Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Srija Srinivasan, Director, Family Health Services and Health Coverage Unit
Subject: Agreement with California Department of Health Care Services for the County Children's Health Initiative Program
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with the California Department of Health Care Services to provide funding for the County Children's Health Initiative Program for the term of July 1, 2015 through September 30, 2019, estimated at $7,392,713.
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BACKGROUND:
Since 2005, as part of our county's efforts to sustain universal health insurance for children, your Board executed agreements with the State of California to enable a portion of the local Healthy Kids (HK) children's insurance program to receive federal reimbursement. The County Children's Health Insurance Program (C-CHIP) is a collaboration between the State and San Mateo County to provide federal funding for children's health insurance that meets federal and state requirements. San Mateo, San Francisco, and Santa Clara counties are the only three California counties that pursued such an arrangement to support our local children's health insurance programs. The State of California changed the administration of this program as part of larger changes that unified children's coverage within the State Medicaid program, Medi-Cal, and to comply with an Affordable Care Act (ACA) provision that required insurance programs preceding the ACA to be maintained in the manner that existed before the ACA.
Your Board executed an agreement with the State in February 2015 that aligned with this "maintenance of effort" provision with the State bearing the financial responsibility for the non-Federal costs of the program; the term of that agreement was from January 1, 2014 through June 30, 2015.
Under the February 2015 agreement, the County oper...
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