Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  21-000464

 

MEETING DATE:

07/13/21

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

All Districts

SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Jason Austin (714) 834-5000 

 

 

Clayton Chau (714) 834-2830

 

 

Subject:  Retroactive Amendment 8 to Coordination and Provision of Public Health Services

 

      ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Discussion

 

 

3 Votes Board Majority

 

 

 

    Budgeted: N/A

Current Year Cost: N/A

Annual Cost: N/A

 

 

 

    Staffing Impact:

No

# of Positions:

Sole Source: N/A

    Current Fiscal Year Revenue: N/A

  Funding Source: N/A

County Audit in last 3 years: No

 

 

    Prior Board Action: 06/23/2020 #11, 09/24/2019 #9, 02/26/2019 #20, 06/26/2018 #16

 

RECOMMENDED ACTION(S):

 

 

1.

Approve retroactive Amendment 8 to the Coordination and Provision of Public Health Care Services Contract between the County of Orange and Orange County Health Authority dba CalOptima, a Public Agency, effective April 12, 2021.

 

2.

Authorize the Health Care Agency Director, or designee, to execute the Contract as referenced in the Recommended Action above.

 

 

 

 

SUMMARY:

 

Approval of retroactive Amendment 8 to the Coordination and Provision of Public Health Care Services Contract between the County of Orange and Orange County Health Authority dba CalOptima, a Public Agency, will allow the Office of Care Coordination to accept and distribute non-monetary incentives to CalOptima members that are experiencing homelessness who receive the COVID-19 vaccination.

 

 

 

BACKGROUND INFORMATION:

 

On May 21, 2013, your Honorable Board of Supervisors (Board) approved the original contract effective June 1, 2013. The agreement authorized the reimbursement to the Health Care Agency (HCA) for services to CalOptima beneficiaries. These services include pulmonary disease services, HIV services, sexually transmitted disease services, medical assistance pursuant to the Child Health and Disability Prevention/Early and Periodic Screening, Detection and Treatment program, family planning services, perinatal services, medical services to eligible clients under the California Children's Services and medical services to minors residing at the Orangewood Children's Home. 

 

Prior Board Action

Board Date

Contract/ Amendment

Action

Term

May 21, 2013

Contract

Board approved Contract.

June 1, 2013 – July 1, 2014, renewable annually for 4 additional one-year terms

June 26, 2018

Amendment No. 2

Board approved Contract extension.

July 1, 2018 – December 31, 2018

February 26, 2019

Amendment No. 3

Board ratified Contract extension and scope of work changes.

January 1, 2019 – December 31, 2023

September 24, 2019

Amendment No. 5

Board approved update of contract language to comply with Department of Health Care Services subcontracting requirements and incorporate respite care into Whole Person Care Recuperative Services.

N/A

June 23, 2020

Amendment No. 6

Board approved scope of work changes to Whole Person Care/ Health Homes Program Crossover Services to the contract and associated compensation to the County for coordination and provision of these services. 

N/a

 

Amendment 8, effective as of April 12, 2021, is going retroactive due to the immediate need of vaccine coordination and distribution efforts for vulnerable persons experiencing homelessness within Orange County. This amendment created an opportunity for the HCA’s Office of Care Coordination to work with CalOptima and provide the distribution of COVID-19 vaccination incentives to CalOptima Medi-Cal members. The non-monetary incentive food card cannot be exchanged for cash and is received upon receipt of each COVID-19 vaccination for those members experiencing homelessness within Orange County.

 

The Office of Care Coordination in collaboration with the Incident Management Team, Orange County Fire Authority, city fire departments and two federally-qualified health centers have mobilized COVID-19 vaccine efforts to the sheltered and unsheltered population experiencing homelessness in Orange County. These vaccination efforts will continue Countywide to mitigate COVID-19 impact on persons experiencing homelessness. The non-monetary incentives for individuals experiencing homelessness will continue to be provided during vaccine drive efforts hosted by HCA.  The Office of Care Coordination staff manages the eligibility data collection for distribution of incentive cards required by CalOptima at vaccination events and tracks each card in coordination with CalOptima.  

 

HCA requests that the Board approve retroactive Amendment 8 to the Coordination and Provision of Public Health Care Services Contract with CalOptima as referenced in the Recommended Actions.

 

 

 

FINANCIAL IMPACT:

 

N/A

 

STAFFING IMPACT:

 

N/A

 

ATTACHMENT(S):

 

Attachment A - Amendment 8 to Coordination and Provision of Public Health Services Contract with Orange County Health Authority dba CalOptima
Attachment B - Redline of Contract