DATE: July 9, 2024
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
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 Specialty Mental Health Services (SMHS) and Substance Use Disorder (SUD) treatment services provided to Medi-Cal beneficiaries, effective upon execution by all parties with unlimited (12) month auto-renewals unless terminated by either party ($0).
REPORT
Approval of the recommended actions will allow the Department of Behavioral Health to coordinate care with Medi-Cal Managed Care Plans (MCPs) for Medi-Cal beneficiaries who are identified as needing specialty mental health and substance use disorder treatment services. DBH currently has MOUs in place with Anthem and CalViva Health, which will be superseded by the recommended MOU to satisfy new Department of Health Care Services (DHCS) requirements. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. This MOU is contractually required by the DHCS to establish Specialty Mental Health and Substance Use Disorder treatment services managed care plans.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action since the MOU is for care coordination purposes. All services delivered will be billed to Medi-Cal.
DISCUSSION:
Per the Medi-Cal Mental Health Plan contract with the DHCS, the County is required to enter into a MOU with MCPs to ensure the coordination of service...
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