REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  October  3, 2017
CATEGORY:  Consent - Health and Human Services-5.

SUBJECT:

County of Plumas Host Entity Agreement for Medi-Cal Administrative Activities / Targeted Case Management

Supervisorial District No. :  All

DEPARTMENT CONTACT:  Tracy Tedder, Director, HHSA Business & Support Services, (530) 229-8419

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

RECOMMENDATION

Approve and authorize the Chairman to sign a retroactive renewal agreement (No. MAA1718SHASTA) with the County of Plumas, acting as the Local Government Agency Host Entity, at the rate specified in Exhibit B to the agreement for Medi-Cal administrative activities and targeted case management for the period July 1, 2017 through June 30, 2018.

SUMMARY

Medi-Cal Administrative Activities (MAA) and Targeted Case Management (TCM) are federal financial participation (FFP) programs that reimburse Local Government Agencies (LGAs) in California for providing MAA and TCM services to Medi-Cal eligible residents. Health and Human Services Agency (HHSA) is the LGA for Shasta County and is therefore a member of the “Consortium” of LGAs in California that leads policy development efforts and works collaboratively with California Department of Health Care Services (DHCS) and other organizations to administer the programs. Membership in the Consortium is contingent on payment of an annual participation fee.

DISCUSSION

Legislation passed in 1992 (Senate Bill 910) provided a means for local agencies to claim federal reimbursement for a portion of the costs of providing case management, outreach, and assistance to Medi-Cal clients. In fiscal year (FY) 2015-16 HHSA received $240,000 in MAA/TCM revenue, and the estimated revenue HHSA expects to receive for FY 2016-17 is $405,000.  The purpose of MAA/TCM is to inform members of the community about Medi-Cal, increase accessibility to Medi-Cal services, and provide comprehensive case management to ensure that assessed needs are met.

In California, MAA/TCM is coordinated through a consortium of participating LGAs. A “Host Entity” contracts with the State of California to process claiming, the California State Association of Counties for advocacy, and a consultant to negotiate on behalf of the counties with DHCS, and to provide technical assistance directly to counties. Each LGA reimburses the “Host Entity” for a portion of the total costs of participation fees based on recent MAA/TCM reimbursements. Plumas County is currently serving as the “Host Entity” to collect and disburse monies on behalf of all participating LGAs.

The annual participation fee for FY 2017-18 will be calculated by September 30, 2017.  The participation fee is calculated based on the actual MAA/TCM reimbursement from FY 2016-17 after the fiscal year has ended.  The participation fee for FY 2015-16 was $2,106, and for FY 2016-17 the participation fee was $3,308.  Approximately 50 percent of the costs are reimbursed with FFP dollars through the MAA/TCM Program, providing substantial revenue to support activities. The agreement is retroactive due to not receiving it from Plumas County until late July and subsequent time required to process and finalize of the agreement.

ALTERNATIVES

The Board could choose not to approve the agreement.

OTHER AGENCY INVOLVEMENT

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

FINANCING

HHSA’s FY 2017-18 Adopted Budget includes sufficient appropriation authority for the activities described in this agreement. No additional County General Funds are requested.