To: County of Sonoma Board of Supervisors
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Tina Rivera, 707-565-4774
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Delegated Authority for Partnership HealthPlan of California Revenue Agreements
End
Recommended Action:
Recommended action
Authorize the Director of Health Services, or designee, to execute agreements with Partnership HealthPlan of California to receive revenue as reimbursement for the cost of treatment services provided by County for Partnership HealthPlan of California members for a total amount of revenue not to exceed $1,250,000 through June 30, 2027.
end
Executive Summary:
This Board item seeks authority to approve execution of agreements with Partnership HealthPlan of California to receive revenue as reimbursement for the cost of treatment services provided by the County for Partnership HealthPlan of California members through June 30, 2027. Agreements are executed on an individual client treatment expense basis as shared clients receive services. The Department anticipates receiving five to ten agreements associated with the care of shared clients per fiscal year from Partnership, for reimbursement not to exceed $250,000 per fiscal year.
Discussion:
Partnership Health Plan of California (Partnership) provides a managed healthcare plan for Medi-Cal recipients in Sonoma County as well as the counties of Del Norte, Humboldt, Lake, Lassen, Modoc, Marin, Mendocino, Napa, Solano, Shasta, Siskiyou, Trinity, and Yolo. Sonoma County joined the Partnership HealthPlan of California in 2009.
Under an existing agreement between the Department of Health Services (DHS, or “the Department”) of the County of Sonoma and Partnership, care for shared clients is to be coordinated and specific responsibilities of the parties negotiated. On an as-needed basis, DHS provides mandated treatment services, most frequently through contracted providers, for the care of shared clients, with an understanding with Partnership that the Department will be reimbursed for a share of the costs. Delegated authority to execute the contracts as they are client dependent, and the Department will execute an agreement with Partnership HealthPlan of California when a treatment plan is developed for the individual client.
This item requests that the Board delegate authority to the Director of Health Services to execute agreements with Partnership to facilitate timely reimbursement to DHS for Partnership’s share of cost for treatment services provided by the Department. It is estimated that revenue provided as reimbursement from Partnership will not exceed $250,000 per fiscal year. The Department anticipates reimbursement from Partnership for the care of shared clients will not exceed $250,000 per year. Total requested authority is for a total amount not to exceed $1,250,000 through June 30, 2027. All revenue agreements will be approved by County Counsel prior to execution.
Strategic Plan:
N/A
Prior Board Actions:
On December 17, 2019 the Board authorized the Director of Health Services to execute agreements with Partnership HealthPlan of California to receive revenue as reimbursement for the cost of treatment services provided by DHS for Partnership HealthPlan of California members for a total amount of revenue not to exceed $750,000 through June 30, 2022.
Fiscal Summary
|
Expenditures |
FY 22-23 Adopted |
FY 23-24 Projected |
FY 24-25 Projected |
|
Budgeted Expenses |
250,000 |
250,000 |
250,000 |
|
Additional Appropriation Requested |
|
|
|
|
Total Expenditures |
250,000 |
250,000 |
250,000 |
|
Funding Sources |
|
|
|
|
General Fund/WA GF |
|
|
|
|
State/Federal |
|
|
|
|
Fees/Other |
250,000 |
250,000 |
250,000 |
|
Use of Fund Balance |
|
|
|
|
Contingencies |
|
|
|
|
Total Sources |
250,000 |
250,000 |
250,000 |
Narrative Explanation of Fiscal Impacts:
Expenditures and reimbursements of 1991 Mental Health Realignment and 2011 BH Sub Account are already budgeted in FY2022-2023. Reimbursement funding from Partnership HealthPlan of California will offset use of local funds included in the adopted budget.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
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|
|
|
|
|
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|
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
None
Related Items “On File” with the Clerk of the Board:
None