File #: 07-1172    Version: 1
Type: Agenda Item Status: Approved
File created: 6/25/2007 In control: Board of Supervisors
On agenda: 7/17/2007 Final action: 7/17/2007
Title: Human Services Department, Community Services Division, recommending Chairman be authorized to sign retroactive Memorandum of Understanding/Agreement for Services PHD-07/09-01 with the Public Health Department, retroactive to and effective July 1, 2007 to enable the Public Health Department to participate in the Medi-Cal Administrative Activities (MAA) Program during the period July 1, 2007 through June 30, 2009. FUNDING: Federal Medi-Cal Administrative Activities (MAA) Revenues
Attachments: 1. Blue Route PHD-0709-01, 2. DHS P&C Waiver, 3. MOU PHD-0709-01
Title
Human Services Department, Community Services Division, recommending Chairman be authorized to sign retroactive Memorandum of Understanding/Agreement for Services PHD-07/09-01 with the Public Health Department, retroactive to and effective July 1, 2007 to enable the Public Health Department to participate in the Medi-Cal Administrative Activities (MAA) Program during the period July 1, 2007 through June 30, 2009.  
 
FUNDING:  Federal Medi-Cal Administrative Activities (MAA) Revenues
 
Body
BUDGET SUMMARY:
 
 
Total Estimated Cost
 
$200,000
 
 
 
     Funding
 
 
          Budgeted
$200,000
 
          New Funding
$
 
          Savings
$
 
          Other
$
 
     Total Funding Available
$200,000
 
Change To Net County Cost
 
$0
      
 
Fiscal Impact/Change to Net County Cost:  Agreement PHD-07/09-01 does not specify a maximum compensation amount.  Revenues are based entirely on reported eligible MAA activities.  The Public Health Department (PHD) will receive 100% of the MAA funds received from the State as a result of the County invoices to California Department of Health, and Human Services will charge a 10% Administrative Fee to cover the cost of administering the MAA program, billed to PHD quarterly.  $200,000, which includes administrative costs, was included in the FY 2007/08 County Proposed Budget Request, an amount based on estimated 2006/07 activity levels.  The amount budgeted for FY 2008/09 will be determined based on FY 2007/08 activity levels.
 
Reason for Recommendation: The Department of Human Services (DHS), the Public Health Department (PHD) and several community agencies operating in El Dorado County participate in the Medi-Cal Administrative Activities (MAA) Program performing Medi-Cal outreach activities, assisting clients, and their families where appropriate, in applying for Medi-Cal and accessing Medi-Cal services, thereby facilitating access and availability of Medi-Cal covered services.  The Department of Human Services, Community Services Division, is the local governmental agency responsible for coordination of the MAA Program and claiming of costs relative to provision of MAA services within El Dorado County.  Invoices for MAA activities are paid by the California State Department of Health Services (CDHS).  The term of this Agreement is July 1, 2007 through June 30, 2009.  While Human Services was delegated authority to process MAA contracts on October 20, 2006, processing of this Agreement was delayed pending confirmation of compliance with new provisions of the County Purchasing Policy.   Retroactive approval will enable PHD to claim revenues for MAA activities conducted commencing July 1, 2007.
 
Action to be taken following Board approval:
Board Clerk to provide Department of Human Services, Community Services Division, with two signed originals of MOU PHD-07/09-01.
 
Contact:  John Litwinovich, 621-6163
 
Concurrences:  County Counsel and Risk Management