Performance Measures: | ||
Measure |
FY 2006-07 Estimated |
FY 2007-08 Projected |
MC membership for children* |
26,005 |
13,500 |
HF membership |
8,750 |
8,800 |
HK membership |
6,768 |
7,200 |
Percentage of applications screened through modified One-e-App tool that are determined eligible or preliminarily eligible for the following: | ||
- Adult Medi-Cal |
30% |
30% |
- WELL Program |
35% |
35% |
* Medi-Cal numbers for FY 2007-08 have been revised to reflect an unduplicated count. | ||
BACKGROUND: | ||
Since 2004 the One-e-App (OeA) system has been used by all Certified Application Assistants in the County to screen and assist children in applying for health coverage programs through the Children’s Health Initiative (CHI). In 2005 the County selected OeA as the eligibility and screening tool for adult health coverage programs when the self declaration process was eliminated for the County’s medically indigent adult program, WELL. In August 2006 your Board, through Resolution 68213, approved an Agreement with The Center to Promote HealthCare Access (The Center) to implement OeA as the system used for screening and assistance for all of the County’s health coverage programs for adults and children including MC, HF, HK, WELL, and other publicly-funded health coverage programs. | ||
DISCUSSION: | ||
This Agreement with The Center includes ongoing maintenance for the revised system, which now contains tools to support screening and enrollment for all major health coverage programs available to children and adults. The Center will provide all OeA system maintenance and technical support services. The Center is the sole provider of the OeA system, which was developed as an initiative of the California Health Care Foundation. For this reason the Health Department is requesting a waiver of the RFP process. OeA will also be used to conduct screening and eligibility for a new coverage product under the California Department of Health Services’ Health Care “Coverage Initiative” that will enable coverage expansion to some uninsured adults. The implementation of this new program is scheduled for September 1, 2007.
This Agreement, Board Memo and Resolution have been reviewed and approved by County Counsel, Risk Management, and ISD. A waiver to modify the County’s Non Discrimination provision has been approved by County Counsel and the County Manager’s Office. | ||
FISCAL IMPACT: | ||
The term of the Agreement is July 1, 2007 through June 30, 2010, for a total obligation of $628,164. The cost is shared by CHI ($294,389), Human Services Agency ($182,059) and Non-Departmental Services ($151,716). The tentatively Adopted FY 2007-08 Budget for CHI is $9.4 million, which includes $83,093 for the FY 2007-08 cost of this Agreement. Remaining FY 2007-08 costs have been included in the Human Services Agency and Non-Departmental Services tentatively Adopted FY 2007-08 Budgets. Costs for subsequent years will be included in these respective budgets. The bulk of the costs are covered by private foundation funding; the Net County Cost for all three years of this Agreement is $151,716. |