Authorize the Director of the 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. (State and Federal Funding)
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DEPARTMENT RECOMMENDATION:
The Health and Human Services Agency (HHSA) Public Health Division has statutory requirements to ensure access and service delivery to the disenfranchised populations in compliance with Welfare and Institutions Code Section 17000. This MOU between Anthem Blue Cross and HHSA establishes the roles and responsibilities of each party in the performance of Public Health activities for those beneficiaries of the Anthem Blue Cross Medi-Cal Managed Care Plan.
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 expansion provides beneficiaries throughout the state with healthcare through an organized delivery system. The County of El Dorado was one of the 28, primarily rural, FFS counties being transitioned to Medi-Cal Managed Care in this process. Medi-Cal Managed Care Rural Expansion is the result of State Assembly Bill 1467, which added Article 2.82 to the Wel...
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