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 Plumas County for the period beginning July 1, 2018 through June 30, 2019
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve the agreement concerning MAA and TCM between the County of Humboldt and Plumas County for the period beginning July 1, 2018 through June 30, 2019;
2. Authorize the Chair of the Board to sign the attached agreement; and
3. Direct the Clerk of the Board to return the agreement and one copy of the executed agreement to the Department of Health and Human Services (DHHS) - Contract Unit.
Body
SOURCE OF FUNDING:
Public Health Funds
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. DHHS - Public Health serves as the Local Governmental Agency (LGA) for MAA and TCM claiming on behalf of the County of Humboldt.
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 and program planning for Medi-Cal services and outreach.
During the Fiscal Year (FY) 1997-98 budgeting process the Board directed DHHS - Public Health to participate in MAA and TCM. In FY 2017-18 the MAA and TCM programs brought in approximately $1 million to DHHS. Revenues are federal and state funds for services already provided.
This agreement is between the County of Humboldt and Plumas County, the Host County for FY 2018-19. 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 LGA Consortium, and other duties and responsibilities as defined in the LGA Consortium Bylaws. The initial membership fee of $500 stated in Exhibit B does not apply since the county is already part of the Consortium.
Currently, Public Health Nursing participates in TCM. Participating in MAA are: Public Health Nursing, Public Health Clinic, Public Health Healthy Communities and the Public Guardian. Approval of this agreement will allow participating programs to continue receiving funds.
This agreement comes late to the Board due to late receipt from the Host County. The County of Humboldt has been receiving benefits from this agreement, and the agreement is to memorialize the informal agreement and conduct of the parties.
FINANCIAL IMPACT:
The agreement before your Board today will allow DHHS - Public Health to reimburse Plumas County a percentage of the revenue DHHS - Public Health received in FY 2017-18 for services rendered from July 1, 2017 through June 30, 2018 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 2018-19. There is a not to exceed amount of $26,300 within the contract. There is no impact to the county General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by protecting vulnerable populations .
OTHER AGENCY INVOLVEMENT:
Plumas County
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could decide to not approve the agreement with Plumas County. However, DHHS - Public Health does not recommend this alternative as it would decrease services to a vulnerable population.
ATTACHMENTS:
Agreement between Plumas County and County of Humboldt
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-13
Meeting of: 11/14/2017
File No.: N/A