Special Notice / Hearing: None
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Director, Aging and Adult Services
Subject: Agreement for Aging and Adult Services to Provide Medi-Cal Community Supports Services for Clients of the San Mateo Health Commission dba Health Plan of San Mateo
RECOMMENDATION:
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Adopt a resolution authorizing an agreement for Aging and Adult Services to provide Medi-Cal Community Supports Services for clients of the San Mateo Health Commission dba Health Plan of San Mateo for the term of January 1, 2022, through December 31, 2022.
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BACKGROUND:
Prior to 2014, San Mateo County Health's Aging and Adult Services (AAS) division contracted with the California Department of Aging to provide Multipurpose Senior Services Program (MSSP) services, a program of social and health care management services for frail elders. In 2014, the County, through Health Plan of San Mateo (HPSM), was selected by the State to be one of eight counties to participate in Cal MediConnect. That program promoted coordinated health care delivery for Californians dually eligible for Medicare and Medi-Cal. HPSM paid the County a fixed monthly amount for each Cal MediConnect participant who received MSSP services. This arrangement continued after the three-year pilot.
The new California Advancing and? Innovating Medi-Cal (CalAIM) initiative is moving Medi-Cal toward a population health approach that prioritizes prevention and whole person care. The program is designed to extend supports and services beyond hospitals and health care settings, directly into California communities.
Medi-Cal enrollees with complex health needs and unmet social needs are at particularly high risk of hospitalization and institutionalization, and often need high-cost services. To respond to the needs of this community, the California Department of Health Care Services (DHCS), as part...
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