Title
Approve and authorize the Chair of the Board of Supervisors to sign Amendment #4 to Agreement #A-11489 with Central California Alliance for Health (CCAH) for the provision of health plan benefits for In-Home Supportive Service (IHSS) providers adding $2,672,317 for the period July 1, 2014 to June 30, 2015, increasing the total contract amount to $10,189,736.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Chair of the Board of Supervisors to sign Amendment #4 to Agreement #A-11489 with Central California Alliance for Health (CCAH) for the provision of health plan benefits for In-Home Supportive Service (IHSS) providers adding $2,672,317 for the period July 1, 2014 to June 30, 2015, increasing the total contract amount to $10,189,736.
SUMMARY/DISCUSSION:
The Central California Alliance for Health has offered the Alliance Care IHSS health plan since July 1, 2005, providing comprehensive and high quality coverage including hospital, outpatient, primary and specialized care, prescription drugs, mental health services, etc. for a maximum of 488 IHSS providers who meet eligibility criteria. The Alliance Care IHSS health plan provides culturally and linguistically sensitive access to health care throughout the County. CCAH continues to have all regulatory approvals from the California Department of Managed Health Care and maintains the necessary Knox-Keene license to provide the Alliance Care IHSS plan.
Pursuant to the Memorandum of Understanding (MOU) approved by your Board in August 2012 between the Monterey County Public Authority for In-Home Supportive Services (IHSS) and SEIU 6434, IHSS providers must work at least 80 hours a month for the last six continuous months to become eligible for the health plan, and must work at least 80 hours a month for two of three contiguous months to maintain eligibility. The current plan is capped at a maximum of 488 providers and currently 36 providers are on the waiting list.
OTHER AGENCY INVOLVEMENT:
The Auditor-Controller and Purchasing have reviewed and approved this amendment. County Counsel has approved the amendment as to form.
FINANCING:
The contract specifies that the monthly premium will be $500 with the enrolled IHSS Provider paying $15 and the county $485. The maximum number of individuals that can be enrolled is determined by the Memorandum of Understanding with SEIU United Long Term Care Workers #6434 that provides $0.69 for each hour of paid services each month. The first $0.60 per hour of pooled funds for the health plan is incorporated in the County's IHSS Maintenance of Effort. The remaining $0.09 per hour is shared 50/50 between Federal and County. Sufficient appropriations and estimated revenues are included in SOC001 of the Proposed FY 2014-15 Budget. There is no additional impact to the County General Fund.
Prepared by: Bertha Gonzalez, MA II, x4904
Approved by: Elliott Robinson, Director of Social Services, x3480
Attachments:
CCAH amendment #4
Original Agreement
Amendment #1
Amendment #2
Amendment #3