To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Standard Agreement (Amendment) #29-772-55 with the State of California, Department of Health Care Services
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Standard Agreement (Amendment) #29-772-55 (State #04-36067, A-43) with the State of California, Department of Health Care Services (DHCS), to amend Agreement #29-772-13 (as amended by subsequent amendments #29-772-14 through #29-772-54), to update capitation rates for recipients of Medi-Cal Managed care, with no change in the original amount payable of up to $317,472,000 or term of April 1, 2005 to December 31, 2023.
FISCAL IMPACT:
There is no change to the original amount payable to County for the Medi-Cal Managed Care Local Initiative Project. No County match required.
BACKGROUND:
The State has been contracting with the Health Services Department’s Contra Costa Health Plan to provide health care services to eligible Medi-Cal recipients within the scope of Medi-Cal benefits under the Medi-Cal Local Initiative Health Plan since February 1, 1997.
On April 26, 2005, the Board of Supervisors approved Standard Agreement #29-772-13 with the State of California, DHCS, for the Medi-Cal Local Initiative Health Plan, for the period from April 1, 2005 through December 31, 2008. Subsequent amendments #29-772-14 through #29-772-54 have been issued by DHCS to amend Standard Agreement #29-772-13 to extend the term through December 31, 2023, add funds, adjust capitation rates and modify language.
Approval of this Standard Agreement (Amendment) #29-772-55 will update capitation rates for recipients of Medi-Cal Managed care, with no change in the original amount payable of up to $317,472,000 or term through December 31, 2023.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, the County will not be able to continue the Medi-Cal Managed Care Local Initiative Project.