Title
a. Approve and authorize the Chair of the Board of Supervisors, or designee, to sign Amendment No. 1 to Agreement A-16373 with the Central California Alliance for Health to provide health plan benefits for eligible In-Home Supportive Services providers, adding $4,927,855 for a new contract total of $10,407,536, extending the term by one (1) year, for a new term of July 1, 2023 to June 30, 2025, including non-standard termination and mutual indemnification provisions; and
b. Authorize the Chair of the Board of Supervisors, or designee to sign up to three future amendments to this amended Agreement where the total amendments do not exceed 10% ($1,040,754) of the amended contract amount, and do not significantly change the scope of work, and do not exceed the maximum aggregate amount of $11,448,290.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Chair of the Board of Supervisors, or designee, to sign Amendment No. 1 to Agreement A-16373 with the Central California Alliance for Health to provide health plan benefits for eligible In-Home Supportive Services providers, adding $4,927,855 for a new contract total of $10,407,536, extending the term by one (1) year, for a new term of July 1, 2023 to June 30, 2025, including non-standard termination and mutual indemnification provisions; and
b. Authorize the Chair of the Board of Supervisors, or designee to sign up to three future amendments to this amended Agreement where the total amendments do not exceed 10% ($1,040,754) of the amended contract amount, and do not significantly change the scope of work, and do not exceed the maximum aggregate amount of $11,448,290.
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 717 IHSS providers in FY 2023-24 and 670 for FY 2024-25 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 the Board of Supervisors 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 prior 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, 2025, and adds $4,927,855 for the health benefit premiums. The contract specifies that the monthly premium for FY 2024-25 will be $698.00 with the enrolled IHSS Provider paying $15.00 and the County providing $683.00 which is funded by Federal and State revenues. The maximum number of individuals that can be enrolled is based upon the negotiated rate between the County and SEIU Local 2015 determined by a state funding formula that provides $0.66 of financial participation for each hour of paid services each month. This Agreement is expected to serve 670 individuals per month. Sufficient appropriations and estimated revenues in Social Services Fund 001-5010-SOC008 are included in the FY 24-25 Adopted 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: Lori A. Medina, Director, x4430
Attachment: Amendment #1, Original Agreement
Proposed agreement is on file with Clerk of the Board as an attachment to this Board Report.