TO: Board of Supervisors
FROM: Ryan J. Alsop, County Executive Officer
REPORT BY: Jennifer Palmer, Director of Housing & Homeless Services
SUBJECT: Amendment No. 3 to Agreement No. 220376B with Partnership Health Plan for the extension of certain Community Supports under the California Advancing Innovating Medi-Cal Program known as "CalAIM"
RECOMMENDATION
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Approve and authorize Amendment No. 3 to Master Services Agreement No. 220376B with Partnership Health Plan for the County to provide community support to Medi-Cal participants through December 2024 generating approximately $750,000 in yearly revenue (Fiscal Impact: Revenues of $750,000, Housing & Homeless Fund 2030, Budgeted, Discretionary).
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BACKGROUND
CalAIM is a Medi-Cal Waiver program designed to build a whole system, person-centered approach to care, in which clinical and social services are integrated to support people's health and wellbeing throughout their lives. As a statewide, population health initiative CalAIM will reach all Medi-Cal members while focusing particularly on advancing health equity by expanding resources available to populations and communities that have been historically under-resources and under-served.
The first stage of CalAIM implementation involves scaling impactful services from this and other initiatives statewide through Enhanced Care Management (ECM) and Community Supports (California's nomenclature for the proposed list of state approved In Lieu of Services/ILOS). ECM is designed to address the clinical and non-clinical needs of the highest-need enrollees through intensive coordination of health and health-related services. Its goal is to meet beneficiaries where they are - on the street, in a shelter, in their doctor's office, or at home - by providing a single Lead Care Manager to coordinate care and services among the physical, behavioral, dental, developmental, and social services delivery systems, making it easier for beneficiaries to get the right care a...
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