REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  June  20, 2017
CATEGORY:  Consent - Health and Human Services-7.

SUBJECT:

Targeted Case Management Provider Participation Agreement

Supervisorial District No. :  ALL

DEPARTMENT CONTACT:  Tracy Tedder, Branch Director, HHSA Business & Support Services, (530) 229-8425

STAFF REPORT APPROVED BY:  Tracy Tedder, Branch Director, HHSA Business & Support Services

RECOMMENDATION

Approve and authorize the Chairman to: (1) Sign an evergreen renewal agreement with the California Department of Health Care Services at no compensation for Medi-Cal Targeted Case Management Provider Participation (PPA No. 45-17EVRGRN) effective July 1, 2017 until terminated by either party; (2) sign the Medi-Cal Provider Agreement required for participation as a provider in the Medi-Cal program (DHCS6208 PED Medi-Cal Provider Agreement); and (3) approve and authorize the Health and Human Services Agency (HHSA) Director or HHSA Branch Director to sign minor amendments and other documents, including retroactive, that do not result in substantial or functional change to the original intent of the agreements and otherwise comply with Administrative Policy 6-101, Shasta County Contracts Manual.

SUMMARY

Approval of the California Department of Health Care Services (DHCS) Medi-Cal Targeted Case Management (TCM) Provider Participation Agreement will allow Shasta County to continue to participate in the federal TCM Program which provides partial reimbursement of costs associated with assisting at risk individuals in the community through a comprehensive case management program.

DISCUSSION

The Board of Supervisors approved the first agreement on May 9, 2017 and the department delivered to DHCS on May 12, 2017 to meet the DHCS submittal deadline of May 15, 2017.  However, after Shasta County submitted the agreement, and all corresponding exhibits, DHCS sent a revised version via e-mail on May 12, 2017 to all participating counties. The revisions are minor and do not result in a substantial or functional change,  but DHCS is requiring Shasta County sign and submit the revised agreement on or before June 30, 2017.  The first agreement signed by the Board on May 9, 2017 was never signed or fully executed by the state.

The TCM Program is a federally funded program that allows certain county departments and non-profit agencies to receive partial reimbursement for case management services they provide to clients, utilizing allowable non-federal matching funds.  The goal of TCM is to assist individuals in a defined target population to gain access to needed medical, social, educational, and other services.  The basic components of TCM are a comprehensive assessment, development of an individualized service plan, linkage and consultation information, assistance with accessing services, crisis assistance planning, and periodic reviews.

The Shasta County Health and Human Service Agency (HHSA) Public Health Branch (Public Health) serves as the TCM “Local Governmental Agency” for Shasta County to oversee and coordinate all facets of TCM including receiving and disbursing funds and contracting with participating entities such as Shasta County Child Abuse Prevention Council (CAPCC) who currently is contracted with HHSA to provide TCM eligible services.  Approval of the “Medi-Cal Targeted Case Management Provider Participation Agreement” will allow Public Health to continue in this capacity.

ALTERNATIVES

The Board could choose not to approve the agreement or direct staff to attempt to negotiate different terms to the agreement with DHCS.

OTHER AGENCY INVOLVEMENT

County Counsel has approved the agreement as to form.  Risk Management has approved the agreement. The County Information Technology Department has approved the agreement. This recommendation has been reviewed by the County Administrative Office.

FINANCING

Based on billing amounts from July 2013 through December 2016 HHSA has “passed through” $254,405 to CAPCC for participation in TCM.  Public Health’s FY 2017-18 Recommended Budget contains sufficient appropriation authority for the “pass through” funding for participating agencies. Public Health will include adequate appropriation authority for TCM in future budget requests to the Board.  There is no additional impact to the County General Fund with approval of this agreement.