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HomeMy WebLinkAboutRESOLUTIONS - 12141982 - 82/1486THE: BOARD OF SUPERVISORS OF C:ONTRA COSTA COUNTY, CALIFORNIA . December 14 1982 . Adopted this Ord er on ' , by the following vote: AYES: Superv is ors Powers , Fahden, Schroder , Torlakson, McPeak NOES: None ABSENT: ABSTAIN: SUBJECT: None None Establishment of the County Basic Adult Care Program. Res. No. 82/1486 WHEREAS the State of California has eliminated the Medi-Cal Medically Indigent Adult Program effective January 1, 1983; and WHEREAS the County is responsible under W.&I.C. §17 000 for the health care of its indigents; and WHEREAS the State has allocated $4,858,147. to Contra Costa County for the period January 1, 1983 through June 30, 1983 for health care services to individuals formerly eligible as MIAs; and WHEREA.S the County is required by State law (W.&I.C. §16704 (c) (3)) to apply State established eligibility criteria for individuals formerly eligible to the MIA Program in order to receive the State's allocation: The Contra Costa County Board of Supervisors hereby establishes the Basic Adult Care (BAC) Program which is its County health care program for its indigents. 1. Eligibi l ity. Eligibility will be determined according to County Department of Social Service regulations, based on income and resources criteria that applied to Medi-Cal Medically Indigent Adults on December 31, 1982, including County of responsibility provisions. For those persons who would have had a Medi-Cal Share of Cost, gross income and family size shall be used to determine the amount of the monthly pre-payment to be paid by the eligible. 2. Enrollment in HMO. Individuals who are· eligible for the BAC Program will be enrolled in t h e Contra Costa Health Plan and will be bound by the regulations of the Plan. All persons in the Medi-Cal Medically Indigent Adult Program as of December 31, 1982 who are eligible for the County 's Basic Adult Care Program for January, 1983 shall be enrolled in the Contra Costa Health Plan effective January 1, 1983. Services from non-Contra Costa Health Plan providers may be authorized, and paid for with County money (from the State allo- cation), only if the BAC eligible is enrolled in the Contra Costa Health Plan-BAC Program and it is medically appropriate to provide those services by such non-plan provider, as determined by the Health Services Director or designee. Orig. Dept.: cc: Social County County Health Services Services Department Administrator Counsel RESOLUTION NUMBER 82/1486 3 . .Aid and Care Available. The aid and care to be provided under the BAC program shall be limited to the basic health services required of a federally qualified HMO pursuant to Title XIII of the Social Security Act, plus ·medically required prescription drugs. 4. Monthly Pre-payment by the County. Individuals eligible to the BAC Program who the County determines are unable to contribute, (based on income and resources) to the cost of their health care shall be enrolled in the Contra Costa Health plan at full County expense ($202.00/month). 5. Montly Pre-payment by County and BAC Eligibles (Health Partnership). a. Individuals eligible to the BAC program who the County determines are able to contribute, based on income and resources, to the cost of their health care will be asked to pay a pro- portionate share of their pre-payment cost. Said proportionate share shall be no less than $10. and no more than $65. per month and shall be based on each eligible's gross income and family size. b. Persons determined to be financially able to contribute their proportionate share in this Health Partnership will be enrolled in the Contra Costa Health Plan-Basic Adult Care Program, advised of their monthly pre-payment obligation, and billed for the amount of their pre-payment. The County will pay the balance of the pre-payment amount ($137. -$192./mo.). Persons who do not pay the proportionate share of their monthly pre-payment for a cummulative total of six months shall be disenrolled. The regular collections policies of the Auditor- Controller will be followed to collect pre-payment amounts. 6. Choice of Program. Eligible persons who choose not to participate in the County's Basic Adult Care Program wi l l not be enrolled in the Contra Costa Health Plan and will be treated by the County as private pay fee-for-service patients. The County will not pay for care provided to such fee-for-service patients at non-County facilities. 7. Regulations. The County Welfare Director and the County Health Services Director may establish regulations and procedures necessary to implement and make specific the Basic Adult Care Program established herein. I hereby certify that this is a ttue and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED:~~ Ii / 9 p °2-;. •• J.R. OL.:J-~:o,,;, C OUNi Y CLERK and ex officio Cie r k of the Board sy)t~ /J. ~ , Deputy ·-2- e~1~t1""