TO: Board of Supervisors
FROM: Jennifer Yasumoto, Health & Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Renewal of Revenue Agreement with Department of Health Care Services (Medi-Cal Administrative Activities)
RECOMMENDATION
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Director of Health and Human Services requests approval of and authorization for the Chair to sign the renewal of Revenue Agreement No. 170806B with the Department of Health Care Services for a maximum of $6,000,000 for the term July 1, 2022 through June 30, 2025 for Medi-Cal Administrative Activities for our community providers.
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EXECUTIVE SUMMARY
Approval of the recommended revenue agreement will enable the County to claim County-Based Medi-Cal Administrative Activities provided by the Health and Human Services Agency's Public Health and Alcohol and Drug Services Divisions and our community providers. The Revenue Agreement establishes the maximum amount of reimbursement of up to $2,000,000 for the budgetary period of 07/01/2022 through 06/30/2023,
$2,000,000 for the budgetary period of 07/01/2023 through 06/30/2024, and
$2,000,000 for the budgetary period of 07/01/2024 through 06/30/2025.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health & Human Services Alcohol & Drug Services Health & Human Services Public Health |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
This agreement is discretionary in that there is no mandate to accept Medi-Cal Administrative Activities (MAA) funding. However, MAA activities improve the availability and accessibility of Medi-Cal services to all eligible and potentially eligible Medi-Cal individuals in Napa County. MAA is also a significant source of revenue for activities in Public Health and Alcohol and Drug Services. |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This Agreement terminates on June 30, 2025. Appropriations will be included in the requested Fiscal Year 2022-2023 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
Napa County Health and Human Services Agency will not have an agreement in place to receive Medi-Cal Administrative Activities revenue for allowable activities under the Medi-Cal program. |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
Medi-Cal Administrative Activities, or MAA, is the proper and efficient administration of the Medi-Cal State Plan. The Medi-Cal State Plan identifies the Department of Health Care Services 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 the services that can be provided. MAA, also provided for in the state plan and implemented through the 1995 Medi-Cal Administrative Claiming (MAC) agreement, are the activities that support the overall Medi-Cal system, such as connecting potential eligible to eligibility and services, planning related to system capacity and general administration.
The Local Government Agency (LGA), or the designated entity responsible for administering MAA locally, is Napa County Health and Human Services Agency. HHSA must have an agreement with DHCS in order to participate in MAA. The agreement sets forth the MAA activities that HHSA will perform on behalf of DHCS and provides for the amount of federal funding reimbursement that can be claimed over the term of the agreement for these activities.