DATE: November 4, 2025
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Interim Director, Department of Public Health
SUBJECT: Retroactive Plan Provider Agreements with Medi-Cal Managed Care Plans
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute retroactive Agreement with CalViva Health, effective January 1, 2024, through December 31, 2027, to meet Department of Health Care Services requirements necessary to participate in the Intergovernmental Transfer program ($9,115,806); and
2. Approve and authorize the Chairman to execute retroactive Agreement with Blue Cross of California Partnership Plan dba Anthem Blue Cross, effective January 1, 2024, through December 31, 2027, to meet Department of Health Care Services requirements necessary to participate in the Intergovernmental Transfer program ($1,002,934).
REPORT
Approval of the recommended actions allow Anthem Blue Cross and CalViva Health to distribute Intergovernmental Transfer (IGT) program matching funds to the Department less a 2.5% and 2% administrative fee, respectively, used for the Managed Care Plans' (MCP) costs to administer the IGT program. The Department's participation in IGT will provide funds for health care services to County Medi-Cal clients.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, the Department would not have a mechanism in place to receive Federal matching funds for programs serving Medi-Cal clients from Anthem Blue Cross and CalViva Health through the IGT program.
RETROACTIVE AGREEMENT
The Department has been working with a consultant on the IGT program since December 2024. On May 7, 2025, the Department received the final documents from DHCS, which were approved by your Board on July 8, 2025. These corresponding recommended plan provider agreements were finalized on August 6, 2025 and brought to your Board within the designated processing timelines.
FISCAL IMPACT:
There is no increase in Net County Cost associat...
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