To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contra Costa Health Plan Onboarding and Compliance Training for Joint Conference Committee and Board of Supervisor Members
☐Recommendation of the County Administrator ☒ Recommendation of Board Committee
RECOMMENDATIONS:
ACCEPT the Onboarding and Compliance Training for Joint Conference Committee and Board of Supervisor Members as recommended by the Contra Costa Health Plan (CCHP) Joint Conference Committee.
FISCAL IMPACT:
There is no fiscal impact for this action.
BACKGROUND:
Joint Conference Committee (JCC) and Board of Supervisors (BOS) members are required to complete Compliance and Fraud, Waste and Abuse (FWA) training. This is because both committee members are ultimately responsible for overseeing Contra Costa Health Plan (CCHP). Both committees make sure Medicare and Medi-Cal funds are used lawfully and appropriately.
Both state and federal regulators require CCHP to maintain an effective compliance program with active governing body oversight. Board training ensures its members understand their oversight role, key regulatory requirements and high-risk areas such as FWA. This is so the Board can ensure appropriate controls are in place to prevent, detect and correct noncompliance.
Attachment A - Onboarding and Compliance Training for JCC and BOS Members is included. Attachment B - Joint Conference Committee Onboarding Guide is also included.
This is required to support regulatory expectations, protect federal funds and ensure effective compliance governance. And the completion of required training demonstrates that the JCC and BOS are committed to compliance oversight, accountability and fulfillment of its fiduciary and regulatory responsibilities.
CONSEQUENCE OF NEGATIVE ACTION:
Both federal and state regulators expect governing body members to actively oversee the organization’s compliance program. They expect Board members to understand their responsibilities related to regulatory compliance, program integrity and the protection of Medicare and Medicaid funds.
Failure to accept the Onboarding and Compliance Training for JCC and BOS Members would prevent CCHP from meeting its contractual obligations with Department of Health Care Services and Centers for Medicare and Medicaid Services and impact CCHP’s compliance standing.