To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #29-784-14 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) #29-784-14 (State #22-20462, A-02) with the State of California, Department of Health Care Services (DHCS), to modify the Capitation Payment rates for Medi-Cal State Supported services, with no change in the original term of January 1, 2023 through December 31, 2023.
FISCAL IMPACT:
DHCS shall pay County an amount to be calculated based on enrollment of Medi-Cal members each month. No County match required.
BACKGROUND:
Since 2003, through the Local Initiative Program, the State of California has given the Contra Costa Health Plan (CCHP) funds necessary to provide health care service to it eligible Medi-Cal recipients within the scope of Medi-Cal benefits. These services were formerly provided under Standard Agreement #29-772 and in 2006 were broken out under this new Amendment Agreement #29-784, for State supported services.
On April 18, 2023, the Board of Supervisors approved of Standard Agreement #29-784-12 and Amendment #29-784-13 to pay the County in accordance with the Capitation Payment rates for Medi-Cal State Supported services that are not approved for Federal funding, for the period January 1, 2023 through December 31, 2023.
Approval of Standard Agreement (Amendment) #29-784-14 will allow the County to continue provide Medi-Cal State Supported services that are not approved for Federal Funding, through December 31, 2023.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, funding for continuous services to County Medi-Cal recipients will not be provided.