REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
February 10, 2026
FROM
JANKI PATEL, Acting Director, Department of Public Health
SUBJECT
Title
Non-Financial Memorandum of Understanding with Kaiser Foundation Health Plan, Inc. for Medi-Cal Managed Care Services
End
RECOMMENDATION(S)
Recommendation
1. Approve non-financial Memorandum of Understanding with Kaiser Foundation Health Plan, Inc. for Medi-Cal services, effective February 10, 2026 through February 9, 2031.
2. Authorize the Chair of the Board of Supervisors, Chief Executive Officer, or the Director of the Department of Public Health to execute subsequent non-substantive amendments to the Memorandum of Understanding, including changes to the scope of work, subject to review by County Counsel.
3. Direct the Director of the Department of Public Health to transmit subsequent non-substantive amendments to the Memorandum of Understanding to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Janki Patel, Acting Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Foster Sustainable Development Through Strategic Partnerships.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
The Memorandum of Understanding (MOU) is non-financial in nature and will not result in the use of Discretionary General Funding (Net County Cost). Service deliverables are reimbursable by Kaiser Foundation Health Plan, Inc. (Kaiser) to the Department of Public Health (DPH).
BACKGROUND INFORMATION
Based on Title XIX of the Social Security Act as outlined in the Code of Federal Regulations, Medi-Cal beneficiaries are required to choose one of three Managed Care Plans as their health maintenance organizations for services. Medi-Cal beneficiaries in San Bernardino County can choose between the Inland Empire Health Plan (IEHP), Molina Healthcare, Inc. (Molina), or Kaiser. The California Department of Health Care Services (DHCS) requires DPH to enter into an MOU with each Managed Care Plan to delineate responsibilities, standards, and services eligible for reimbursement to DPH. DPH has similar MOUs in place with Molina and IEHP.
The MOU details services to be provided to Kaiser Medi-Cal members which relate to blood lead screening and follow-up testing, lead case management for blood levels, community health assessments and improvement plans, family planning, immunizations, treatment of sexually transmitted infections, HIV testing and counseling, treatment of tuberculosis, and Maternal, Child and Adolescent Health Program. In addition, the MOU details the responsibilities of each party, disease reporting requirements, service arrangements, and method reimbursement.
Approval of this MOU will ensure that Medi-Cal beneficiaries enrolled, or eligible to enroll, are able to access and/or receive services in a coordinated manner from Kaiser and DPH. Recommendation No. 2 will allow the DPH Director to execute non-substantive amendments to the MOU, including changes to the scope of work, in the event DHCS guidelines change or additional service categories are made eligible for reimbursement.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on January 16, 2026; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 387-4205) on January 16, 2026.