Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Resolution 058-2020 delegating authority to the Health and Human Services Agency Director, on of behalf of the County, to sign Standard Agreement 20-10005 and the accompanying forms with the California Department of Health Care Services for the County of El Dorado to provide County-Based Medi-Cal Administrative Activities, in the amount of $2,250,000, for the term of three years from July 1, 2020 through June 30, 2023;
2) Delegate authority to the Director of the Health and Human Services Agency to execute further documents relating to Standard Agreement 20-10005, if any, provided they do not decrease the maximum dollar amount, do not change the term, and contingent upon approval by County Counsel and Risk Management; and
3) Authorize the Health and Human Services Agency Director, or Chief Fiscal Officer, to execute any fiscal or programmatic reports to said Agreement.
FUNDING: California Department of Health Care Services Revenue Agreement.
Body
DISCUSSION / BACKGROUND:
Health and Human Services Agency (HHSA) recommending the Board authorize the Director of HHSA to accept new funding from the California Department of Health Care Services (DHCS) to provide County-Based Medi-Cal Administrative Activities (CMAA).
On February 7, 2020, HHSA received DHCS’ revenue agreement for the County to perform CMAA on behalf of DHCS. CMAA will assist in the proper and efficient administration of the Medi-Cal Program by improving the availability and accessibility of Medi-Cal Services to Medi-Cal eligible and potentially eligible individuals and their families. For execution of this agreement, the signed documents are due back at DHCS by April 30, 2020.
CMAA activities include, but are not limited to, attending or conducting general, non-medical staff meetings, developing and monitoring program budgets and/or site management, and general non-program supervision of staff. This also includes staff break time and any time spent filling out a Time Survey Form, Medi-Cal Outreach, Referral, Coordination, and Monitoring of Medi-Cal Services, Facilitating Medi-Cal Application, Arranging and/or Providing Non-Emergency, Non-Medical Transportation to a Medi-Cal Covered Service, Contract Administration for Medi-Cal Services, Program Planning and Policy Development for Medi-Cal Services, Medi-Cal Administrative Activities (MAA)/Targeted Implementation Training, general administration, and paid time off.
HHSA has contracted with DHCS for CMAA services since 2014. Historically, the Board has delegated authority to the HHSA Director to sign the agreement, the most recent resolution being Resolution 065-2019 (File ID: 19-0531, Item No. 19). Currently, DHCS is requiring a resolution that designates an authorized signer by name and title. Therefore, HHSA is requesting the Board sign this Resolution in lieu of a current resolution delegating an authorized signer by name.
ALTERNATIVES:
The Board could choose not to sign the Resolution, thereby hindering HHSA’s ability to provide timely CMAA on behalf of DHCS, thereby limiting HHSA and DHCS’ ability to fund Medi-Cal Administrative Activities.
PRIOR BOARD ACTION:
05/14/2019, 19-0531, HHSA 2019-20 Signature Authority Delegation Resolution
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel.
CAO RECOMMENDATION:
It is recommended that the Board approve this item.
FINANCIAL IMPACT:
There is no Net County Cost associated with this Agenda item. Sufficient revenue and appropriations were included in the Fiscal Year 2020-21 Budget request, and will be included in future budgets for the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Resolutions.
2) Clerk of the Board to return one (1) certified Resolution and one (1) Certified Minute Order to HHSA Contracts Unit at 3057 Briw Road.
STRATEGIC PLAN COMPONENT:
N/A
CONTACT
Don Semon, Director