Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Marc Meulman, Director, Public Health, Policy and Planning
Subject: Agreement for Public Health, Policy and Planning to Provide Enhanced Care Management Services for Health Plan of San Mateo Clients
RECOMMENDATION:
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Adopt a resolution authorizing an agreement for Public Health, Policy and Planning to provide 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, in an amount not to exceed $1,549,110.
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BACKGROUND:
The California Department of Health Care Services (DHCS), through the California Advancing and? Innovating Medi-Cal (CalAIM) initiative, seeks to move Medi-Cal services 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, based in part, upon the successes of the Whole Person Care (WPC) pilots, DHCS established a new statewide benefit entitled Enhanced Care Management (ECM). ECM provides a whole-person approach to care that addresses the clinical and non-clinical circumstances of high-need Medi-Cal recipients. The goals of ECM are: 1) improving care coordination; 2) integrating services; 3) facilitating community resources; 4) improving health outcomes; 5) addressing social determinants of health; and 6) decreasing inappropriate utilization. ECM is intended for the highest risk, highest-cost Medi-Cal managed care members with the most complex medical and social needs. ECM targets specific populations including adult high utilizers, individuals experiencing homelessness, adults with Serious Mental Illness/Substance Use Disorders, adults/youth transitioning from incarceration, a...
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