DATE: June 21, 2022
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Amendment to Memoranda of Understanding with Managed Care Plans CalViva Health and Anthem Blue Cross
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute Amendment II to Agreement with Fresno-Kings-Madera Regional Health Authority, a memorandum of understanding, to update Department of Health Care Services requirements, effective upon execution, with no change to the term of June 10, 2018 with unlimited one-year auto-renewals unless terminated by either party ($0);
2. Approve and authorize the Chairman to execute Amendment II to Agreement with Blue Cross of California Partnership Plan, Inc., a memorandum of understanding, to update Department of Health Care Services requirements, effective upon execution, with no change to the term of June 10, 2018 with unlimited one-year auto-renewals unless terminated by either party ($0); and,
3. Approve and authorize the Director of the Department of Behavioral Health, or designee, upon review by County Counsel as to legal form and Auditor-Controller/Treasurer-Tax Collector as to accounting form, to approve changes to the scope of work for the Agreements with Fresno-Kings-Madera Regional Health Authority and Blue Cross of California Partnership Plan, Inc., to accommodate changes in the law and state-mandated requirements related to mental health and substance use disorder treatment services, as needed.
REPORT
Approval of the recommended actions will allow the Department of Behavioral Health and the Managed Care Plans (MCPs) [Fresno, Kings, Madera Regional Health Authority (CalViva Health) and Blue Cross of California Partnership Plan, Inc. (Anthem)] to update the Memorandum of Understanding (MOU) with state-county contract language from the California Department of Health Care Services (DHCS) and the scope of work with allowable substance use disorder diagnosis codes. There ...
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