TITLE
Recommendation to authorize City Manager, or designee, to execute all documents necessary to enter into an agreement, including any necessary amendments, with the County of Santa Cruz, host entity for the County-based Medi-Cal Administrative Activities and Targeted Case Management Programs, for a three-year period, July 1, 2019 through June 30, 2022, with the option to extend the agreement for two additional one-year periods, at the discretion of the City Manager. (Citywide)
DISCUSSION
The City of Long Beach Department of Health and Human Services (Health Department) participates in the County-based Medi-Cal Administrative Activities (CMAA) and Targeted Case Management (TCM) Programs. The CMAA Program provides specific services within a larger program referred to as the Medi-Cal Administrative Activities (MAA) Program. Reimbursement revenue received from these programs total approximately $300,000 annually.
CMAA are services the Health Department performs to ensure that Medi-Cal-eligible individuals are enrolled in, and assisted in navigating, the Medi-Cal system. The program also works to ensure programs and policies assist in removing any barriers to Medi-Cal enrollment and Medi-Cal-covered health care services. Administrative activities include outreach, facilitating Medi-Cal applications, program planning, and policy development.
The TCM Program assists defined targeted groups in accessing medical, social, educational, and other needed services. TCM service components include: comprehensive assessment and periodic reassessment of client status, development of Individual Services Plans (ISP) for each beneficiary, referral and related activities, and monitoring with follow up activities. There are five defined targeted groups for the TCM Program: children under the age of 14, medically fragile individuals, individuals at risk of institutionalization, individuals in jeopardy of negative health or psycho-social outcomes, and individuals with comm...
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