HomeMy WebLinkAboutMINUTES - 12192006 - C.55 TO: BOARD OF SUPERVISORS Contra
FROM: William Walker, M.D., Health Services Director
_ Costa
By: Jacqueline Pigg, Contracts Administrator
DATE: December 7,2006 n - County
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SUBJECT: Approval of Agreement#29-785 with the Centers for Medicare & Medicaid Services (CMS)
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C.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Rich Harrison)to execute
on behalf of the County, Agreement #29-785 with the Centers for Medicare & Medicaid
Services (CMS), to pay the County in an amount not to exceed $1,000,000 for the County's
Contra Costa Health Plan (CCHP) Medicare Advantage Program, Special Needs Plan, for the
period from January 1, 2007 through December 31,2007.
FISCAL IMPACT:
Approval of this agreement may result in $1,000,000 of Federal funding from the Centers for
Medicare & Medicaid Services (CMS) for CCHP Medicare Advantage Program, Special
Needs Plan. No County funds are required.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S):
Medicare Advantage Plans are health plan options that are part of the Medicare Program. As a
member of the Medicare Advantage Plan, the member generally gets all of the Medicare-
covered health care through that plan. This coordinated care plan coverage can include
prescription drug coverage. The Medicare Advantage Plans include Medicare Health
Maintenance Organization (HMO's); Preferred Provider Organizations (PPO); Private Fee-for-
Service Plans; and Medicare Special Needs Plans. The Centers for Medicare &.Medicaid
Services is working in collaboration with the County to allow CCHP to operate as a Special
Needs Plan.
CONTINUED ON ATTACHMENT: XX YES SIGNATURE:
s/ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE r OTHER
SIGNATURES : e -�
nrrrnN_nF BOARD_ APPROVED AS RECOMMENDED _ OTHER
�1`Unanimous(Absent )
Ayes: Noes: I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
Absent: Abstain: AND ENTERED ON THE MINUTES OF THE BOARD
Vacant: District IV OF SUPERVISORS ON THE DATE SHOWN.
Contact Person: XichIfarrlson-�sIJ-6004) ATTESTED ��.f.��,c, t �, ��
JOHN CULLEN, CLERK OF THE BOARD OF
CC: Health Services Department (Contracts) SUPE ISORS AND COUNTY ADMINISTRATOR
Contractor
BY l ' DEPUTY
Board Order
Page 2
#29-785
Approval of Agreement#29-785 will allow CCHP to offer a Special Needs Plan for its current
and other eligible dual members in the County plus inclusion of Medicare Part D Benefits
through the pharmaceutical contracted network Amerihealth RX,through December 31, 2007.
Three sealed/certified copies of this Board Order should be returned to the Contracts and
Grants Unit for submission to the State.