HomeMy WebLinkAboutMINUTES - 11042006 - C.32-1 s e
TO: BOARD OF SUPERVISORS ���� a..............:o�
_- _-_ Contra
FROM: Danna Fabella, Acting Director •? -s
Employment & Human Services Department "` ;z Costa
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Dr. William Walker, Director � -oUn County
Health Services Department
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DATE: April 5, 2006
C . 32, m)
SUBJECT: Support the Access Plus Community Choices Plans provisions of AB 2979
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SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Support the Access Plus CommunitylChoices Plans provisions of AB 2979 (Richman) that are
consistent with the County's request for legislative authorization to pilot acute and long term
care integration of medical, social, and supportive services for Medi-Cal and Medicare eligible
seniors and adults with disabilities.
FISCAL IMPACT:
No fiscal impact is associated with this request. However, if legislation is successful and the
Contra Costa Health Plan receives !approval to implement a long term care integration pilot
program, Medi-Cal and Medicare funds would become available to Contra Costa.
BACKGROUND:
Article 9, Section 14499.90 of AB 2979 (Richman) would, if adopted, authorize implementation
of Access Plus with Community Choices plans in two counties.
For over a decade, Contra Costa County has been seeking the opportunity to establish an in-
tegrated system of long term care for seniors and adults with disabilities. This proposed legis-
lation would make it possible for us to implement a coordinated system of care for Medi-Cal
eligible seniors and adults with disabilities.
Since the adoption of AB 1040 long term care legislation in 1995, our county's Health Services
and Employment and Human Services Department staff, along with community stakeholders,
have been working towards the establishment of a seamless system of care. This proposed
system of care would promote cons Iumer choice and independence allowing vulnerable adults
and seniors to live in their own homes for as long as possible, avoiding unnecessary hospitali-
zation and institutional care.
CONTINUED ON ATTACHMENT: _X—YES I SIGNATURE .4e �dd `.---
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RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON I APPROVE AS RECOMMENDED _ OTHER
VOTE OF SUPERVISORS I I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
UNANIMOUS(ABSENT ./n (t ) AND ENTERED ON THE MINUTES OF THE
BOARD OF SUPERVISORS ON THE DATE
AYES: NOES: SHOWN.
ABSENT: ABSTAIN: I
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ATTESTED � ll�p 4
CONTACT: JOHN 13.COLLEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
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DEPUTY
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As proposed, Access Plus with Community Choices would include Medi-Cal managed
care and Medicare funding in the pilot project. The pilot project would make it possible
to offer 30,000 low income seniors and adults with disabilities who reside in Contra
Costa County a choice of home land community based service options coordinated
with their health care and would maximize their ability to live as independently as pos-
sible in their own homes.
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