Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
Srija Srinivasan, Director, Family Health Services & Health Coverage Unit
Subject: Amendment to the Agreement with the San Mateo Community Health Authority for the Healthy Kids Program
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with San Mateo Community Health Authority extending the term through September 30, 2019, increasing the amount by $7,629,485, to an amount not to exceed $46,041,627, and incorporating the responsibilities outlined in the County Children's Health Insurance Program (C-CHIP) Agreement between the County and the State Department of Health Care Services.
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BACKGROUND:
In February 2002, your Board established and funded the San Mateo County Children's Health Initiative (CHI) to address the community-wide concern about the 17,000 County children who lacked access to comprehensive health coverage. In January 2003, San Mateo County (County) created the Healthy Kids (HK) insurance program to cover children ineligible for Medi-Cal and Healthy Families programs. In addition, the County initiated an outreach and enrollment strategy to enroll children in all three public programs.
The San Mateo Community Health Authority, as the governing body of the Health Plan of San Mateo (HPSM), is the contracted plan administrator for HK under an agreement approved by your Board in May 2005. Since that time, your Board has approved a series of amendments to adjust the per-member-per-month (PMPM) premium costs as necessary and to implement extensions of this agreement through December 31, 2017.
DISCUSSION:
This agreement is being amended for the next two years so that HPSM can continue to administer the HK program as it has for the past thirteen years. This agreement reflects changes to the HK PMPM rate, representing an increase in reimbursement for services ...
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