Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Subject: Memorandum of Agreement with Health Plan of San Mateo for Whole Person Care Pilot
RECOMMENDATION:
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Measure K: Adopt a resolution authorizing a Memorandum of Agreement with the San Mateo County Health Commission, doing business as the Health Plan of San Mateo (HPSM), for the term of January 1, 2017 through December 31, 2020, to provide for allocation to the HPSM of:
A) $3,000,000 per calendar year from the Whole Person Care Pilot Program budget; and
B) $1,000,000 for the 2016-2017 fiscal year and $2,000,000 each subsequent fiscal year from Measure K funding during the term of the Memorandum of Agreement.
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BACKGROUND:
On December 13, 2016, the Board of Supervisors approved Resolutions 074936, 074937, and 074938 which, collectively, allocated Whole Person Care (“WPC”) Pilot and Measure K funds to be used to establish culturally competent patient engagement, activation, care management, and support strategies to treat patients identified by the Health System as “High Utilizers” (i.e., patients who use a hospital emergency department more than four times per year).
DISCUSSION:
In order for the WPC Pilot to successfully serve the program’s target population, the County will partner with HPSM, which will use funding from the WPC Pilot to enhance its Community Care Settings Program (CCSP). The CCSP assists clients within complex care and housing needs.
Pursuant to prior authorization of the Board, the County has entered into an agreement with the California Department of Health Care Services (DHCS) for the County’s participation in the WPC Pilot for the term of January 1, 2016 through December 31, 2020. Under the DHCS agreement, the County expects to expend up to $33,073,542 each year on the WPC Pilot during the term of that agreement. Through the Intergovernmental Transfer (IGT) process, half of this amount is new funding to the County from the federal government.
Over the WPC Pilot’s five-year term, the County expects to receive in excess of $15,000,000 in new funding ($3,000,000 annually) through the IGT process that can be allocated and ultimately transferred to the HPSM’s CCSP. Certain funds allocated for CCSP are subject to reduction by DHCS in the event that metrics related to program reporting or outcomes are not met.
In addition, the County has allocated $1,000,000 in Measure K funds for FY 2016-17 for HPSM’s CCSP and anticipates allocating $2,000,000 to the CCSP in each fiscal year thereafter during the term of the WPC Pilot.
This Memorandum of Agreement (MOA) sets forth the terms and conditions pursuant to which the County will transfer WPC Pilot funds to HPSM for the CCSP during the term of the WPC Pilot.
The MOA and the resolution have been reviewed by the Office of the County Counsel as to form.
This MOA contributes to the Shared Vision 2025 outcome of a Healthy Community by providing housing services to patients that face substantial barriers in connecting with housing services. It is anticipated that 35% of homeless participants referred for housing will receive housing services.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-2017 Estimated |
FY 2019-2020 Projected |
|
Percentage of homeless participants referred for housing that will receive housing services |
20% |
35% |
FISCAL IMPACT:
The term of the MOA is January 1, 2016 through December 31, 2020. For every year of the agreement, the minimum annual amount to be paid to HPSM is $5,000,000 (of which Measure K supplies $2,000,000, and DHCS funds supply the remainder), except for the first year of FY2016-17, in which the amount is $4,000,000 (of which Measure K supplies $1,000,000 and DHCS funds supply the remainder ). These funds have been included in the Health System FY 2016-17 and FY2017-18 Budget; similar arrangements will be made for future budget years.