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HomeMy WebLinkAboutMINUTES - 12092005 - C.132 (2) RECORDING REQUESTED BY: IiIIINIII�IIIIIIflI�IIIIIIIIIIIIII�IIII�IIIII�II CONTRA COSTA Cc Recorder Office Patrick Roche STEPHEN L. WEIR Clerk-Recorder DOC— 2006-0042028-00 Wednesday, FEB 08, 2006 13:28:36 WHEN RECORDED MAIL TO: Mic $1.00 MOD $17.00 REC $21.Oe TCF $16.00 NCP $51.00 Contra Costa County Ttl Pd $106,00 Nbi 0003RS/ 1 17 Community Development Department 651 Pine St., 4th floor, north wing Martinez CA 94549 THIS SPACE FOR RECORDERS USE ONLY DOCUMENT TITLE Rescind existing Land Conservation Contract No. 9-71 and approve a new Land Conservation Contract No. 05- 0001. THIS PAGE IS ADDED TO'PROVIDE ADEQUATE SPACE FOR RECORDING INFO ADDITIONAL RECORDING FEES APPLY EXHIBIT "A" Excerpt of Condition of Approval #14, MS#96-0014 File #MS960014 CondWons of Approval burning associated with agricultural activities; noise associated with farm equipment and aerial crop dusting and certain animals and flies may exist on surrounding properties. This statement is, again, notification that this is part of the agricultural way of life in the open space areas of Contra Costa County and you should be fully aware of this at the time of purchase. " 13. Restriction of Placement of New Residences - The parcel map shall reflect the delineated allowable new primary residence.building area on the approved vesting tentative map; the parcel map notes shall also specify that placement of any new primary residences shall be limited to the allowable new primary residence building area. The restriction. of primary residences to the allowable new primary residence building area as delineated on the vesting tentative map shall be eliminated upon the effective date of the rezoning of the site to a non-agricultural zoning district. 14. Entering into New Land Conservation Contracts - At least 60 days prior to filing a parcel map, the applicant shall submit three signed and notarized copies of a proposed land conservation contract for each of the proposed parcels. The submittal shall be accompanied by a copy of the existing agricultural preserve contract recorded on the property. The submittal shall be accompanied by the required initial processing fee of$4000 ($1000 per contract,plus time and materials; S-050). The proposed contracts shall be reviewed by the Community Development Department and the County Counsel Office. Concurrent with the approval of a parcel map, the applicant shall obtain the authorization of the Board of Supervisors for the County to enter into the proposed contracts for each new parcel. 15. Deed Restriction on Parcel A Requiring Eventual Removal of the Caretaker Mobilehome - Prior to filing a.parcel map, the applicant shall submit a draft deed restriction for Parcel A for the review and approval of the Zoning Administrator to provide that the existing mobilehome on Parcel A shall be removed prior to final inspection for a building permit -9- EXHIBIT "B" Resolution No. 2005/789 THE BOARD OF SUPERVISORS OF THE COUNTY OF CONTRA COSTA Adopted this Order on Tuesday, December 20, 2005 by the following vote: AYES: Gioia, Piepho, DeSauluier,Glover and Uilkema NOES: None ABSENT: None ABSTAIN: None RESOLUTION NO. 2005/789 SUBJECT: RESCIND existing Land Conservation ) Contract No. 9-71for the 376 Acres ) Comprising APN 205-040-002 ) AUTHORIZE the Execution of ) new Land Conservation Contract ) No. 05-0001 with Gordon R. and Karen Rasmussen ) For Four Parcels Created Under County File: ) MS#96-0014 Affecting APN 205-040-002 ) The Board of Supervisors of Contra Costa County RESOLVES that: On January 19, 1971, t I e Board of Supervisors adopted Resolution No. 71/36, which authorized the Chairman of the Board to execute Land Conservation Contract No. 9- 71 with Edward C. Rasmussen, covering 609.53 acres near Highland Road (Tassajara area) involving APN 205-040-002 and 205-060-002 (County File: RZ#1484), and said contract was subsequently executed by the Board Chair and then recorded with the County Recorder on February 25, 1971. On December 11, 1991, a Notice of Non-Renewal was filed with the County on APN 205-060-002, which subsequently removed approximately 233 acres from Land Conservation Contract No. 9-71 ten years later on February 2, 2002. On December 8, 1998, the County Planning Commission approved a minor subdivision (County File: MS#96-0014)dividing APN 205-040-002 into four new parcels of 87, 102.88, 87.69, and 98.53 acres, respectively. On February 2, 2005, Gordon R. and Karen Rasmussen,the current owners of APN 205-040-002 filed an application with the Community Development'Department requesting to rescind Land Conservation Contract No. AP 9-71 affecting APN 205-040-002 and to enter into a new Land Conservation Contract to reflect the agricultural or compatible uses, agricultural related structures, and residences that are identified for the four new parcels created under approved minor subdivision (County File: MS#96-0014)affecting APN 205- 040-002 . RESOLVED that, pursuant to Section 66474.4 of the California Government Code, the Board of Supervisors finds that the approved minor subdivision affecting land subject to the California Land Conservation Act of 1965 (Williamson Act)would neither result in the creation of parcels too small tolsustain agricultural use of the land nor result in residential development not incidental to the commercial agricultural use of the land. RESOLVED that, pursuant to Section 51254 of the California Government Code,the Board of Supervisors RESCINDS Land Conservation Contract No. 9-71 as it affects the 376 acres comprising APN 205-040-002, now subdivided into four parcels under County File: MS#96-0016, and AUTHORIZES the Board Chair to execute a new contract, Land Conservation.Contract No. 05-0001, with Gordon R. and Karen Rasmussen. it The Board further DIRECTS the Community Development Department to forward a copy of this resolution and the executed version of the new contract, Land Conservation Contract No. AP 05-0001, to the California Department of Conservation and the Office of County Assessor. Orig. Dept.: Community Development Department Contact: Patrick Roche(925/335-1242) cc: CA Dept. of Conservation Office of County Assessor RESOLUTION NO. 2005/789 D:WWckmWe OWDVNPLANLLANDCONSLLwardmsolu nap05-0001rasmussen.docc I hereby certify that this Is a true and correct copy of an action takan and entcmd on the minutes of the Board of Supervisors on the date shown. ATTESTED, ��o JOHN Fl. SWEETEN, Clerk of the Board of Supervisors d County Administrator 6y Deputy t x i I�c�so wf�i9 /� EXHIBIT "C" Resolution No. 2005/790 i THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA I Adopted this Order on December 20, 2005 by the following vote: AYES: Gioia,Piepho,DeSaulnier,Glover and Uilkema NOES: None ABSENT: None ABSTAIN: None RESOLUTION NO. 2005/790 I SUBJECT: LAND CONSERVATION CONTRACT, AP#05-0001 ) The Board of Supervisors of Contra Costa County RESOLVES that: 1. Parties. BY THIS CONTRACT, made and entered into the 20"' day of December, 2005, Gordon R. and Karen Rasmussen hereinafter referred to as "OWNER,"and the County of Contra Costa,a political subdivision of the State of California,hereinafter referred to as"COUNTY,"do mutually agree and promise as follows: 2. Property Description. Owner possesses certain real property located within the County, which property is presently devoted to agricultural and compatible uses and is particularly described in Exhibit A, attached hereto and made a part of this contract. 3. Purpose. Both Owner and County desire to limit the use of said property to agricultural uses and to compatible uses specified in this agreement in order to discourage premature and unnecessary conversion of such lands from agricultural uses, recognizing that such land has definite public value as open space and that the preservation of such land in agricultural production constitutes an important physical, social, aesthetics and economic asset to County to maintain the agricultural economy of County and the State of California. 4. Intent of Parties: Enforceable Restriction. Both Owner and County intend that the term, conditions and restrictionsi of this Contract be in accordance with the California Land Conservation Act of 1965,as amended,so as to be an enforceable restriction under the provisions of Division 1,Part 2,Chapter 3,Article 1.5 of the California Revenue and Taxation Code(Rev.&Tax Code § 421 et. seq.). 5. Intent of Parties: Effect on Property Value. It is the intent of the County and Owner that this Contract is conditioned upon the continued existence of legislation implementing Article XIII, § 8 of the California Constitution so the effect of the terms, conditions and restrictions of the Contract on property values for taxation purposes is substantially as favorable to Owner as the legislation existing on the last renewal date. 6. Governins Statutes and Ordinances. This Contract is made and entered into pursuant to the California Land Conservation Act of 1965 (Chapter 7 of Part 1 of Division 1 of Title 5 of the California Government Code commencing with Section 51200). This Contract further is made pursuant to and subject to Contra Costa County Ordinance Code,Chapter 84-42 and Chapters 810-2 through 810-4,and Resolutions of the Contra Costa County Board of Supervisors Numbers 68/635 and 2005/487. 1 i 7. Land Use Restrictions. During the term of this Contract or any renewals thereof,the above described land shall not be used for any purpose, other than the production of food and fiber and compatible uses as listed in Contra Costa County Ordinance Code Chapter 84-42, which is hereby incorporated by reference as if fully set forth herein;provided,however,that such additional agricultural or compatible uses as are set forth in Exhibit B, which is attached hereto and is hereby incorporated by reference, shall also be permitted subject to the terms and conditions set forth therein. In case of conflict or inconsistency between the uses allowed in this Contract and those specified in said zoning ordinance, the provisions of the Contract as set forth in Exhibit B shall prevail. 8. Modification of Restrictions. The Board of Supervisors of County may from time to time and during the term of this Contract or any extensions thereof, by amendment to Contra Costa County Ordinance Code Chapter 84-42, add to those uses listed in said ordinance. Such additional uses shall be limited to commercial agriculture and compatible uses and be subject to the density restrictions of Government Code § 51220.5. Said board shall not eliminate,without written consent of the Owner or his successors or assigns, a compatible use during the term of this Contract or any renewals thereof. 9. Term and Renewal. This Contract shall be effective commencing on the last day of December 2005, and shall remain in effect for a period of ten (10) years therefrom. This Contract shall be automatically renewed and its terms extended for a period of one (1) year on the last day of December of each succeeding year during the term hereof, unless notice of non-renewal is given in the manner provided by section 51245 of the Government Code. At all times during the continuance of this Contract, as from time to time renewed,there shall be a ten (10) year term of restriction unless notice of non-renewal is given in the manner provided by Section 51245 of the Government Code. Under no circumstances shall a notice of renewal be required of either party to effectuate the automatic renewal of this paragraph. 10. Cancellation. (a) Except as provided in Section 11, the provisions of this Contract whereby Owner agrees to restrict the use of the land described in Paragraph 2 may be canceled as to all or a portion of said land by mutual agreement of the County and Owner after a public hearing has been held in the manner provided by Section 51284 of the Government Code and upon a finding by the Board of Supervisors that such cancellation is not inconsistent with the purposes of the Land Conservation Act, or in the public interest, pursuant to Government Code Section 51282. It is understood by the parties that the existence of an opportunity for another use of said land shall not be sufficient reason for cancellation of the land use restrictions imposed herein and that the uneconomic character of the existing use will be considered only if there is no other reasonable or comparable agricultural use to which the land may be put. (b)Upon cancellation of said portions of this Contract,Owner shall pay to the County Treasurer, as deferred taxes, a cancellation fee in an amount equal to the greater of twelve and one- half(12 'h%)percent or the current fee provided by state law of the cancellation value of the property being released from the terms ofithis Contract. Said cancellation value shall be determined in accordance with the provisions of Government Code Section 51283 (a) and (b). Under no circumstances shall the payment of said cancellation fee be waived,deferred,or made subject to any contingency whatever. (c) Final cancellation shall be effectuated in accordance with the provisions of Government Code Section 51283.4. 11. Cancellation Upon Substitution of New Restrictions.This Contract may be canceled by mutual agreement of County and Owner without payment of deferred taxes or public hearing if it is replaced by an enforceable restriction authorized by Article XIII, § 8 of the California Constitution. RESOLUTION NO. 2005/790 2 12. Eminent Domain Poceedings. (a) In accordance with the provisions of the Government Code Section 51295, incorporated by reference herein,upon the filing of any action in eminent domain for the condemnation of the fee title of the land or any portion thereof subject to this Contract or upon acquisition of such land in lieu of eminent domain by public agency for a public improvement, the provisions of this Contract shall be null and void as to the land so condemned or acquired. (b) If, subsequent to the filing of an action in eminent domain, the proposed condemnation is abandoned as to all or a portion of the land subject to the Contract,the restrictions on land use set forth in this Contract shall, without further agreement of the parties herein, be reinstituted and the terms of this contract shall be in full force and effect, subject to the cancellation provisions of Government Code Section 51295. 13. Remedies for Breach of Contract. (a) In the event that Owner fails to comply with the terms and conditions of this Contract and the effect of said breach to render the use of land or substantial portion thereof unfit for agricultural use, thereby negating the purpose and effect of this Contract, Owner shall pay to the County a sum equal to One Hundred Per Cent (100%) of the equalized assessed value of the real property described in Exhibit A, as established by the County Assessor on the lien date next following the date of breach, as liquidated and agreed damages, it having been agreed that actual damages will be impractical and extremely difficult to ascertain and that said measure of damages is a reasonable measure of the harm which would result from such failure of compliance. If, after the date the Contract was initially entered into, the publicly announced county ratio of assessment to full cash value is changed,the percentage payment in this subdivision shall be changed so no greater percentage of full cash will be paid than would have been paid had there been no change of ratio. (b)It is understood that nothing herein contained shall constitute a waiver of any right which the County may now or in the future have to seek specific performance of this Contractor other injunctive relief. The enforcement provisions of the Contra Costa County zoning ordinance shall also apply if the land which is the subject of this contract is used for purposes other than those provided in Ordinance Code Chapter 84-42 or this Contract. 14. Effect of Division of Property. Owner agrees that division of the property described in Exhibit A into two (2) or more parcels,whether by sale, gift,by operation of law or by any other means, upon a finding by the Board of Supervisors that said division is detrimental to the ultimate preservation of said property for exclusive agricultural use,be construed by the County as notice of non-renewal by the property owner as provided in Section 9 of this Contract. 15. New Contracts Upon Division. In the event the land under this Contract is divided,a Contract identical to the Contract tihen covering the original parcel shall be executed by Owner on each parcel created by the division at the time of the division. Any agency making an order of division or the County which has i6isdiction shall require, as a condition of the approval of the division,the execution of the Contracts provided for in this section,provided,however,that failure of Owner to execute Contracts upon division shall not affect the obligations of the heirs,successors and assigns of Owner as established in Section 16. 16. Contract to Run with Land. The within Contract shall run with the land described herein, and upon division, to allparcels created therefrom, and shall be binding upon the heirs, successors, and assigns of the Owner. 17. Consideration. Owner shall not receive any payment from County in consideration of the obligations imposed hereunder, it being recognized and agreed that the consideration for the execution of the within Contract is the substantial public benefit to be derived therefrom and the advantage which will accrue to Owner as a result of the effect on the method of determining the assessed value of land described herein and any reduction therein due to the imposition of the limitations on its use contained herein. RESOLUTION NO. 2005/790 3 18. Income and Expense Information. The Owner shall annually furnish the County Assessor with such information as the Assessor may require to determine the valuation of the Owner's land. 19. Effect of Removing Preserve or Zoning Classification. Removal of any land under this Contract from an agricultural preserve or removing the agricultural preserve zoning classification thereof shall be the equivalent of notice of non-renewal by the County for purposes of Section 422 of the Revenue and Taxation Code. DeeeyvAje,a4� .Z,04.s- ATTEST: COUNTY OF CONTRA COSTA JOHN SWEETEN, County Administrator and Clerk of the Board of Supervisors By: r By: De uty Clerk hair, Boar of Supervisors OWNER I I We the undersigned trust deed or other encumbrance holders do hereby agree to and agree to be bound by the above imposed restrictions. Approved as to Form: Silvan B. Marchesi, County Counsel By: Deputy County Counsel NOTE: All signatures for Owner must be acknowledged. RESOLUTION NO. 2005/790 4 I 18. Income and Expense information. The Owner shall annually furnish the County Assessor with such information as the Assessor may require to determine the valuation of the Owner's land. 19. Effect of Removing 1?reserve or Zoning Classification. Removal of any land under this Contract from an agricultural preserve or removing the agricultural preserve zoning classification thereof shall be the equivalent of notice of non-renewal by the County for purposes of Section 422 of the Revenue and Taxation Code. pdiCG7''l�CIGY �i ATTEST: COUNTY OF CONTRA COSTA JOHN SWEETEN, County Administrator and Clerk of the Board of Supervisors •, `. `t,\) 4 �,..G'G 'tom eputy CIL* Ahair, Boar"d of Supervisors OWNER Al xzz� We the undersigned trust deed or other encumbrance holders do hereby agree to and agree to be bound by the above imposed restrictions. 1 Approved as to Form: Silvano B. archesi, County Counsel li By: Deputy County Counsel NOTE: All signatures for Owner must be acknowledged. RESOLUTION NO. 2005/790 4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of Cali rma County of On ( V U before e I� U✓� / personally appeared, �r O 1\,jU " • _personally known to me or,proved to me on the basis of satisfactory evidence to be the person(s)whose name is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal 0 . L!HA 1448339 R:fi California Ocf 30,2007 �ure of (Seal of Notary) r, i i H i i I CONTRA COSTA COUN'T'Y LAND CONSERVATION CONTRACT NO. AP#05-0001 EXHIBIT A PROPERTY DESCRIPTION Pursuant to Paragraph 2 of the Land Conservation Contract to which this exhibit is attached,the land described below is designated as the subject of said Contract. Said land is described as follows: That real property located in the County of Contra Costa, State of California, more particularly described as follows: The legal description to said property is contained in Schedule I, consi ting of J- pages, attached hereto and incorporated by reference herein. i RESOLUTION NO. 2005/790 5 i CONTRA COSTA COUNTY LAND CONSERVATION CONTRACT NO. AP#05-0001 EXHIBIT A PROPERTY DESCRIPTION Pursuant to Paragraph 2 of the Land Conservation Contract to which this exhibit is attached,the land described below is designated as the subject of said Contract. Said land is described as follows: That real property located in the County of Contra Costa, State of California, more particularly described as follows: The legal description to said property is contained in Schedule 1, consisting of 1 pages, attached hereto and incorporated by reference herein. i i RESOLUTION NO. 2005/790 5 OLD REPUBLIC TITLE COMPANY ORDER NO. 195807-TO IST UPDATE The land referred to in this Report is situated in the County of Contra Costa , in the unincorporated area, StatePof Cc�fLrniiNaEand is described as follows The Southeast 1/4; the East 1/2 of the Southwest 1/4, and Lots 3 and 4 of the Southwest 1/4, all in Section 10, Township 2 South, Range 1 East, Mount Diablo Base and Meridian. PARCEL TWO: That parcel of land, described in the Deed to J. C. Rasmussen, recorded March 20, 1914, Book 224, Deeds, Page 105, and which parcel of land is more correctly described in the Deed to J. C. Rasmussen, recorded October 27, 1930, Book 262, Official Records, Page 28, Ias follows: "Beginning at the southeast corner of the East 1/2 of the Northwest 1/4 of Section 10, T. 2 S. , R. 1 E. , M.D.M. ; thence North 1/40 East 547 .2 feet to station on the south side of the County Road, 50 feet wide, as described in a quitclaim deed from Jeremiah P. Rathbone to County of Contra Costa, dated August 7, 1676 and now on file inVolume 31 of Deeds, Page 25, records of Contra Costa County; thence North 75 1/2° West, along the southern boundary of the County Road, aforesaid 292 .3 feet to station; thence South 4 1/20 West, leaving said road 626 .7 feet to station in the southern boundary line of the East 1/2 of the Northwest 1/4 of Section 10, T. 2 S. , R. 1 E. , M.D.M. aforesaid; thence North 69 1/40 East, 335.0 feet to the point of beginning. " PARCEL THREE: Portion of Lot 2, Map of the property of the Estate of Elizabeth A. Dougherty, deceased, filed May 4, 1891, Map Book C, Page 63, Contra Costa County Records. , containing 28.34 acres, more or less, described as follows: Beginning at Station S. R.+ 6 on the exterior boundary line of the San Ramon Rancho, said station being) at the southeast corner of Lot 2, as designated on said map; thence from said point of beginning North 10 East along the east line of said Lot 2, 1270 .50 feet; thence leaving said line West 761.44 feet to a point in the center of Tassajara Road; thence along the center of said road South 180 west, 1324.62 feet to the south line of said Lot 2; thence South 890 30 ' East along the south line of said Lot 1168.20 feet to the point of beginning. PARCEL FOUR: The Fractional Southeast Q/4 of the Southeast 1/4, Section 9, Township 2 South, Range 1 East, Mount Diablo Base and Meridian. (Being APN 205-040-002) i i i q� I Page 3 of 5 Pages h ORT 3157-C I CONTRA COSTA COUNTY LAND CONSERVATION CONTRACT NO. AP#05-0001 EXHIBIT B ALLOWABLE LAND USES Pursuant to the provisions of Section 84-42.402 (2) of the Contra Costa County Ordinance Code and Paragraph 7 of the Land Conservation Contract, of which this exhibit is made a part, the land uses and structures described below are authorized without a land use permit subject to the terms and conditions set forth below. Said uses and structures shall be in conformance to those authorized by Section 84-42.402(1)and Section 84-42.404 but shall be subject to Section 84-42.602 through Section 84-82.1402 of Chapter 84-42 of the County Ordinance Code. 1. Existing Non-conforming S t�uctures The following non-conformi�ig structures are permitted, subject to the provisions of County Ordinance Code Chapter 82-8. None. 2. Existing Conforming_Structures Parcel "A"under County File MS#96-0014(87.08 acres): One single family residence and a mobile home and agricultural shops/storage sheds. Parcel `B"under County File MS496-0014(102.88 acres): One single family residence and agricultural shops/storage sheds. Parcel "C" under County File MS496-0014 (87.69 acres): One single family residence, barns, and agricultural shops/storage sheds. 3. Proposed Structures Parcel "D" under County File MS496-0014 (98.53 acres): One single family residence, barns, agricultural shops/sheds, and a caretaker's residence. 4. Existing Land Use Cattle grazing on all four. 'arcels created udder County File MS#96-0014. 5. Proposed Land Use Cattle grazing on all four parcels created under County File MS496-0014. 6. Existing Use Compatible with Agricultural Use Cattle grazing on all four parcels created under County File MS496-0014. 7. Proposed Use Compatiblelwith Agricultural Use Cattle grazing and provision for one single family residence on all four parcels created under County File MS#96-0014, plus barns, agricultural shops/storage sheds, and caretaker's residence. 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: JOHN R. SWE TEN, Clerk of the Board of Supervisor a d County Administrator RESOLUTION NO. 2005/ Deputy 6 ED AFT C', N TRS► COSTA HEALTH PLAN A Division of Contra Costa Health Services Joint Conference Committee Committee Charter JCC Charter Page 1 of 8 Joint Conference Committee Charter ' 1 INTRODUCTION TO Contra Costa Health Plan (CCHP) is the Contra Costa County operated CCHP Health Maintenance Organization (HMO), the first Federally-qualified 4 HMO in the country operated by local government. CCHP contracts with individual providers, Contra Costa Regional Medical Center and Health Centers (CCRMC&HC) and Kaiser Permanente to arrange comprehensive health care services. CCHP provides health care for public and private employee groups, private individuals, Medi-Cal and Medicare beneficiaries, and low- income county residents. CCHP's overall commitment is serving the County's most vulnerable populations. MISSION CCHP's organizational mission is to provide affordable, high quality, accessible health care with integrity and compassion to all that use our programs. THE JOINT CONFERENCE COMMITTEE PURPOSE The Joint Conference Committee of the Board of Supervisors and CCHP is the mechanism by which the Board of Supervisors exercises oversight of CCHP. All meetings of the Joint Conference Committee are open to the public because of the public nature of the Board of Supervisors. RESPONSIBILITIES Promotes communication between the Board of Supervisors, the CCHP Quality Council, and CCHP administration. • Assesses and monitors the overall performance of CCHP and its z contracted providers including, but not limited to, the quality of care and service provided to members. • Receives, evaluates, and makes recommendations to the Board regarding the reports and recommendations of the Quality Council. Such reports include reports regarding the current and on-going activities of the QM Department and are made on a quarterly basis or more frequently as may be required. • Reviews, evaluates, and makes recommendations to the Board, annually or more frequently as required, regarding modification of the QMP and work plan, and implementation of the QMP and work plan. • Receives, evaluates, and takes action with regard to reports from CCHP's QM Director and Medical Director regarding the current and JCC Charter Page 2 of 8 on-going activities of the QM Department on a quarterly basis or more frequently as may be required. Any action taken by the Joint Conference Committee is subject to approval by the Board of Supervisors. • Modifies, approves, and implements provider sanctions and contract terminations. Any action taken by the Joint Conference Committee is subject to approval by the Board of Supervisors. • Reviews, evaluates, and acts upon Medical Policy Guidelines, subject to t he Board of Supervisors' approval. • Receives and reviews quarterly reports regarding Appeals Committee activity. • Receives and reviews reports on adherence to Privacy and Confidentiality regulations. MEMBERSHIP The Joint Conference Committee shall not exceed nine (9) members. Voting Privileges Two (2) members of the Board of Supervisors, appointed by the Board. Two (2) physi Ian members appointed by the Board from all CCHP provider networks. To fill these positions, nominations will be solicited by announcing the vacancy to all providers. The CCHP Medical Director will select the candidates and one alternate and present them to the Board for approval. Terms are two years with unlimited reappointments. A quorum requires 3 of 4 voting members in attendance. The physician alternate may vote in place of a physician member for the purposes of reaching a quorum. Non- Voting Members CCHP Medical Director. Director of Health Services of Contra Costa County. CCHP CEO Executive Director. Health Services Chief Financial Officer. Chair, Managed Care Commission JCC Charter Page 3 of 8 i3 s CHAIR The Chair is a member of the Board of Supervisors, elected annually. i`. FREQUENCY At least quarterly and are open to the public, except for confidential matters that may be discussed and acted upon in executive session. CONFLICT OF Any individual who has been professionally involved in an issue or case INTEREST may not participate in the review, evaluation, or final disposition of the case. RI)OF 8UPERVISORS . 1 PURPOSE Contra Costa County Board of Supervisors, which is elected through general elections, is the governing body of the CCHP. The Board of Supervisors is ultimately responsible for the governance and oversight of CCHP activities, including the Quality Management Program (QMP), administration, and strategic planning activities. RESPONSIBILITIES . Develops policy in consultation and with the recommendation of the Joint Conference Committee. • Reviews, evaluates, and acts upon the annual QMP and Work Plan. • Reviews, evaluates, and acts upon Quality reports that are submitted at least quarterly. • Receives, evaluates and acts upon recommendations of the CCHP Credentialing Committee. • Appoints Joint Conference Committee membership. • Reviews, evaluates, and acts upon findings of the Joint Conference Committee. MEMBERSHIP Five (5) elected members through general elections in one of the five districts of Contra Costa County for a term of four 4 ears. CHAIR Rotates among the five board members annual) FREQUENCY Weekly public meetings in accordance with the Brown Act. To preserve the confidentiality of some discussion and reports, the Board of Supervisors has the authority to meet in executive session (without any r members of the public present), THE 1 1 PURPOSE The Quality Council (QC) is the principal committee for coordinating and directing Quality Management activities for CCHP, including but not limited to: quality management, member and provider grievances, peer review and credentialin , and utilization management RESPONSIBILITIES . Receives, evaluates, and acts upon the reports of subcommittees. • Reviews, evaluates, and makes recommendations to the Board of Supervisors or the Joint Conference Committee, annually, regarding the status of contracted providers to whom quality management, utilization management, credentialin , medical records and member JCC Charter Page 4 of 8 THE QUALITY COUNCIL(QC) rights and responsibilities activities have been delegated. • Receives1 recommendations from the Credentialing Committee and evaluates the recommendations by integrating provider-specific quality of care, utilization management, and other data made available by the CCHP Credentialing Committee. The Quality Council makes recommendations to the Board of Supervisors or the Joint Conference Committee regarding the credentialing status of providers. • Receives QM occurrence and grievance reports, quarterly or more frequently as required, regarding potential member or provider quality issues. The Quality Council investigates such occurrence and grievances reports and makes recommendations to the Board of Supervisors and the Joint Conference Committee regarding resolution or implementation of any corrective action that may be required. • Receives and reviews, at least quarterly and more frequently as required'i reports from the Director of QM regarding unit activities including, but not limited to: Quality Improvement projects, Disease Management program status, Health,Education, Cultural and Linguistics issues, Facility Site Review status or issues, occurrence and grievance volume and trends, delegation audit scores and recommendations. The Quality Council evaluates these reports and makes recommendations to the Board of Supervisors and the Joint Conference Committee regarding implementation of any corrective action that may be required. • Receives LIM reports quarterly or more frequently as required. The Quality Council evaluates such reports and makes recommendations to the Board of Supervisors and the Joint Conference Committee regarding implementation of corrective action that may be required. • Receives Grievance Committee activity reports monthly and more frequently as required. The Quality Council evaluates such reports and makes recommendations to the Board of Supervisors and the Joint Conference Committee regarding implementation of corrective action t at may be required • Reviews and makes recommendations to the Board of Supervisors and thel joint Conference Committee, annually or more frequently as required, regarding modifications to be made to the QM Work Plan, and other Quality Management reports. • Reviews and evaluates QM reports pertaining to medical, Pharmacy and Therapeutics; and benefit interpretation policy issues. The Quality Council makes recommendations to the Board of Supervisors and the Joint Conference Committee regarding trends and modifications to be implemented. • 'Distributes QM and other CCHP information to individually contracted providers via the Medical Director through letters, newsletters, -policies' and procedures, provider manuals, and other appropriate JCC Charter Page 5 of 8 methods. • Reports to CCHP senior administration for the purpose of planning and designing services for and administering CCHP operations. ' • Provides additional medical review of appeals/reconsiderations by physician committee members as required. • Reviews and approves clinical practice guidelines periodically. MEMBERSHIP Full Voting Privileges • The CCHP Medical Director • A licensed physician consultant designated by the CCHP Medical Director • The Quality Chair or designee from each of CCHP's delegated provider, networks • Director of CCRMC & HC QM Department • The CCHP QM Director • A minimum of two (2) independent physicians from any of the CCHP contracted provider networks, with at least one representing the individually contracted physician network. To fill these positions, nominations are solicited by announcing the vacancy to all providers. The physician members will be appointed and annually re-appointed by the CCHP Medical Director. These members serve one-year terms. • The CCHP Authorizations/Utilization Manager • The CCHP Member Services Manager Note: For peer review issues, only medical providers may vote. CHAIR CCHP Medical Director or designee FREQUENCY Monthly, a minimum of nine 9 times yearly . k PUBLIC ADVISORY & OTHER COORDINATING COMMITTEES MA_NA_ _GJED CXRE-COMMISSION(MCC) PURPOSE The Managed Care Commission (MCC) is the principal public advisory board to CCHP. The goal of the MCC is to help assure the attainment of CCHP's strategic goals and objectives. The MCC reports directly to the Board of Supervisors annually and more frequently as required. RESPONSIBILITIES Consider the health care concerns for all members served by CCHP. • Assure provider, consumer, and community, as well as gender, ethnic, cultural, and geographically diverse population input to deliberations and decision-making. • Conduct long-range planning and policy formulation, and make recommendations to the Board of Supervisors, County HSD Director and CCHP Chief Executive Officer (CEO)., This includes adopting an annual work plan and list of goals and priorities as well as an annual JCC Charter Page 6 of 8 MANAGED CARE COMMISSION(MCC) report describing major activities and accomplishments. • Study and make recommendations to the CCHP CEO regarding operational objectives, policies and procedures, and recommend changes. • Assure effectiveness of quality programs by ongoing and periodic review. • Regularly review the CCHP operational budget and amendments thereto. • Advise the Board of Supervisors, HSD Director, and CCHP CEO of the overall progress, constraining or threatening needs, and special problemsI of CCHP. • Encourage public understanding of CCHP and provide support throughout the county for its development. • Prioritize land assign issues to appropriate committees. • Provide input, including from traditional and safety-net providers, regarding CCHP's Cultural and Linguistic Services Plan and such reports to the State as required. This shall include advisement on educational and operational issues affecting groups who speak a primary language other than English, as well as cultural competency MEMBERSHIP There are fifteen (95) commissioners, appointed by the Board of Supervisors! all with voting privileges; • At least one Medi-Cal subscriber • A Medicare subscriber or beneficiary • A Commercial subscriber • An individual sensitive to medically indigent needs • A non-contracting physician • At least one other non-contracting provider • The remaining nine (9) seats are at large members non-contracting with CCHP. Non-voting Members • The Health Services Director • CCHP CEO The Board of Supervisors serve as ex-officio members without voting rivile es. CHAIR Elected by Commission members The Chair presides at all MCC meetings an,d represents the MCC at all CCHP Joint Conference Committee meetings. FREQUENCY A minimum�of six 6 times yearly JCC Charter Page 7 of 8 d 5 4 5: Contra Costa Health Plan Organizational Chart i .j: Chief Executive Officer Ombudsman ' s Care &� Comnission&Joint Conference Comrittee Deputy ExecutiveDirector of Clinical Programs Adnin Markeft Atnirer kcal Duedor/Assistants Director Services&Retention Clinical Operatiom Officer Provider Affairs Cred"aling Advice Nurse Provider Liaison Member Services Sales,Marketing &Publications &Outreach Business Services Quality Muiagement , Cams Quality,HEDI� s; Yaficdion&&gpon DiseaseMwigement lYk hoshipAZctntencmce HealthEcliacation Adninisti ation AudAMCMU Finance Authorizations, Utilization Gbi n Relations &Case1Y&magement Contracts Pharmacy s. r. JCC Charter Page 8 of 8 ;