Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lizelle Lirio de Luna, Director, Family Health Services
Subject: Agreement with Health Plan of San Mateo to Implement the California Children's Services Whole Child Model Program
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with the Health Plan of San Mateo to provide funding to the Family Health Services division for the California Children's Services Whole Child Model Program, for the term of January 1, 2019 through December 31, 2020, in an amount not to exceed $7,250,000.
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BACKGROUND:
For over 25 years, Family Health Services (FHS) has operated the California Children's Services (CCS) Program for Health Plan of San Mateo (HPSM) beneficiaries. Over this time period, FHS has developed expertise in arranging for and managing health service delivery to children with complex health care needs. In July 2011, HPSM and FHS submitted a Request for Proposals to the California Department of Health Care Services (DHCS) for the CCS Demonstration Project (Project) to jointly provide health care services to eligible CCS enrollees. The intent of the Project was to create an integrated, family-centered, care-delivery and coordination system that eliminates fragmentation of specialty, primary, and ancillary services. Care coordination is driven by the health, social, and psychological needs of the child, as well as any other services necessary to address child and family well-being. In April 2013, HPSM and FHS entered into a Memorandum of Understanding (MOU) outlining the two organization's roles and responsibilities; as part of this agreement, HPSM delegated to FHS the management of all authorizations and care coordination functions for CCS-eligible HPSM members. In November 2015, your Board approved an agreement formalizing this relationship.
Based on DHCS' learnings from vari...
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