REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
February 9, 2021
FROM
GILBERT RAMOS, Director, Transitional Assistance Department
SUBJECT
Title
Non-Financial Memorandum of Understanding with Inland Empire Health Plan for Data Sharing
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Memorandum of Understanding with Inland Empire Health Plan for the exchange of information regarding mutual customers to promote retention and successful renewals for Medi-Cal coverage, for the period of December 6, 2020 through December 5, 2025.
(Presenter: Gilbert Ramos, Director, 388-0245)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies.
FINANCIAL IMPACT
This Memorandum of Understanding (MOU) is non-financial; therefore, it does not impact Discretionary General Funding (Net County Cost).
BACKGROUND INFORMATION
Under the terms of the recommended MOU, Inland Empire Health Plan (IEHP) will provide the Transitional Assistance Department (TAD) with a complete list of San Bernardino County IEHP Members (Members) on a monthly basis. TAD will provide IEHP with lists of those mutual customers of IEHP and TAD who require an Annual Redetermination for continued Medi-Cal coverage.
TAD administers the public assistance programs in San Bernardino County, including Medi-Cal, California’s Medicaid program serving low-income individuals. Eligibility for Medi-Cal must be reevaluated on an annual basis. Failure to complete and return an Annual Redetermination to TAD results in loss of benefits for individuals and families.
IEHP is a Local Initiative Health Plan formed pursuant to Welfare and Institutions Code section 14000, et seq., through a Joint Powers Agreement between the Counties of Riverside and San Bernardino, operates in compliance with the Knox-Keene Health Care Services Act of 1975, and arranges and pays for the provision of covered Medi-Cal services to eligible Medi-Cal members residing in San Bernardino County.
IEHP will encourage their Members whose eligibility is being redetermined to complete and return their redetermination packets by contacting Members by mail, phone, or in person; assisting Members with completing their redetermination, as needed; referring questions or reschedules to the TAD Customer Service Center; and keeping track of Members who indicate they do not wish to renew their Medi-Cal coverage.
The most recent MOU (County Agreement No. 17-925) with IEHP for data sharing expired on December 5, 2020. The recommended MOU will continue data sharing of IEHP Members between IEHP and TAD for annual redetermination of Medi-Cal coverage, effective December 6, 2020. This item is being presented to the Board of Supervisors (Board) at this time, as this is the first date available for presentation following negotiation and the required operational, fiscal, and legal reviews. Approval by the Board on this date will have no impact on annual redetermination of Medi-Cal coverage for IEHP Members.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Jennifer Mulhall-Daudel, Contracts Manager, 388-0241) on January 25, 2021; County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on January 25, 2021; Finance (John Hallen, Administrative Analyst, 388-0208) on January 25, 2021; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on January 26, 2021.