HomeMy WebLinkAboutMINUTES - 06162015 - D.3RECOMMENDATION(S):
1. FIND that the appointment of Ms. Mailer is necessary to fill a critically needed position;
2. APPROVE and AUTHORIZE the hiring of retiree Wendy Mailer as a temporary County employee for the period
of July 1, 2015 through June 30, 2016.
FISCAL IMPACT:
Salary costs are included within the Department's operating budget. Total approximate costs for the requested period
are $40,181.
BACKGROUND:
Ms. Mailer is the Health Plan Sales Manager that works directly with Employment and Human Services to help with
the Medi-Cal member's Annual Redetermination Process. Her work and expertise is vitally important to the
requirement for continuity of care for our Medi-Cal members who are undergoing the Redetermination Process. Ms.
Mailer is the expert who can ensure that these terminated members get reenrolled promptly back into the Health Plan
and can then receive much needed medical care. The State of California re-initiated the Annual Medi-Ca;
Redetermination Process for Medi-Cal recipients in January 2015. The process was supposed to include auto renewal
for our members, as well as retroactive eligibility into the Plan. However, there were some IT glitches in the State
system that disenrolles thousands of CCHP members monthly and fails to retroactively reenroll them when they
completed the certification process. The State Department of Managed Care specifically asked the Contra Costa
Health Plan and other California health plans to work with the County’s’ Employment and Human Services
Department (EHSD) to help assist them with the Medi-Cal residents in the counties due to backlogs in processing
new Medi-Cal applications and the redetermination of terminated members.
APPROVE OTHER
RECOMMENDATION OF CNTY
ADMINISTRATOR
RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 06/16/2015 APPROVED AS
RECOMMENDED
OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
ABSENT:Federal D. Glover, District V
Supervisor
Contact: Kristen Cunningham,
925-957-5267
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of
Supervisors on the date shown.
ATTESTED: June 16, 2015
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
D. 3
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:June 16, 2015
Contra
Costa
County
Subject:Temporary Hire of County Retiree in the Health Services Department
With her valuable knowledge of Medi-Cal eligibility, Ms. Mailer has been working with EHSD in designing reports
that will indicate the total number of individuals and/or cases at risk for discontinuance each month as well as
advising residents who want to enroll in Medi-Cal. EHSD shared aggregate information with CCHP and Ms. Mailer
trains and oversees CCHP marketing employees in working with terminated members and assist EHSD in the
reenrollment process. Under the monitoring of Ms. Mailer, the marketing unit makes thousands of calls monthly to
residents on the EHSD lists, and assists them in the enrollment process and keeps eligible Medi-Cal members
enrolled in CCHP and receiving health care services.
Additionally, CCHP is no longer involved in heavy marketing campaigns, as the vast majority of our membership is
mandated Medi-Cal recipients. At this time, we are not allowed by the State to do direct marketing campaigns for
Medi-Cal. Therefore, CCHP has decided at this time to not invest more money in rehiring a higher cost full-time
Director. A part-time Sales Manager with Wendy Mailer’s special expertise is sufficient to meet the needs of the
Health Plan at this time. CCHP also unsuccessfully ran recruitment in 2014 for a Director of Marketing and Public
Relations-Exempt. The Department was not able to find the appropriate fit in the candidates interviewed.
At this time, the workload and management need for CCHP's Marketing has been reduced from prior years since we
no longer participate in the State Exchange: Covered California or the private health insurance market. The focus
now in CCHP is
BACKGROUND: (CONT'D)
retentionof our Medi-Cal membership.
Health Care is changing and CCHP will continue assisting new Medi-Cal members and in the retention activities
for existing members when annual redetermination is delayed .
At this time and for the continuation of a year, Ms. Mailer's role as a consultant on a part-time basis is absolutely
critical to CCHP's success in meeting mandated State requirements. The Health plan considers that Ms. Mailer’s
assistance with CCHP will be sufficient until the State’s Dual Eligible beneficiaries are later mandated into
managed care and then CCHP will reopen and recruit for the Director of Marketing classification to replace Ms
Mailer.
CONSEQUENCE OF NEGATIVE ACTION:
Failure to receive Board approval may jeopardize efforts of the Health Services Department to comply with
mandated State requirements.
CHILDREN'S IMPACT STATEMENT:
No impact to children.
ATTACHMENTS
Cost Sheet
Salary $40,181.92
Employer Paid Benefits*
Health/Dental
One Time Costs $0.00
Total Cost $40,181.92
Deferred comp Benefit**
ANNUAL TOTAL COST $40,181.92
*Includes:7.65% FICA
3.48% Workers Compensation
0.37% Unemployment
35.50% Pension
** $1020 OR $0
Pension Cost =
Position Adjustment Request Cost Breakdown
CLASSIFICATION