TO: Board of Supervisors
FROM: Ryan J. Alsop, County Executive Officer
REPORT BY: Jennifer Palmer, Director of Housing & Community Services
SUBJECT: Amendment No. 4 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. 4 to Master Services Agreement No. 220376B with Partnership Health Plan for the County to provide Community Supports to certain Medi-Cal participants through December 2025 generating approximately $1,000,000 in annual revenue (Fiscal Impact: $1,000,000 Revenue, Housing & Community Services Fund, 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-resourced and under-served.
The first stage of CalAIM implementation has included 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 connect to beneficiaries 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 ...
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