Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Srija Srinivasan, Deputy Chief, San Mateo County Health
Subject: Authorization for Funding to Kaiser Permanente to Transition Healthy Kids Children Ineligible for Medi-Cal to Kaiser Permanente Private Insurance
RECOMMENDATION:
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Adopt a resolution authorizing San Mateo County Health to provide funding to pay health insurance premiums to Kaiser Permanente for former Healthy Kids enrollees for the period of October 1, 2019 to September 30, 2020, in an amount not to exceed $189,000.
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BACKGROUND:
San Mateo County has long provided necessary health coverage to all children through the Children's Health Initiative (CHI). Due to changes in the administration of the program, as codified in the State budget approved in June 2019, the San Mateo County Healthy Kids insurance product will be ending September 30, 2019, and the majority of Healthy Kids members will transition to the California Children's Health Insurance Program (C-CHIP) Medi-Cal coverage.
The San Mateo County Health (SMCH) Health Coverage Unit (HCU) has identified approximately 24-35 Healthy Kids members who are not eligible to transition to the C-CHIP Medi-Cal Coverage program since they did not meet the income and residency requirements. The CHI Oversight Committee, the cross-sector stakeholder group that provides oversight for the Healthy Kids program and is part of the governance structure of the Health Plan of San Mateo Commission, decided to provide up to one year of coverage for these Healthy Kids members by purchasing Kaiser Permanente (KP) Silver Individual Plans. The one-year of KP coverage will allow families to have more time to determine what is the best health coverage option for them. After this period of KP coverage funded by the CHI, the families may, at their own expense, choose to remain with the KP plan or ch...
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