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File #: A 25-291    Name: CMAA-TCM Santa Cruz Co.
Type: BoS Agreement Status: Passed
File created: 6/24/2025 In control: Board of Supervisors
On agenda: 8/5/2025 Final action: 8/5/2025
Title: a. Approve and authorize the Director of Health Services or designee to execute an Agreement with the County of Santa Cruz, for the provision of administrative and fiscal intermediary services by Santa Cruz County as Host Entity for the County-Based Medi-Cal Administrative Activities (“CMAA”) and/or Targeted Case Management (“TCM”) programs, for the period retroactive from July 1, 2025 through June 30, 2028, for the payment to Host Entity of a one-time fee of $500 for membership in the CMAA and TCM Local Government Agency (“LGA”) Consortium, and annual compensation to the Host Entity in an amount to be determined based on the approved Consortium annual budget; and b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future Amendments to this Agreement that do not significantly change the scope of work.
Attachments: 1. Board Report, 2. Revised Board Report (ADDED VIA SUPPLEMENTAL), 3. Agreement, 4. Completed Board Order Item No. 21
Title
a. Approve and authorize the Director of Health Services or designee to execute an Agreement with the County of Santa Cruz, for the provision of administrative and fiscal intermediary services by Santa Cruz County as Host Entity for the County-Based Medi-Cal Administrative Activities (“CMAA”) and/or Targeted Case Management (“TCM”) programs, for the period retroactive from July 1, 2025 through June 30, 2028, for the payment to Host Entity of a one-time fee of $500 for membership in the CMAA and TCM Local Government Agency (“LGA”) Consortium, and annual compensation to the Host Entity in an amount to be determined based on the approved Consortium annual budget; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future Amendments to this Agreement that do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute an Agreement with the County of Santa Cruz, for the provision of administrative and fiscal intermediary services by Santa Cruz County as Host Entity for the County-Based Medi-Cal Administrative Activities (“CMAA”) and/or Targeted Case Management (“TCM”) programs, for the period retroactive from July 1, 2025 through June 30, 2028, for the payment to Host Entity of a one-time fee of $500 for membership in the CMAA and TCM Local Government Agency (“LGA”) Consortium, and annual compensation to the Host Entity in an amount to be determined based on the approved Consortium annual budget; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future Amendments to this Agreement that do not significantly change the scope of work.

SUMMARY/DISCUSSION:
The CMAA/TCM Program is managed by the Local Governmental Agency (LGA). The County of Monterey Health Department (MCHD) serves as the LGA for the County of Mon...

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