HomeMy WebLinkAboutMINUTES - 12082015 - C.33RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, a
Memorandum of Understanding #28-881 with Anthem Blue Cross Managed Care Plan (MCP), for the purpose of
coordinating services between Anthem Blue Cross MCP and the County’s Targeted Case Management (TCM)
program for Anthem Blue Cross MCP Medi-Cal patients for the period from July 1, 2015 through June 30, 2020.
FISCAL IMPACT:
None. This non-financial agreement will allow the County to continue to receive funds to provide Targeted Case
Management services for Medi-Cal patients enrolled in the Anthem Blue Cross Managed Care Plan No additional
County match is required.
BACKGROUND:
Since 1997, the Department of Health Care Services has funded many local governmental agencies to provide TCM
services. The TCM program is a federal program funding comprehensive case management services to individuals
within a specified target group. Public Health Nursing provides TCM services. Due to California’s “Bridge to
Reform”, Section 1115 Medicaid demonstration waiver and the related Medi-Cal managed care expansion, the new
TCM policies
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/08/2015 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
Federal D. Glover, District V
Supervisor
Contact: Daniel Peddycord,
313-6712
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: December 8, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: T Scott, Jpigg, M Wilhelm
C. 33
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:December 8, 2015
Contra
Costa
County
Subject:Approve Memorandum of Understanding #28-881 with Anthem Blue Cross Health Plan
BACKGROUND: (CONT'D)
require a current TCM provider Memorandum of Understanding with participating counties. This Memorandum of
Understanding defines protocols for coordination of care to assure non-duplication of services for Anthem Blue
Cross Medi-Cal patients who receive TCM comprehensive case management services by the County’s Public Health
Nurses.
Approval of Memorandum of Understanding #28-881 allows the County and Anthem Blue Cross Managed Care Plan
to adhere to state and federal policies and procedures ensuring coordination and non-duplication of services through
June 30, 2020. This agreement includes mutual indemnification.
CONSEQUENCE OF NEGATIVE ACTION:
If this agreement is not approved, the County will not have funds accessible to continue the Targeted Case
Management Services.
CHILDREN'S IMPACT STATEMENT:
Not applicable.