Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
Srija Srinivasan, Deputy Chief, Health System
Subject: Amendment to the Agreement with the Health Plan of San Mateo for the California Children's Services Demonstration Project
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Health Plan of San Mateo extending the term through December 31, 2018 and increasing the amount by $200,000 to an amount not to exceed $7,450,000.
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BACKGROUND:
In July 2011, the Health Plan of San Mateo (HPSM) and California Children's Services
(CCS) submitted a proposal for a CCS Demonstration Project (Project) to the California Department of Health Care Services (DHCS) to jointly provide health care services to eligible enrollees of CCS. The intent of the Project was to create an integrated, family-centered care delivery and coordination system that eliminated fragmentation of specialty, primary and ancillary services. Care coordination is driven by the needs of the "whole child", including primary care, specialty care, social and psychological needs, as well as any other services necessary to address child and family well-being. HPSM is the contractor with DHCS and receives payment for services under the Project. In April 2013, HPSM and CCS entered a Memorandum of Understanding outlining the two organization's roles and responsibilities within the Project.
In January 2016, your Board approved an agreement with HPSM for the CCS Demonstration Project in the amount of $7,250,000 for the term of November 1, 2015 through March 31, 2018. In January 2018, the agreement was amended to extend the term to June 30, 2018 to align with the extension of the DHCS' contract with HPSM.
DISCUSSION:
This Project is the only "whole child" pilot statewide in which a Medi-Cal managed care plan and a County CCS program are partnering. Project successes ...
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