DATE: August 11, 2026
TO: Board of Supervisors
SUBMITTED BY: Sanja Bugay, Director, Department of Social Services
SUBJECT: Memorandum of Understanding with Managed Care Plans; Blue Cross of California Partnership Plan, Inc. dba Anthem, Fresno-Kings-Madera Regional Health Authority dba CalViva Health and Kaiser Foundation Health Plan, Inc.
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a Memorandum of Understanding (MOU) with Blue Cross of California Partnership Plan, Inc. dba Anthem (Anthem), Fresno-Kings-Madera Regional Health Authority dba CalViva Health (CalViva Health), and Kaiser Foundation Health Plan, Inc. (Kaiser), for the coordination of services to individuals who are County Child Welfare involved and/or receive foster care services effective upon execution by all parties with unlimited (12) month auto-renewals unless terminated by either party ($0).
REPORT
Approval of the recommended action will allow the Department of Social Services to coordinate care with Medi-Cal Managed Care Plans (MCPs) for Medi-Cal beneficiaries who are enrolled, or eligible to enroll, in MCPs and who are County Child Welfare involved and/or receive foster care services. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternate action. This MOU is a requirement from the California Department of Health Care Services (DHCS).
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. This MOU is for care coordination purposes only.
DISCUSSION:
In 2023, the DHCS began rolling out their California Advancing and Innovating Medi-Cal (CalAIM) program initiatives. CalAIM initiatives include changes to billing and eligible services covered under Medi-Cal, increases to the eligible population, heightened cooperation and coordination requirements between health plans, providers, public agencies, and a focus on coordinated, person-centered, care.
As part of this initiative the State of Californ...
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