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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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December 21, 2010
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BOARD MEETING DATE:
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January 25, 2011
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Jean Fraser, Chief of the Health System
Srija Srinivasan, Director, Strategic Operations
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SUBJECT:
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Eighth Amendment to the Agreement with the State of California’s Managed Risk Medical Insurance Board
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to execute an Eighth Amendment to the Agreement with the State of California Managed Risk Medical Insurance Board to: maintain the current rate payments for the period of July 1, 2010 through September 30, 2011; extend the term of the Agreement from July 1, 2005 through September 30, 2010 to July 1, 2005 through September 30, 2011; increase the contract amount by $366,645, for a maximum amount of $2,504,899; and make changes to Exhibit A and Exhibit B of the Agreement.
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BACKGROUND:
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In December 2005 your Board executed an Agreement with the State of California’s Managed Risk Medical Insurance Board (MRMIB) establishing San Mateo County as the administrator of the County Children’s Health Initiative Program (C-CHIP), thereby giving the County access to federal funding through the County Health Initiative Matching Fund created through AB 495 (Diaz 2001). These matching federal funds allow local governments to provide comprehensive health insurance to children in families with incomes ranging from 250% to 300% of the Federal Poverty Level which do not qualify for Medi-Cal or Healthy Families. The San Mateo County Healthy Kids program was established in 2003 as the local C-CHIP.
In the past five years, your Board approved several Amendments to this Agreement. In October 2010 your Board approved the Seventh Amendment to this Agreement to extend the contract term and increase the contract amount.
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DISCUSSION:
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The C-CHIP rates are adjusted by the MRMIB on an annual basis. The MRMIB will maintain the current coverage rates for San Mateo County pursuant to the Government Code section 6254(y), the C-CHIP rates are kept confidential from the public records. Children’s Health Initiative (CHI) has approximately 385 children enrolled in the Healthy Kids program meeting eligibility criteria for the C-CHIP funds. This Amendment also makes changes on Exhibit A and Exhibit B to reflect the fiscal year date changes and effective date of the Amendment.
The Children’s Health Initiative received this Amendment in November 29, 2010; therefore, it will not be executed as of its start date of October 1, 2010.
County Counsel has reviewed and approved the Amendment and Resolution as to form.
Approval of this Resolution and Amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing funds to pay for health coverage for children. Eligible children must reside in San Mateo County and family income must fall within 250% and 300% of the Federal Poverty Level. It is anticipated that enrollment will change in FY 2010-11 because of an increase in lower income households qualifying for Medi-Cal.
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Performance Measure(s):
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Measure
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FY 2009-10
Actual
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FY 2010-11
Projected
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Medi Cal *
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17,444
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17,618
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Healthy Families
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10,409
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10,400
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Healthy Kids
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5,402
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5,200
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*Children enrolled in Full Scope No Share-of-Cost Medi-Cal only
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FISCAL IMPACT:
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This Amendment to the Agreement changes the maximum obligation from $2,138,254 to $2,504,899 in funding from the State for the County’s C-CHIP and extends the term of this Agreement from July 1, 2005 through September 30, 2010 to July 1, 2005 through September 30, 2011. This funding is included in the CHI FY 2010-11 Adopted Budget. Approval of this Amendment has no Net County Cost impact.
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