Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Director, Aging and Adult Services
Subject: Agreement for Aging and Adult Services to Provide Medi-CAL Enhanced Care Management Services for Health Plan of San Mateo Clients
RECOMMENDATION:
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Adopt a resolution authorizing an agreement for Aging and Adult Services to provide Medi-CAL Enhanced Care Management services for clients of the San Mateo Health Commission dba Health Plan of San Mateo for the term of January 1, 2022 through December 31, 2022.
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BACKGROUND:
Prior to 2014, San Mateo County Health's Aging and Adult Services (AAS) division contracted with the California Department of Aging (CDA) to provide Multipurpose Senior Services Program (MSSP) services, covering social and health care management services to frail elders. In 2014, the County, through Health Plan of San Mateo (HPSM), was selected by the State to be one of eight counties to participate in Cal MediConnect. That program promoted coordinated health care delivery for Californians dually eligible for Medicare and Medi-Cal. Through this agreement, HPSM paid the County a fixed monthly amount for each Cal MediConnect program participant who received MSSP services. This arrangement continued after the three-year demonstration project.
The California Advancing and Innovating Medi-Cal (CalAIM) initiative is moving Medi-Cal toward a population health approach that prioritizes prevention and whole person care. The program is designed to extend supports and services beyond hospitals and health care settings directly into California communities.
As part of CalAIM, the California Department of Health Care Services (DHCS) established a new statewide benefit called Enhanced Care Management (ECM). ECM will provide a whole-person approach to care that addresses the clinical and non-clinical circumstances of...
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