Title
Approve and authorize the Chair of the Board of Supervisors to sign Amendment #2 to Agreement #A-11489 with Central California Alliance for Health for the provision of health plan benefits for In-Home Supportive Service (IHSS) providers adding $2,661,813, increasing the total contract amount to $4,649,313 for the period July 1, 2011 to June 30, 2013.
Body
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Chair of the Board of Supervisors to sign Amendment #2 to Agreement #A-11489 with Central California Alliance for Health for the provision of health plan benefits for In-Home Supportive Service (IHSS) providers adding $2,661,813, increasing the total contract amount to $4,649,313 for the period July 1, 2011 to June 30, 2013.
SUMMARY/DISCUSSION:
This Agreement A-11489 with Central California Alliance for Health for the period of July 1, 2011 thru June 30, 2013 is a two year agreement. Year 1 was authorized at 3,973 monthly premiums in the amount of $1,987,500, averaging 330 IHSS providers. In year 2, as part of the budget actions for 2012-13 county budget, the Board voted to increase participation in health benefits to 475 IHSS providers, based upon projected service hours of 3,840,308 at $0.69 cents per hour that totals $2,649,813. Additionally, $12,000 is included in the contracted budget for IHSS providers who are eligible for Cobra at their own expense once they become ineligible for continuation of their health benefits based upon eligibility requirements for a total of $2,661,813 for Year 2 as approved in the FY 2012-13 Adopted Budget. Amendment #2 adds funding for Year 2 of this agreement. Health Benefits are provided at $500 per month/per IHSS provider.
The Central California Alliance is a locally governed publicly operated regional non-profit health plan that serves members in Santa Cruz, Monterey and Merced counties using the State's preferred County Organized Health System (COHS) model of Medi-Cal managed care. Supervisor Parker was appointed as the County's representative to the Alliance and currently serves as its Chair. 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 475 local IHSS providers who meet eligibility criteria. Due to late submission of this Board Report, the CAO Budget and Analysis Division was not provided adequate time to fully review for potential fiscal, organizational, policy, or other implications to the County of Monterey.
OTHER AGENCY INVOLVEMENT:
County Counsel, Auditor/Controller, and Purchasing have reviewed and approved this amendment.
FINANCING:
This agreement is funded at estimated levels of IHSS Federal/State (82.3%) and 17.7% of County General Funds up to .60 cents per hour. The additional .09 cents per hour, referenced above, will be shared 50% Federal and 50% County General Fund. Sufficient appropriations and estimated revenues are included in the FY 2012-13 Adopted Budget. There is no additional impact to the County General Fund.
Prepared by: Becky Cromer, Finance Manager, 4404
Approved by: Elliott Robinson, Director, 4434
Attachments:
Central California Alliance for Health Amendment #2
Original on file with Clerk to the Board