To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Agreement #72-142-2 with County of Santa Cruz
☒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 Agreement #72-142-2 with the County of Santa Cruz, a political subdivision of the State of California, to pay the County of Santa Cruz (Host County) an annual participation fee based on the County’s proportionate share percentage of expenditures for the Medi-Cal Administrative Activities (MAA) and Targeted Case Management (TCM) Programs, for the period from July 1, 2025 through June 30, 2028.
FISCAL IMPACT:
Approval of this Agreement will result in approximate budgeted expenditures not to exceed $900,000 over a three-year period and will be funded 100% by County MAA/TCM funds.
BACKGROUND:
MAA is a program which allows local governing agencies (LGA), including Contra Costa County, to receive federal reimbursement for activities necessary for the proper and efficient administration of the Medi-Cal State plan. TCM allows LGAs to receive federal funds for providing services which assist a Medi-Cal individual in a defined target population to gain access to needed medical, social, educational, and other services. To participate in the MAA and TCM programs, each LGA must pay a participation fee. The participation fee is paid to the "host" (County of Santa Cruz). The "host" County administers the supporting funds for the state program that oversees the MAA/TCM programs and for the activities of the LGA consortium. The "host" County invoices each participating LGA on an annual basis. The participation fee is calculated yearly from base year, claiming amounts for County-based MAA/TCM for each participating LGA.
On July 26, 2022, the Board of Supervisors approved Agreement #72-142-1 with the County of Santa Cruz in an amount not to exceed $900,000 to provide MAA/TCM host county services for the period July 1, 2022 through June 30, 2025.
Approval of Agreement #72-142-2 will allow Host County to continue providing MAA/TCM Program services through June 30, 2028. This contract includes a mutual indemnification provision where both parties agree to indemnify, defend, and hold each other harmless from any claims arising from performance under the contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement is not approved, County will not be a participant in the LGA consortium and will not receive the financial support needed to provide MAA/TCM services for County’s Medi-Cal clients.