TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Jennifer Ivancie, Staff Services Analyst I
SUBJECT: Agreements for Medi-Cal Administrative Activities for Fiscal Year 2025-2026
RECOMMENDATION
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Approve and authorize Agreement No. 260195B with Puertas Abiertas Community Resource Center; Agreement No. 260196B with Cope Family Center, Inc.; Agreement No. 260197B with UpValley Family Centers of Napa Valley, Inc.; and Agreement No. 260198B with Parents Child Advocacy Network for Fiscal Year 2025-2026 to provide outreach for and linkage to the Medi-Cal program and services as well as facilitate the Medi-Cal application process. (Fiscal Impact: $125,575 Expense; Health and Human Services Agency Fund; Budgeted; Discretionary)
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BACKGROUND
Medi-Cal Administrative Activities (MAA), provided for in the Medi-Cal State Plan and implemented through the 1995 Medi-Cal Administrative Claiming (MAC) agreement, are activities that support the overall Medi-Cal system such as connecting potential individuals to eligibility and services, planning related to system capacity, and general administration. The Medi-Cal State Plan identifies the Department of Health Care Services (DHCS) as the single state agency responsible for administering the federal Medicaid program (Medi-Cal in California) and lays out the eligibility criteria for beneficiaries and services that can be provided. Essentially, every activity and service that is to be claimed for Federal Financial Participation (FFP) must be covered in the State Plan. The Local Government Agency (LGA), or the designated entity responsible for administering MAA locally, is Napa County's Health and Human Services Agency (HHSA). The LGA may subcontract with Community Based Organizations (CBOs) and other local agencies to perform MAA.
Currently, many CBOs are the first doors that low-income individuals and families enter for services, information, referrals, and facilitat...
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