Title
a. Approve and authorize the Chair of the Board of Supervisors to sign Amendment #4 with the Central California Alliance for Health adding $2,524,165, effective June 19, 2018, increasing the total contract amount to $8,928,683, and extending the term of the agreement for one additional fiscal year through June 30, 2019, and adding the updated handbook exhibit once Central California Alliance for Health completes it, which shall not revise or alter any terms and conditions of this agreement and;
b. Authorize the Chair of the Board of Supervisors to sign up to three (3) additional amendments to this agreement, where the total amendments do not exceed ten percent ($892,868) of the current amended contract amount, and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Chair of the Board of Supervisors to sign Amendment #4 with the Central California Alliance for Health adding $2,524,165, effective June 19, 2018, increasing the total contract amount to $8,928,683, and extending the term of the agreement for one additional fiscal year through June 30, 2019, and adding the updated handbook exhibit once Central California Alliance for Health completes it, which shall not revise or alter any terms and conditions of this agreement and;
b. Authorize the Chair of the Board of Supervisors to sign up to three (3) additional amendments to this agreement, where the total amendments do not exceed ten percent ($892,868) of the current amended contract amount, and do not significantly change the scope of work.
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. On July 7, 2015, the Board of Supervisors approved the execution of an agreement dated July 1, 2015 to provide comprehensive and high-quality coverage including hospital, outpatient, primary and specialized care, prescription drugs, and mental health services for approximately 550 IHSS providers who meet eligibility criteria. The Alliance Care IHSS health plan provides culturally and linguistically sensitive access to health care throughout the County.
Pursuant to the Memorandum of Understanding (MOU) approved by your Board on June 23, 2015 between the Monterey County Public Authority for In-Home Supportive Services (IHSS) and SEIU Local 2015, IHSS providers must work at least 80 hours per month for the last four (4) consecutive months to become eligible and, once enrolled in the health plan, must work at least 80 hours a month for two of three contiguous months to maintain eligibility.
On October 13, 2015, Amendment #1 was approved by your Board revising the Terms & Conditions in order to meet California Department of Health Care Services (DHCS) requirements. Amendment #2 was approved by your Board on June 28, 2016, increasing the contract amount by $2,190,498 to $3,985,038, and extending the term and funding through June 30, 2017. Amendment #3 was approved by your Board on May 23, 2017, increasing the amount by $145,835 for FY 2016-17, adding $2,328,016 for the period July 1, 2017 through June 30, 2018, increasing the total contract amount to $6,405,518.
The original agreement and subsequent amendments referenced Exhibit A-I-E, the Central California Alliance handbook, titled, “Alliance Care IHSS Health Plan Member Handbook Combined Evidence of Coverage and Disclosure Form.” This handbook is currently being updated by the Central California Alliance for Health. The updated version of the handbook will be attached as an Exhibit to this agreement, once finished, as Exhibit AA-II-E. In the meantime, the former and still current version is attached. No updates to the handbook will change, revise or alter any terms and conditions of this agreement. The purpose of the handbook is to provide a description of the insurance coverage for members.
The Department is recommending approval of Amendment #4 to continue the provision of health insurance to IHSS care providers by extending the term of this agreement to June 30, 2019, adding $2,524,165 for FY 2018-19, and increasing the total contract amount to $8,928,683 for the entire term of the contract.
OTHER AGENCY INVOLVEMENT:
The Auditor-Controller and Contracts/Purchasing have reviewed and approved the agreement. County Counsel has approved the agreement as to form.
FINANCING:
There is no increase in the premium amount for FY 2018-19; the monthly premium continues to be $353.00 with the enrolled IHSS Provider paying $15.00 and the County paying $338.00. The County share is funded by Federal/State/County revenues. The maximum number of individuals that can be enrolled is determined by the state funding formula that provides $0.44 of financial participation for each hour of paid services each month. Sufficient appropriations and estimated revenues in SOC001 are included in the FY 2018-19 Recommended Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This amendment correlates to the Health & Human Services Strategic Initiative adopted by the Board of Supervisors by allowing the Department to improve the quality of life for IHSS Providers by offering health insurance when requirements are met.
Check the related Board of Supervisors Strategic Initiatives:
Economic Development
__Administration
XHealth & Human Services
Infrastructure
__Public Safety
Prepared by: Bertha Gonzalez, MA II, X4904
Approved by: Elliott Robinson, Director of Social Services, x4430
Attachments: Original Agreement, Amendment #1, Amendment #2, Amendment #3, Amendment #4
Proposed contract is on file with Clerk of the Board as an attachment to this Board Report