REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  October  2, 2018
CATEGORY:  Consent - Health and Human Services-7.

SUBJECT:

Partnership HealthPlan Of California Memorandum of Understanding

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 sign a retroactive renewal Memorandum of Understanding with Partnership HealthPlan of California with no compensation to coordinate Medi-Cal managed care in Shasta County for the period June 1, 2018 through June 30, 2023.

SUMMARY

Approval of the renewal Memorandum of Understanding (MOU) will allow the continued collaboration between the County’s Target Case Management (TCM) and the County and PHC’s managed care health plan.

DISCUSSION

TCM consists of comprehensive case management services that assists clients/members within a specified target population to gain access to needed medical, social, educational, and other services. TCM services ensure that the changing needs of the client/member are addressed on an ongoing basis and appropriate choices are provided among the widest array of options for meeting those needs. The TCM Program serves the needs of adults and children who qualify for TCM.  Both PHC and County’s TCM Program share a common goal of assuring that Medi-Cal beneficiaries receive a continuum of health care and supportive services across all providers and care settings that are not duplicated. For many years, Health and Human Services Agency (HHSA) has acted as the Local Government Agency (LGA) for purposes of overseeing and coordinating TCM activities in Shasta County.  HHSA continues this role for TCM funded services including receiving and disbursing funds and contracting with participating entities. California’s “Bridge to Reform,” Section 1115 Medicaid Demonstration Waiver and the related Medi-Cal managed care expansion requires Medi-Cal managed care health plans to be responsible for broader care coordination and case management services for Medi-Cal beneficiaries. This includes coordination and referral of resources for client/member social support issues.  This MOU defines protocols to follow in order to avoid duplication of services and activities. These protocols will serve as the basis for the coordination of care and non-duplication of services. This MOU is retroactive due to the delays in the renewal process while determining if funding for TCM services was continued in the state budget and would continue to be utilized within Shasta County. 

ALTERNATIVES

The Board could choose not to approve the agreement.

OTHER AGENCY INVOLVEMENT

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

FINANCING

Appropriations and revenue associated with the agreement were included in the Fiscal Year 2018-19 Adopted Budget. There are no additional County General Funds required with approval of the recommendation.