HEALTH AND HUMAN SERVICES AGENCY - J. RYDINGSWORD

Ratify and approve the Director of Health & Human Services Agency's signature on a five year agreement with the State of California Health Benefit Exchange for Certification as a Medi-Cal Certified Enrollment Entity from July 1, 2018 through June 30, 2023. 

SBC FILE NUMBER: 130

San Benito County Public Health Services is a Covered California Enroller. The previous contract with the California Health Benefit Exchange (Covered California) ended June 30, 2018.

To continue assisting community members to access appropriate health care coverage, the state required that the County enter into a new five year contract with Covered California to serve as a Medi-Cal Certified Enrollment Entity (CEE).  A CEE is an organization eligible to be trained and registered to provide in-person assistance to consumers and help them apply for Covered California Health Plans. CEEs receive compensation for each completed enrollment.  Doing so will facilitate continuity of care for children previously enrolled in Healthy Families, ensuring that they will not lose any health, dental or vision coverage in the transition to Medi-Cal and will give other community members opportunities to access health insurance plans through the health exchange marketplace.

The Public Health Assistant will become a certified Covered California Enrollment Counselor.  There is no county cost for the certifications and this certification will create a small amount of revenue for Public Health Services.

Due to the required timeline for submission of the agreement, the Health & Human Services Agency Director signed the agreement before being brought forward to your Board because failure to submit the agreement by June 30, 2018, would have resulted in the deactivation and decertification of the County as a Covered California Certified Enrollment Entity.  This request includes ratification and approval of the Director’s signature on the five year agreement.

1. Ratify and approve the Director of Health & Human Services Agency's signature on the five year agreement with the State of California Health Benefit Exchange for Certification as a Medi-Cal Certified Enrollment Entity from July 1, 2018 through June 30, 2023.