To: Board of Supervisors
From: DHHS: Public Health
Agenda Section: Consent
SUBJECT:
title
Approval of Agreement concerning consultation services for Targeted Case Management (TCM) and Medi-Cal Administrative Activities (MAA) between County of Humboldt and Justice Benefits, Inc. (JBI) for the period beginning July 1, 2021 through June 30, 2025
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve the agreement between the County of Humboldt and JBI concerning consultation services for MAA and TCM for the period beginning July 1, 2021 through June 30, 2025;
2. Authorize the Chair of the Board to sign the agreement;
3. Authorize the Public Health Director, or designee thereof, to sign any future amendments or associated documents directly related to the agreement upon review and approval by County Counsel and Risk Management; and
4. Direct the Clerk of the Board to return 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:
MAA/TCM Funding, Public Health Fund (1175)
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, the Board directed Public Health to participate in MAA and TCM. Since this time 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 JBI for FY 2021-22 through FY 2024-25. JBI will provide the county with training services, TCM Cost Report preparation, TCM invoice review and processing, quality assurance and claim maximization, and audit support.
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 aid in the administration of the programs and ensure revenue maximization.
FINANCIAL IMPACT:
Approval of this agreement with JBI will allow DHHS - Public Health to reimburse JBI a maximum of $160,000 for the period of July 1, 2021 through June 30, 2025 in Fund 1175, Budget Unit 403 - MAA/TCM Claims Administration. JBI reimbursement is based on a percentage of revenue received. Claims are not invoiced until the following year, therefore, FY 2021/22 revenue will be received in FY 2022-23. Thus, there will be no impact to the FY 2021-22 county budget. In FY’s 2022-23, 2023-24, and 2024-25 a percentage of TCM revenue will be paid to JBI, resulting in a lower retained revenue amount. This lower revenue will be budgeted for in the subsequent fiscal years. There is no impact to the General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by seeking outside funding sources to benefit Humboldt County needs .
OTHER AGENCY INVOLVEMENT:
Department of Health Care Services
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to approve this agreement, however, this would not be recommended as it would not allow DHHS - Public Health to potentially increase revenue for TCM and receive aid in the administration of TCM and MAA.
ATTACHMENTS:
Agreement with Justice Benefits, Inc.