HomeMy WebLinkAboutMINUTES - 12082015 - C.37RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County,
Memorandum of Understanding Agreement #28-881 with Anthem Blue Cross Health Plan, a non-financial
agreement, for Targeted Case Management (TCM) Program to the County’s Public Health Clinics Services, for the
period from July 1, 2015 through June 30, 2020.
FISCAL IMPACT:
None. This Non-Financial Agreement will provide assurance TCM claims are not duplicated for Medi-Cal Managed
Care beneficiaries. No additional County match is required.
BACKGROUND:
Since 1997, the Department of Health Care Services has funded many Local Governmental Agencies (LGA) to
provide Targeted Case Management (TCM) services. The Targeted Case Management (TCM) Program is a Federal
Program funding the provisions of comprehensive case management services to individuals within a specified target
group. Due to California’s “Bridge to Reform”, Section 1115 Medicaid demonstration waiver and the related
Medi-Cal managed care expansion, the new TCM policies and procedures requires a current TCM provider
Participation
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, (925)
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: J Pigg , N Rios
C. 37
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:December 8, 2015
Contra
Costa
County
Subject:Agreement #28-881 with Anthem Blue Cross Health Plan
BACKGROUND: (CONT'D)
Agreement and Contra Costa County was selected as one of the managed care health plans for Contra Costa County.
This Memorandum of Understanding defines protocol for health care plans to follow in order to avoid duplication of
services and activities. These protocols will serve as the basis for the coordination of care and non-duplication of
services.
Approval of Agreement #28-881 allows the County and Anthem Blue Cross Health Plan to adhere to the policies and
procedures ensuring coordination and non-duplication of services set forth in the Targeted Case Management
Program Memorandum of Understanding, 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.