HomeMy WebLinkAboutMINUTES - 07261994 - 1.35 To: BOARD OF SUPERVISORS
FROM' Mark Finucane, Calm,Cost Health Services Director Cs t
DATE: July 20, 1994 vvu" "y
SUBJECT: Application to HCFA for Development Grant for a Social HMO
Demonstration Project
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION
AUTHORIZE the Health Services Director or his designee to
submit an application to the Health Caere Financing
Administration for a $150, 000 grant to assist in
developmental activities for a Social HMO demonstration
project.
II. FINANCIAL IMPACT
This one year grant award, with no required county match,
is to be used for planning and developmental activities
required to implement a"','Social HMO demonstration project.
Receipt" of these funds does not obligate the counts to
implement the demonstration project. . If the county does
decide to carry out the demonstration project, it will be
paid on a monthly capitation basis.. for each enrolled
member.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND
The Health Care Financing Administration has issued a
Request for Application for three Social HMO demonstration
projects nationwide.
Social HMOs combine acute care and long term care services
in an integrated system serving Medicare beneficiaries. The
first demonstration project funded four Social HMOs
nationwide. In 1993 Section 5079 of P.L. 103-66, OBRA-93
extended the demonstration project to three new sites. HCFA
is interested in projects which refine targeting and
financing methodologies and benefit design of a Social HMO.
It is particularly-, interested in- proposals that offer
increased participation by Medi-Cal/Medicare crossovers and
by minority populations.
CONTINUED ON ATTACHMENT; X YES SIGNATURE: r ,...�-
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S): ° f� L
ACTION OF BOARD ON L.;,- a� \ -``T APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc Milt Camhi, CCHP ATTESTED
PHIL BATCHELOR. CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-83 BY �+- ,DEPUTY
Board Order
July 20, 1994
Page Two
The county is in an excellent position to provide such a
program. CCHP, which would be the demonstration
organization, has enrolled Medi-Cal/Medicare beneficiaries
since 1976 and serves a diverse membership including a high
proportion of minorities. If the grant is awarded, the
county will have one year to engage in the necessary
planning and development activities. Receipt of the grant
award does not commit the county to implementing the
program. The grant application must be submitted to HCFA
postmarked no later than Monday, August 1, 1994. It is
requested that the Board of Supervisors authorize the
Health Services Director or his designee to submit the
application.