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Agenda Item
ASR
Control 22-000533 |
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MEETING DATE: |
07/19/22 |
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legal entity taking action: |
Board of Supervisors |
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board of supervisors
district(s): |
All Districts |
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SUBMITTING
Agency/Department: |
Health Care Agency
(Approved) |
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Department contact
person(s): |
Mindy Winterswyk (714) 834-5052 |
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Clayton Chau (714) 834-2830 |
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Subject: Agreements for Medi-Cal
Administrative Activities/Targeted Case Management
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ceo CONCUR |
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Clerk of the Board |
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Concur |
Approved Agreement to Form |
Consent Calendar |
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3 Votes Board Majority |
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Budgeted: Yes |
Current Year Cost:
See Financial Impact Section |
Annual Cost:
See Financial Impact Section |
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Staffing Impact: |
No |
# of Positions:
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Sole Source:
N/A |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 9/14/2021
#7, 1/28/2020 #16, 1/8/2019 #19, 10/17/2017 #26 |
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RECOMMENDED ACTION(S):
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1. |
Approve the Medi-Cal Administrative Activities/Targeted Case Management Agreement for the term of July 1, 2022, through June 30, 2025, between the County of Orange and the County of Santa Cruz for continued participation in the claiming processes for services reimbursable under County-based Medi-Cal Administrative Activities/Targeted Case Management. |
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2. |
Approve the Mental Health-Based Medi-Cal Administrative Activities Agreement for the term of July 1, 2022, through June 30, 2025, between the County of Orange and the County of Santa Cruz for continued participation in the claiming processes for services reimbursable under County-based Medi-Cal Administrative Activities. |
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3. |
Authorize Health Care Agency Director or designee to execute the Agreements as referenced in the recommended actions above. |
SUMMARY:
Approval of the Agreements will assist Orange County with the County-based Medi-Cal Administrative Activities/Targeted Case Management program and claiming, which is budgeted to generate approximately $3.55 million in revenue for FY 2022-23.
BACKGROUND INFORMATION:
The Federal Government provides reimbursement for activities that assist Medi-Cal eligible individuals in gaining access to Medi-Cal covered services through the County-based Medi-Cal Administrative Activities/Targeted Case Management (CMAA/TCM) program. In order to claim CMAA/TCM revenue, the California Department of Health Care Services (DHCS) requires all county agencies to participate in the Consortium, which is coordinated by a host county that collects an annual participation fee to recover costs incurred by the state, the host county and consultants hired by the host county. The host county is responsible for leading the Consortium, which works with the state on CMAA/TCM claiming issues and helps ensure implementation of uniform claiming procedures.
Orange County has participated in the Consortium since 1992. As a result of participating in the Consortium and being able to claim CMAA/TCM activities, the County expects to receive $3.55 million in total CMAA/TCM revenue this fiscal year.
Your Honorable Board of Supervisors (Board) has taken the following actions:
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Board Date |
Contract/Amendment |
Action |
Term |
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October 17, 2017 |
Contract |
The Board approved the MAA/TCM consortium participating agreement with the County of Plumas. |
July 1, 2017 - June 30, 2018 |
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January 8, 2019 |
Contract |
The Board approved the CMAA/TCM and Mental Health MAA (MHMAA) consortium participating agreements with the County of Plumas. |
July 1, 2018 - June 30, 2019 |
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January 28, 2020 |
Contract |
The Board approved the CMAA/TCM and MHMAA consortium participating agreements with the County of Santa Cruz. |
July 1, 2019 - June 30, 2020 |
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September 14, 2021 |
Contract |
The Board approved the CMAA/TCM and MHMAA consortium participating agreements with the County of Santa Cruz. |
July 1, 2020 – June 30, 2022 |
The FY 2021-22 total participation agreement budget is approximately $2.74 million, with 45 counties participating; Orange County’s portion of the costs are estimated to be $61,096. The amount is based on how much revenue the County is expected to receive. As such, the Health Care Agency (HCA) is projecting a participation fee of $61,096 per year for the next three fiscal years 2022-25.
The agreements contain an indemnification provision that differs from County's standard indemnification provision, requiring each participating county to indemnify each other for liabilities caused by their negligence or intentional wrongful act or omission. Risk Management has reviewed this provision and approved it.
HCA requests the Board approve both the CMAA/TCM and MHMAA Agreements with the County of Santa Cruz through June 30, 2025, as referenced in the Recommended Actions.
FINANCIAL IMPACT:
Appropriations for these Agreements are included in Budget Control 042 FY 2022-23 Budget and will be included in the budgeting process in future years. This agreement is for multiple years.
The funding percentages are aggregate of funding sources within multiple programs anticipated to use these agreements.
STAFFING IMPACT:
N/A
ATTACHMENT(S):
Attachment A - CMAA/TCM Consortium Participation Agreement
Attachment B - Mental Health CMAA/TCM Consortium Participation Agreement
Attachment C - Risk Assessment Form