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File #: 20-0942    Version: 1
Type: Agenda Item Status: Approved
File created: 7/10/2020 In control: Board of Supervisors
On agenda: 8/4/2020 Final action: 8/4/2020
Title: Health and Human Services Agency (HHSA) recommending the Board: 1) Approve and authorize the Chair to sign Agreement 4993 with the County of Santa Cruz acting as the Host Entity for the Medi-Cal Administrative Activities (MAA) and Targeted Case Management (TCM) program. Execution of this Agreement 4993 will enable the County of El Dorado to continue to participate in and receive federal revenues for MAA/TCM, with a retroactive effective date starting July 1, 2019 through June 30, 2022, for an estimated contractual obligation of $30,000; 2) Authorize the HHSA Director, or designee, to execute any further documents related to Agreement 4993 including required fiscal and programmatic reports, and amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management. FUNDING: 100% Federal funding for Medi-Cal Administrative Activities.
Attachments: 1. A - Approved CRS, 4993, 08-04-2020, 2. B - Santa Cruz County Agreement 4993, 08-04-2020
Related files: 18-1773, 17-0847, 14-1657
Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Approve and authorize the Chair to sign Agreement 4993 with the County of Santa Cruz acting as the Host Entity for the Medi-Cal Administrative Activities (MAA) and Targeted Case Management (TCM) program. Execution of this Agreement 4993 will enable the County of El Dorado to continue to participate in and receive federal revenues for MAA/TCM, with a retroactive effective date starting July 1, 2019 through June 30, 2022, for an estimated contractual obligation of $30,000;
2) Authorize the HHSA Director, or designee, to execute any further documents related to Agreement 4993 including required fiscal and programmatic reports, and amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management.

FUNDING: 100% Federal funding for Medi-Cal Administrative Activities.
Body
DISCUSSION / BACKGROUND:
The California Department of Health Care Services (DHCS) is responsible for administering the California Medi-Cal Assistance Program, of which Medi-Cal Administrative Activities (MAA) and Targeted Case Management (TCM) are components. The State enters into cooperative arrangements with Local Government Agencies (LGAs) to ensure the appropriate administration of MAA/TCM with the objective to assist eligible Medi-Cal recipients in gaining access to needed medical, social, educational, and other services. This Agreement allows various County departments to receive federal reimbursement for qualifying MAA/TCM services.

The LGA (County of El Dorado) may claim federal Medicaid matching funds for assisting the State in the proper and efficient administration of the Medi-Cal Program. The Health and Human Services Agency acts as the liaison for receipt of MAA revenues for the County and has been participating in MAA since 1998.

Pursuant to Welfare and Institutions Code Section 14132.47(m), LGAs participating in MAA...

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