Title
a. Approve and authorize the Chair of the Board of Supervisors to sign Amendment No. 2 to Agreement #5010-340 with Central California Alliance for Health to provide health plan benefits for eligible In-Home Supportive Services providers adding $6,510,790 for a new contract total of $16,918,326 and extend the term by twelve months (12) for a new agreement term of July 1, 2023 through June 30, 2026; and
b. Authorize the Chair of the Board of Supervisors to sign up to three amendments to this Agreement where the total amendments do not exceed 10% ($1,691,833) of the amended contract amount, do not significantly change the scope of work, and do not exceed the maximum aggregate amount of $18,610,159.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Chair of the Board of Supervisors to sign Amendment No. 2 to Agreement #5010-340 with Central California Alliance for Health to provide health plan benefits for eligible In-Home Supportive Services providers adding $6,510,790 for a new contract total of $16,918,326 and extend the term by twelve months (12) for a new agreement term of July 1, 2023 through June 30, 2026; and
b. Authorize the Chair of the Board of Supervisors to sign up to three amendments to this Agreement where the total amendments do not exceed 10% ($1,691,833) of the amended contract amount, do not significantly change the scope of work, and do not exceed the maximum aggregate amount of $18,610,159.
SUMMARY/DISCUSSION:
The Central California Alliance for Health (CCAH) has offered the Alliance Care In-Home Supportive Services (IHSS) health plan since July 1, 2005. The plan provides comprehensive and high-quality coverage including hospital, outpatient, primary and specialized care, prescription drugs, and mental health services for approximately 650 IHSS providers who meet eligibility criteria. The Alliance Care IHSS health plan provides culturally and linguistically sensitive access to health care throughout the County. Service Employee International Union (SEIU) Local 2015, representing IHSS providers, supports this health plan for their members. Central California Alliance for Health 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 on February 26, 2019 between the Monterey County Public Authority for IHSS and SEIU Local 2015, IHSS providers must work at least 80 hours per month for the last three continuous months to become eligible and, once enrolled in the health plan, must work at least 80 hours per month to maintain eligibility.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved the Agreements as to form, as has the Auditor-Controller’s Office as to financial provisions.
FINANCING:
This Amendment extends the term out one year through June 30, 2026, and adds an additional $6,510,790 for the health benefit premiums. The contract specifies that the monthly premium will be $698.04 with the enrolled IHSS Provider paying $15.00 per month and the balance being funded by Federal and State revenues. This agreement estimates serving approximately 709 individuals for FY 24/25 and 737 individuals for FY 25/26 based upon the negotiated rate of $0.66 of financial participation for each hour of paid services each month. Sufficient appropriations and estimated revenues in Social Services Fund 001-SOC001are included in both the FY 24-25 Adopted Budget and the FY 25-26 Recommended Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This contract correlates to the Health & Human Services Strategic Initiative adopted by the Board of Supervisors by allowing the Department to provide health benefits to In-Home Supportive Services providers, whose services help allow seniors and people with disabilities to remain safely in their homes.
Check the related Board of Supervisors Strategic Initiatives:
__Economic Development
__Administration
X Health & Human Services
__Infrastructure
__Public Safety
Prepared by: Nick Ledo, Management Analyst, x4904
Approved by: Roderick Franks, Director, x4430
Attachment: Amendment No. 2
Amendment No.1 Executed
Original Agreement Executed
The proposed agreement is on file with Clerk of the Board as an attachment to this Board Report