Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Tamarra Jones, Interim 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 automatic annual renewal of the agreement with San Mateo Health Commission dba Health Plan of San Mateo for Public Health, Policy and Planning to provide Enhanced Care Management services for clients of Health Plan of San Mateo for the term of January 1, 2022, through December 31, 2023, to receive an estimated $1,996,800 annually until terminated or amended by either party.
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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 support and services beyond hospitals and healthcare 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 high-need Medi-Cal recipients' clinical and non-clinical circumstances. 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...
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