DATE:
December 10, 2024
14
TO:
Board of Supervisors
SUBJECT
AUTHORIZE REVENUE AGREEMENTS WITH MEDI-CAL MANAGED CARE PLANS, SINGLE SOURCE PROCUREMENT, AND ACCEPTANCE OF CHILDREN AND YOUTH BEHAVIORAL HEALTH INITIATIVE GRANT FUNDING (DISTRICTS: ALL)
OVERVIEW
On May 23, 2023 (06) the San Diego County Board of Supervisors (Board) approved the San Diego Advancing and Innovating Medi-Cal (SDAIM) Roadmap and recommitted to providing opportunities for Medi-Cal members in San Diego County to achieve better health outcomes and reduce health disparities. The SDAIM Roadmap was developed to align the County of San Diego (County) priorities with the Medi-Cal Transformation Initiative, formerly referred to as California Advancing and Innovating Medi-Cal (CalAIM). Medi-Cal Transformation is the California Department of Health Care Services (DHCS) long-term commitment to improve the quality of life and health outcomes of Medi-Cal members by creating a more coordinated, person-centered, and equitable health system.
Under Medi-Cal Transformation, DHCS is requiring Medi-Cal Managed Care Plans (MCPs) to collaborate with Local Health Departments (LHDs) to create a reimagined Population Needs Assessment (PNA). This new PNA promotes more robust community engagements and greater alignment with MCPs, LHDs, and community stakeholders. This will streamline the separate but related health needs assessments that have historically been conducted by the County, MCPs, and the Hospital Association of San Diego & Imperial Counties (HASD&IC).
Additionally, Medi-Cal Transformation affords an opportunity for the County to provide and bill for care management and community health promotion services through Enhanced Care Management (ECM), Community Supports (CS), and Community Health Worker (CHW) services. Billing for these key services will help address County budget constraints and ensure sustainability, while increasing access to quality services for Medi-Cal members in San Diego County....
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