To: Board of Supervisors
From: DHHS: Public Health
Agenda Section: Consent
SUBJECT:
title
Approval of Agreement concerning Targeted Case Management (TCM) and Medi-Cal Administrative Activities (MAA) between the County of Humboldt and the County of Santa Cruz for the period beginning July 1, 2019 through June 30, 2022
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve, and authorize the Chair of the Board to execute, the attached agreement with the County of Santa Cruz concerning MAA and TCM between the County of Humboldt and the County of Santa Cruz for the period beginning July 1, 2019 through June 30, 2022; and
2. Direct the Clerk of the Board to return one signed original of the agreement and one copy of the Board Motion to the Department of Health and Human Services (DHHS) - Contract Unit for transmittal to DHHS- Public Health.
Body
SOURCE OF FUNDING:
Public Health Fund.
DISCUSSION:
The MAA/TCM Coordination and Claims Administration program provides administrative, programmatic and fiscal oversight, and support to MAA and TCM program participants on a countywide basis. The DHHS-Public Health serves as the Local Governmental Agency (LGA) for MAA and TCM claiming on behalf of Humboldt County.
The LGA draws down Federal Financial Participation revenues for DHHS to decrease local costs for eligible services and to assist in maintaining service levels. Services include case management, referrals, outreach, and program planning for Medi-Cal services.
During the fiscal year (FY) 1997-98 budgeting process, your Board directed Public Health to participate in MAA and TCM. Since then, the MAA and TCM programs have brought in funds to support community members. The MAA and TCM programs provide reimbursement for Medi-Cal outreach, client case management, and administrative costs associated with referring clients to Medi-Cal and Medi-Cal services.
This agreement is between the County of Humboldt and the County of Santa Cruz, the Host County for FY 2019-20 through FY 2021-22. The responsibilities of the Host County include collecting and disbursing funds for the MAA and TCM trust funds, paying Department of Health Care Services (DHCS) for the MAA/TCM administrative costs, paying the MAA/TCM LGA consultant costs, managing and overseeing all procurement activities on behalf of the Consortium, and other duties and responsibilities as defined in the LGA Consortium Bylaws.
Currently, Public Health Nursing participates in the TCM program. Participating in the MAA program are: Public Health Nursing, Public Health Communicable Disease, Public Health Healthy Communities, and Public Guardian. Approval of this agreement will allow all participating programs to continue receiving funds.
This agreement comes late to the Board due to late receipt of the agreement from the Host County.
FINANCIAL IMPACT:
The agreement before your Board today will allow DHHS-Public Health to reimburse Santa Cruz County a percentage of the revenue DHHS-Public Health received in the prior fiscal year for services rendered. There is a not to exceed amount of $71,500 within the contract. The participation fee will come from Fund 1175, Budget Unit 403 - MAA/TCM Claims Administration. The total amount for this agreement was included in the approved county budget for FY 2019-20 and will be included in the FY 2020-21 and 2021-22 county budgets. These costs will be funded by MAA and TCM state reimbursements. There is no impact to the county General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by protecting vulnerable populations and creating opportunities for improved safety and health.
OTHER AGENCY INVOLVEMENT:
Santa Cruz Health Services Agency
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could decide not to approve the agreement with Santa Cruz County. However, DHHS-Public Health does not recommend this alternative as it would decrease services to a vulnerable population.
ATTACHMENTS:
1. Agreement between the County of Santa Cruz and the County of Humboldt
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-14
Meeting of: 05/28/19
File No.: 19-717; 20-172