HomeMy WebLinkAboutSTATE Department of Health Care Services-Medi-Cal County Inmate Program Participation Agreement_A-23-169.pdf COtj County of Fresno Hall of Records, Room301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O� i85 0 Telephone: (559)600-3529
FRE`'� Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
April 11, 2023
Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig, Supervisor Buddy Mendes,
Supervisor Brian Pacheco, and Chairman Sal Quintero
Agenda No. 38. Public Health File ID: 23-0167
Re: Approve and authorize the Chairman to execute a Participation Agreement with the California
Department of Health Care Services for participation in the Medi-Cal County Inmate Program, effective
July 1, 2023 and will remain in effect until terminated by either party pursuant to and in accordance
with the requirements and conditions set forth in this Participation Agreement,for an estimated
amount of$800,000; and approve and authorize the Chairman to execute an Administrative Services
Agreement with the California Department of Health Care services to allow reimbursement for
administration of the Medi-Cal County Inmate Program for State Fiscal Year 2023-26,effective July 1,
2023,through June 30,2026,total not to exceed$26,636
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero
Agreement No.23-169,Agreement No.23-170
County of Fresno Page 42
ti coves
Board Agenda Item 38
011 1560
FRES
DATE: April 11, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Medi-Cal County Inmate Program Participation Agreement and Administrative
Services Agreement
RECOMMENDED ACTION(S)-
1. Approve and authorize the Chairman to execute a Participation Agreement with the
California Department of Health Care Services for participation in the Medi-Cal County
Inmate Program, effective July 1, 2023 and will remain in effect until terminated by either
party pursuant to and in accordance with the requirements and conditions set forth in this
Participation Agreement,for an estimated amount of$800,000; and
2. Approve and authorize the Chairman to execute an Administrative Services Agreement with
the California Department of Health Care Services to allow reimbursement for
administration of the Medi-Cal County Inmate Program for State Fiscal Year 2023-26,
effective July 1, 2023,through June 30, 2026,total not to exceed $26,636.
Approval of the first recommended action will allow medical providers to seek reimbursement from the
California Department of Health Care Services (DHCS) Medi-Cal County Inmate Program (MCIP)for
covered inpatient hospital services (covered services) rendered to eligible County adult inmates and juvenile
wards (eligible inmates)effective July 1, 2023, until such time as either party provides written notice of
non-renewal. Approval of the second recommended action provides for the reimbursement to DHCS for
their service costs to administer the MCIP. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, providers would not be reimbursed by DHCS for
covered services provided to eligible inmates who are incarcerated at Fresno County Detention Facilities
and the Juvenile Justice Campus. Furthermore, the County would retain responsibility for payment to
providers for these services. County provider participation in MCIP is contingent upon maintaining both the
Administrative Services and Participation Agreements with DHCS.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The estimated
three-year maximum compensation is $800,000 for the Medi-Cal County Inmate Program Participation
Agreement, which allows the County to participate in the MCIP. DHCS will also charge the County an annual
administrative service fee of$8,205 for year one, $8,861 for year two, and $9,570 for year three, which is
based on a methodology specified in the proposed Administrative Services Agreement with a maximum
compensation of$26,636 for the three-year agreement. Sufficient appropriations and estimated revenues
will be included in the Department of Public Health's Org 5620 FY2023-24 Recommended Budget and will
County of Fresno page 1 File Number:23-0167
File Number:23-0167
be included in future budget requests.
DISCUSSION:
Federal law generally prohibits claiming Medicaid funds to reimburse for health care services provided to
inmates residing in correctional facilities. However, this prohibition does not apply to inpatient hospital
services, including inpatient psychiatric services and physician services provided to an eligible inmate at a
medical facility that is located off the grounds of the correctional facility and when the inpatient hospitalization
is expected to be for at least 24 hours. Assembly Bill 1628 (Chapter 729, Statutes of 2010)and Assembly
Bill 396 (Chapter 394, Statutes of 2011)authorized DHCS and counties to claim Federal Financial
Participation (FFP)for medical and psychiatric inpatient hospital services provided to County Medi-Cal
eligible inmates housed in county correctional facilities.
On April 2, 2018, your Board approved Agreement Nos. 18-169 and 18-170 with California Forensic Medical
Group, Inc., (now Wellpath),which provide for participation in MCIP for inpatient hospitalization services.
On May 8, 2018, your Board approved the designation of the Sheriffs Office as an entity to assist County Jail
inmates with their health care applications to include MCIP applications. The designation allowed the
Sheriffs Office to assist and act on behalf of those inmates who are unwilling to cooperate and/or
incapacitated and/or unable to cooperate in the application process under the MCIP.
The County must have an executed MCIP Participation Agreement with DHCS prior to provider direct
submittal of service claims. The agreement sets forth the terms and the County shall retain financial
responsibility for inpatient hospital services provided to inmates and wards who are not eligible for MCIP.
Generally, these are inmates and wards receiving a pension or who have a source of income that is above
the allowable Medi-Cal limit.
As part of the MCIP Participation Agreement process, the Department submitted the MCIP Letter of Intent
Medi-Cal County Inmate Program County Participation Form for the State Fiscal Year(SFY)2023 through
SFY 2026, included as Attachment A. The form allowed DHCS to determine the County's administrative
services costs, which are included in the recommended MCIP Administrative Services Agreement.
Continued county provider participation in MCIP is contingent upon approval of both agreements and the
County must enter into both a new Participation Agreement and Administrative Services Agreement to allow
for continued MCIP provider invoicing beyond June 30, 2023.
This Participation Agreement has an estimated maximum compensation amount of$800,000 as there are
several factors that could affect the actual amount of compensation, which includes the recent local
recission of the Emergency Zero-Dollar Bail rule. This may result in longer incarcerations with more inpatient
hospital services being provided to inmates and wards, also of consideration is the possible increase in
Medi-Cal provider reimbursement in 2024, both of which would increase the County's share of the FFP.
Additionally, the mandated changes that will be brought about by the California Advancing and Innovating
Medi-Cal (CaIAIM) initiative Services and Supports for Justice-Involved Adults and Youth may lower the
actual Participation Agreement compensation starting in SFY 2024-25. The initiative will help to address poor
health outcomes and disproportionate risk of illness and accidental death among justice-involved Medi-Cal
eligible adults and youth as they re-enter their communities by providing the Medi-Cal Managed Care
enrollment process and providing targeted Medi-Cal services to eligible individuals while they are
incarcerated and 90-days prior to their release, thus ensuring continuity of coverage and services after
incarceration. Providers would not submit claims through the MCIP for any 90-day pre-release inpatient
services rendered. DHCS will charge the County for the Non-Federal Share of the Medi-Cal fee-for-service
reimbursed to medical providers not to exceed $800,000.
DHCS will charge the County an annual administrative fee of$8,205 for year one, $8,861 for year two, and
$9,570 for year three ($26,636), which is based on a methodology specified in the proposed Administrative
Services Agreement, Addendum A. The methodology for calculating the County's share of DHCS
County of Fresno page 2 File Number:23-0167
File Number:23-0167
administrative costs is based on population data with 30% of the total administrative costs being distributed
evenly to participating counties of over 50,000 in population and 70% of the total administrative costs being
allocated to participating counties pro-rata based on population. To account for the cost-of-living adjustment
on a yearly basis after year one, DHCS will include a year-over-year growth factor of 8% to the maximum
payable amount of the annual administrative cost for each subsequent SFY. DHCS will invoice the County
for the administrative costs quarterly after the close of the previous quarter based on actual administrative
costs.
The recommended agreements contain language stating that the County agrees to indemnify DHCS and
although neither agreement contains the standard County indemnification language and insurance
requirements, given the nature of this agreement, the Department is of the opinion, and County Risk
Management has concurred, that the agreements are in the County's best interest. The recommended
agreements allow DHCS to draw Federal funds for allowable services, which in turn allows the County to
realize a savings for costs that would have otherwise been incurred. The Participation Agreement also
contains Business Associate language.
DHCS has clarified that the recommended Participation Agreement, while containing evergreen language,
shall remain in effect for a maximum of three years (July 1, 2023, through June 30, 2026) and only as long
as the County remains in an Administrative Services Agreement with DHCS and should that Administrative
Services Agreement terminate, the Participation Agreement will automatically terminate as well.The
Participation Agreement shall remain in effect upon the same terms and conditions unless written notice of
non-renewal is given by either party to the other party by providing a 30-day written notice. The
Administrative Services Agreement shall be effective from July 1, 2023, through and including June 30, 2026,
unless written notice of non-renewal is given by either party to the other party by providing a 30-day written
notice. Termination of the proposed Administrative Services Agreement will automatically terminate the
Participation Agreement. Failure to enter into an Administrative Services Agreement with DHCS will also
deem the Participation Agreement terminated.
REFERENCE MATERIAL:
BAI #40, July 7, 2020
BAI #44, October 8, 2019
BAI #36, May 8, 2018
BAI#8, April 3, 2018
BAI #26, February 7, 2017
BAI #36.1, December 6, 2016
ATTACHMENTS INCLUDED AND/OR ON FILE:
Attachment A
On file with Clerk- Participation Agreement
On file with Clerk-Administrative Services Agreement
CAO ANALYST:
Ronald Alexander
County of Fresno Page 3 File Number:23-0167
State of California—Health and Human Services Agency
IDHCS s„ o►;T..
Department of Health Care Services
MICHELLE BAASS GAVIN NEWSOM
DIRECTOR GOVERNOR
Letter of Intent
Medi-Cal County Inmate Program
County Participation Form: SFY 2023 through SFY 2026
Fresno County chooses the option selected below in
County Name
response to our interest in voluntarily participating in the Medi-Cal County Inmate
Program (MCIP) from July 1, 2023, through June 30, 2026, for State Fiscal Years 2023-
2026:
0 Voluntarily Participate in MCIP- By selecting this option, we are
certifying our interest to voluntarily participate in the MCIP and intend
on submitting a fully executed Provider Participation Agreement and
Administrative Agreement.
❑ Not Interested in participating in MCIP
I hereby certify, that the option selected above is the option that said county will abide
by under penalty of perjury, to the best of my knowledge, is true and accurate based on
the time of submission. ,
County Official: Date: 1/5/2023
Signatu
County Official Title: County of Fresnor� rtment of Public Health Director
County Name: Fresno
Primary Contact: David LUchinl Alternate: Stephen McComas
Phone: (559) 600-6401 Phone:Assistant Sheriff (559)600-8145
Email:
dluchini@fresnocountyca.gov Email: stephen.mccomas@fresnosheriff.org
Submit completed electroninc form to the following email address:
DHCSIMCU@dhcs.ca.gov
Department of Health Care Services
Local Governmental Financing Division/Inmate Medi-Cal Claiming Unit, MS 2628
P.O. Box 997436, Sacramento, CA 95899-7436
E-Mail Address: DHCSIMCU@dhcs.ca.gov
Internet Address: http://www.DHCS.ca.gov
Agreement No. 23-169
State of California—Health and Human Services Agency
Department of Health Care Services
Medi-Cal County Inmate Program (MCIP)
Participation Agreement 23-MCIPFRESNO-10
County Name: Fresno
ARTICLE I — STATEMENT OF INTENT
The purpose of this Participation Agreement (PA) between the Department of Health Care Services
(DHCS) and the County of Fresno (County) is to permit the County to voluntarily participate in the
Medi-Cal County Inmate Program (MCIP).
ARTICLE II - AUTHORITY
This PA is authorized by Welfare and Institutions Code sections 14053.7, 14053.8, and Penal Code
section 5072.
ARTICLE III — TERM AND TERMINATION OF THE AGREEMENT
1. This PA is effective on July 1, 2023 (date).
2. This PA will remain in effect until terminated by either party pursuant to and in accordance with
the requirements and conditions set forth in this PA.
3. Termination Without Cause:
Either party may terminate this PA without cause, and terminate the participation of the County
in MCIP by issuing at least a 30 day prior written notification to the other party of the intent to
terminate. Notice of termination shall result in the County's immediate withdrawal from MCIP
on the termination date and exclusion from further participation in MCIP unless and until such
time as the County's participation is reinstated by DHCS in MCIP. The County shall remain
obligated to pay for the non-federal share of all MCIP services provided to the County.
4. Termination With Cause:
If the County fails to comply with any of the terms of this PA, DHCS may terminate this PA for
cause effective immediately by providing written notice to the County's representative listed in
ARTICLE IV. Furthermore, DHCS may terminate this PA for cause if DHCS determines that
the County does not meet the requirements for participation in MCIP, the County has not
submitted a valid reimbursement claim, or that the County is unable to certify that the claims
are eligible for federal funds. Termination for cause will result in the County's immediate
withdrawal and exclusion from further participation in the MCIP.
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Medi-Cal County Inmate Program Participation Agreement 23-MCIPFRESNO-10
County: Fresno
The conviction of an employee, subcontractor, or authorized agent of the County, or of an
employee or authorized agent of a subcontractor, of any felony or of a misdemeanor involving
fraud, abuse of any Medi-Cal applicant or beneficiary, or abuse of the Medi-Cal Program, shall
result in the exclusion of that employee, agent, or subcontractor, or employee or agent of a
subcontractor, from participation in MCIP. Failure of the County to exclude a convicted
individual from participation in MCIP shall constitute a breach of this agreement for which
DHCS may terminate this PA.
DHCS may terminate this PA in the event that DHCS determines that the County, or any
employee or contractor working with the County has violated the laws, regulations or rules
governing MCIP.
In cases where DHCS determines in its sole discretion that the health and welfare of Medi-Cal
beneficiaries or the public is jeopardized by continuation of this PA, this PA shall be terminated
effective the date that DHCS made such determination. After termination of the PA, any
overpayment must be returned to DHCS pursuant to Welfare and Institutions Code sections
14176 and 14177.
Finally, this PA will terminate automatically upon the termination of the County's MCIP
Administrative Service Agreement.
ARTICLE IV— PROJECT REPRESENTATIVES
David Luchini, Director, Department of Public Health
County of Fresno
P.O. Box 11867
Fresno, CA 93775
Uma De Silva, Chief
County-Based Claiming and Inmate Services Section
Telephone: (916) 345-7934
Fax: (916) 324-0738
E-Mail: Uma.DeSilva@dhcs.ca.gov
Direct all inquiries and notices to:
Inmates Medi-Cal Claiming Unit
Local Governmental Financing Division
1501 Capitol Ave., MS 2628
P.O. Box 997436
Sacramento, CA 95899-7436
Telephone: (916) 345-7895
E-Mail: DHCSIMCU(aOhcs.ca.gov
Any notice, request, demand or other communication required or permitted hereunder, shall be
deemed to be properly given when delivered to the project representatives identified above.
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ARTICLE V— PAYMENT TERMS AND INVOICING
1. The County shall compensate DHCS for the County's apportioned share of the nonfederal
share of MCIP services listed in Article VII, as required by Welfare and Institutions Code
sections 14053.7 and 14053.8, Government Code sections 26605.6, 26605.7, and
26605.8, and Penal Code 5072 within 60 days of receipt of an invoice from DHCS, which
specifies both the total federally claimable cost and the nonfederal share of the total cost,
for payments DHCS has made to providers. The DHCS invoice shall not contain and the
County shall not compensate DHCS for MCIP services provided by Medi-Cal providers
where the County incurs the cost of providing MCIP services and claims them through the
CPE process as outlined specifically for Designated Public Hospitals (DPHs). The County
shall not reimburse DHCS for the nonfederal share of services as Certified Public
Expenditures (CPEs) of DPHs.
2. DHCS shall submit to the County a quarterly invoice for MCIP services that identifies the
nonfederal share amount, and a report that contains information regarding paid claims data
for the quarter, including information identifying the provider of services and the beneficiary,
the recipient aid code, and amount of reimbursement, and other information that may be
agreed to between the parties.
If after comparing its owed nonfederal share to payments actually made, the County has
overpaid DHCS, and the amount is undisputed DHCS shall refund the overpayment to the
County within 180 days of receipt of an invoice containing the same information from the
County. This refund may be made by offsetting the amount against the County's next
quarterly payment due to DHCS.
3. DPHs, in MCIP participating counties may submit claims and follow the CPE process which
includes a pricing methodology established on an annual basis. These DPHs are paid
using Federal Financial Participation (FFP) only.
ARTICLE VI — COUNTY RESPONSIBILITIES
1. Except as provided in subdivision (f.) of this section, the County is responsible for
reimbursing DHCS for the nonfederal share of MCIP services paid by DHCS.
a. The County may pay a Medi-Cal provider to the extent required by or otherwise
permitted by state and federal law to arrange for services for Medi-Cal beneficiaries.
Such additional amounts shall be paid entirely with county funds, and shall not be
eligible for Social Security Act Title XIX FFP.
b. If DHCS pays the Medi-Cal provider more than what the County would have paid for
services rendered, the County cannot request and receive the difference from the Medi-
Cal provider.
c. If the County would have paid the Medi-Cal provider less than what DHCS paid the
Medi-Cal provider, the County is still obligated to reimburse DHCS for the nonfederal
share of DHCS' payment for the MCIP services.
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Medi-Cal County Inmate Program Participation Agreement 23-MCIPFRESNO-10
County: Fresno
d. In the event that FFP is not available for any MCIP service claimed pursuant to this PA,
the County shall be solely responsible for arranging and paying for the MCIP service.
e. If the Centers for Medicare & Medicaid Services (CMS) determines an overpayment has
occurred including the application of any federal payment limit that reduces the amount
of FFP available then DHCS shall seek the overpayment amount from the provider,
return the collected FFP to CMS, and return the collected nonfederal share to the
County. In the event that DHCS cannot recover the overpayment from the Medi-Cal
provider, the County shall pay DHCS an amount equal to the FFP portion of the
unrecovered amount to the extent that Section 1903(d)(2)(D) of the Social Security Act
is found not to apply.
f. The County is not responsible for reimbursing DHCS for the nonfederal share of
expenditures for MCIP services provided by DPHs when those services are reimbursed
under the CPE process because DHCS is not responsible for the nonfederal share of
expenditures for MCIP services reimbursed in the CPE process.
2. If CMS determines DHCS claimed a higher Federal Medical Assistance Percentage
(FMAP) rate than is allowed and FFP is reduced by CMS then the County shall hold DHCS
harmless for the return of the FFP to CMS.
3. Upon the County's compliance with all applicable provisions in this PA and applicable laws,
the County may send its MCIP-eligible beneficiaries to Medi-Cal providers to receive MCIP
services.
4. The County understands and agrees that the overall nature of the medical facilities in which
an inmate receives medical services must be one of community interaction such that
members of the general public may be admitted to receive services and admission into the
medical facility or into specific beds within the facility is not limited to individuals under the
responsibility of a correctional facility, and that inmates are admitted to specific medical
units not based on their status as inmates of a correctional institution, but rather on their
treatment needs and plan of care.
5. Ensure that an appropriate audit trail exists within records and accounting system and
maintain expenditure data as indicated in this PA.
6. The County agrees to provide to DHCS or any federal or state department with monitoring
or reviewing authority, access and the right to examine its applicable records and
documents for compliance with relevant federal and state statutes, rules and regulations,
and this PA.
7. In the event of any federal deferral or disallowance applicable to MCIP expenditures, the
County shall provide all documents requested by DHCS within 14 days.
8. The County shall assist with the completion and delivery of completed Medi-Cal
applications to the County Welfare Department within 90 days after the date of admission
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of the beneficiary to a Medi-Cal provider off of the grounds of the County correctional
facility resulting in an expected stay of more than 24 hours.
9. As a condition of participation in MCIP, and in recognition of revenue generated by MCIP,
the County shall pay annual administrative costs directly to DHCS.
a. The annual administrative costs payment shall be used to cover DHCS' administrative
costs associated with MCIP, including, but not limited to, claims processing, technical
assistance, and monitoring. DHCS shall determine and report staffing requirements
upon which projected costs will be based.
b. The amount of the administrative costs shall be based upon the anticipated state
salaries, benefits, operating expenses, and equipment necessary to administer MCIP
and other costs related to that process.
c. The County shall enter in to a separate agreement with DHCS to reimburse DHCS for
the administrative costs of administering MCIP.
ARTICLE VII — DHCS RESPONSIBILITIES
1. DHCS shall pay the appropriate Medi-Cal fee-for-service rate to Medi-Cal providers that
directly bill DHCS for MCIP services rendered to the County's MCIP eligible beneficiaries
and seek FFP for these service claims. DHCS shall be responsible to pay such Medi-Cal
providers only to the extent the County commits to reimburse DHCS for the nonfederal
share of all federally reimbursable MCIP claims and for which FFP is available and
obtained by DHCS for the MCIP service claims.
2. DHCS shall maintain accounting records to a level of detail which identifies the actual
expenditures incurred for MCIP services, the services provided, the county responsible, the
specific MCIP-eligible beneficiary treated, the MCIP-eligible beneficiaries aid code, and the
specific provider billing.
3. DHCS shall submit claims in a timely manner to CMS to draw down FFP and shall
distribute FFP for all eligible claims.
4. DHCS shall:
a. Ensure that an appropriate audit trail exists within records and accounting system and
maintain expenditure data as indicated in this PA.
b. Designate a person to act as liaison with the County concerning issues arising under
this PA. This person shall be identified to the County's contact person for this PA.
c. Provide a written response by email or mail to the County's contact person within 30
days of receiving a written request for information related to MCIP.
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d. With each quarterly cost invoice, provide a paid claim analysis report to the County
regarding MCIP claims submitted by providers for the County's MCIP-eligible
beneficiaries. This analysis shall be used to determine the amount of the non-federal
share that the County is obligated to pay under this PA.
5. Should the services to be performed under this PA conflict with DHCS' responsibilities under
federal Medicaid law, those responsibilities shall take precedence.
6. DHCS' cessation of any activities due to federal Medicaid responsibilities does not
relinquish the obligation of the County to reimburse DHCS for MCIP services incurred by
DHCS in connection with this PA for periods in which the County participated in MCIP.
7. DHCS agrees to provide to the County, or any federal or state department with monitoring
or reviewing authority, access and the right to examine its applicable records and
documents for compliance with relevant federal and state statutes, rules and regulations,
and this PA.
ARTICLE Vill — FISCAL PROVISIONS
1. DHCS will invoice the County quarterly at the address indicated in ARTICLE IV. Each
invoice shall include the agreement number and supporting documentation for the previous
quarter's paid claims.
2. Counties are required to sign and submit the MCIP Certification and Hold Harmless by an
authorized county representative to DHCS annually to ensure the County is providing
efficient oversight of federal expenditures.
ARTICLE IX— BUDGET CONTIGENCY CLAUSE
1. It is mutually agreed that if the State Budget Act of the current State Fiscal Year (SFY) and
any subsequent SFYs covered under this PA does not provide sufficient funds for MCIP,
this PA shall be of no further force and effect. In this event, the DHCS shall have no liability
to pay any funds whatsoever to the County or to furnish any other considerations under the
PA and the County shall not be obligated to perform any provisions of this PA.
2. If funding for any SFY is reduced or deleted by the State Budget Act for purposes of MCIP,
DHCS shall have the option to either cancel this PA, with no liability occurring to DHCS, or
offer an agreement amendment to the County to reflect the reduced amount.
ARTICLE X— LIMITATION OF STATE LIABILITY
1. In the event of a federal audit disallowance, the County shall cooperate with DHCS in
replying to and complying with any federal audit exception related to MCIP. The County
shall assume sole financial responsibility for any and all federal audit disallowances related
to the rendering of services under this PA. The County shall assume sole financial
responsibility for any and all penalties and interest charged as a result of a federal audit
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disallowance related to the rendering of services under this PA. The amount of the federal
audit disallowance, plus interest and penalties shall be payable on demand from DHCS.
2. To the extent that a federal audit disallowance and interest results from a claim or claims
for which the Medi-Cal provider has received reimbursement for MCIP services under this
PA, DHCS shall recoup from the Medi-Cal provider, upon written notice of 60 days after the
completion of an audit or other examination that results in the discovery of an overpayment
per Welfare and Institutions Code section14172.5), amounts equal to the amount of the
disallowance and interest in that state fiscal year for the disallowed claim, less the amounts
already remitted to or recovered by DHCS.
ARTICLE XI —AMENDMENT
1. This PA and any exhibits attached hereto, along with the MCIP Administrative Agreement
shall constitute the entire agreement among the parties regarding MCIP and supersedes
any prior or contemporaneous understanding or agreement with respect to MCIP and may
be amended only by a written amendment to this PA.
2. Changes to the project representatives may be made via written communication including
email by either party and shall not constitute a formal amendment to the PA.
ARTICLE XII — GENERAL PROVISIONS
1. None of the provisions of this PA are or shall be construed as for the benefit of, or
enforceable by any person not a party to this PA.
2. The interpretation and performance of this PA shall be governed by the State of California.
The venue shall lie only in counties in which the California Attorney General maintains an
office.
DHCS and the County shall maintain and preserve all records relating to this PA for a
period of three years from DHCS' receipt of the last payment of FFP or until three years
after all audit findings are resolved, whichever is later. This does not limit any
responsibilities held by DHCS or the County provided for elsewhere in this PA, or in state or
federal law.
ARTICLE XIII — INDEMNIFICATION
It is agreed that the County shall defend, hold harmless, and indemnify DHCS, its officers,
employees, and agents from any and all claims liability, loss or expense (including reasonable
attorney fees) for injuries or damage to any person or property which arise out of the terms and
conditions of this PA and the negligent and intentional acts or omissions of the County, its officers,
employees, or agents.
ARTICLE XIV—AVOIDANCE OF CONFLICTS OF INTEREST
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Medi-Cal County Inmate Program Participation Agreement 23-MCIPFRESNO-10
County: Fresno
The County is subject to compliance with the Medi-Cal Conflict of Interest Law, as applicable and set
forth in Welfare and Institutions Code section 14022, and Article 1.1 (commencing with Welfare and
Institutions Code section 14047), and implemented pursuant to 22 California Code of Regulations,
section 51466.
ARTICLE XV— CONFIDENTIALITY
The County shall comply with the applicable confidentiality requirements as specified in Section
1902(a)(7) of the Social Security Act; 42 Code of Federal Regulations, part 431.300; Welfare and
Institutions Code section 14100.2; and 22 California Code of Regulations, section 51009; and, the
Business Associates Agreement hereby incorporated by reference.
ARTICLE XVI —ALTERNATIVE FORMATTING
1. The County assures the state that it complies with the ADA, which prohibits discrimination on
the basis of disability, as well as all applicable regulations and guidelines issued pursuant to
the ADA.
2. County will ensure that deliverables developed and produced pursuant to this Agreement
comply with federal and state laws, regulations or requirements regarding accessibility and
effective communication, including the Americans with Disabilities Act (42 U.S.C. § 12101, et.
seq.), which prohibits discrimination on the basis of disability, and section 508 of the
Rehabilitation Act of 1973 as amended (29 U.S.C. § 794 (d)). Specifically, electronic and
printed documents intended as public communications must be produced to ensure the visual-
impaired, hearing-impaired, and other special needs audiences are provided material
information in the formats needed to provide the most assistance in making informed choices.
These formats include but are not limited to braille, large font, and audio.
THIS SPACE INTENTIONALLY LEFT BLANK
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Medi-Cal County Inmate Program Participation Agreement 23-MCIPFRESNO-10
County: Fresno
The signatories to this PA warrant that they have full and binding authority to the commitments
contained herein on behalf of their respective entities.
County Name: County of Fresno
Sal Quintero
Name of Authorized Representative
(Person legally authorized to bind contracts for the County)
Chairman of the Board of Supervisors of the County of Fresno
Title of Authorized Representative
o--% , %, -I _
Si nat r of uthorized
Re sentative
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
Date County of Fresno,State of California
By / r.a lj;t l ._Deputy
STATE OF CALIFORNIA — DEP RTMFNT-OF HEALTH CARE SERVICES
Signature of the DHCS Authorized Representative
Robert M. Strom
Typed or Printed Name of the DHCS Authorized Representative
Staff Services Manager II
Typed or Printed Title of the DHCS Authorized Representative
AUG 0 S 2M
Date
[Page 9 of 9] DHCS 07/01/2023
County of Fresno
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Business Associate Addendum
1. This Agreement has been determined to constitute a business associate
relationship under the Health Insurance Portability and Accountability Act
(HIPAA) and its implementing privacy and security regulations at 45 Code of
Federal Regulations, Parts 160 and 164 (collectively, and as used in this
Agreement)
2. The term "Agreement" as used in this document refers to and includes both this
Business Associate Addendum and the contract to which this Business Associate
Agreement is attached as an exhibit, if any.
3. For purposes of this Agreement, the term "Business Associate" shall have the
same meaning as set forth in 45 CFR section 160.103.
4. The Department of Health Care Services (DHCS) intends that Business
Associate may create, receive, maintain, transmit or aggregate certain
information pursuant to the terms of this Agreement, some of which information
may constitute Protected Health Information (PHI) and/or confidential information
protected by Federal and/or state laws.
4.1 As used in this Agreement and unless otherwise stated, the term "PHI"
refers to and includes both "PHI" as defined at 45 CFR section 160.103
and Personal Information (PI) as defined in the Information Practices Act
(IPA) at California Civil Code section 1798.3(a). PHI includes information
in any form, including paper, oral, and electronic.
4.2 As used in this Agreement, the term "confidential information" refers to
information not otherwise defined as PHI in Section 4.1 of this Agreement,
but to which state and/or federal privacy and/or security protections apply.
5. Contractor (however named elsewhere in this Agreement) is the Business
Associate of DHCS acting on DHCS's behalf and provides services or arranges,
performs or assists in the performance of functions or activities on behalf of
DHCS, and may create, receive, maintain, transmit, aggregate, use or disclose
PHI (collectively, "use or disclose PHI") in order to fulfill Business Associate's
obligations under this Agreement. DHCS and Business Associate are each a
party to this Agreement and are collectively referred to as the "parties."
6. The terms used in this Agreement, but not otherwise defined, shall have the
same meanings as those terms in HIPAA and/or the IPA. Any reference to
statutory or regulatory language shall be to such language as in effect or as
amended.
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7. Permitted Uses and Disclosures of PHI by Business Associate
Except as otherwise indicated in this Agreement, Business Associate may use or
disclose PHI, inclusive of de-identified data derived from such PHI, only to
perform functions, activities or services specified in this Agreement on behalf of
DHCS, provided that such use or disclosure would not violate HIPAA or other
applicable laws if done by DHCS.
7.1 Specific Use and Disclosure Provisions
Except as otherwise indicated in this Agreement, Business Associate may
use and disclose PHI if necessary for the proper management and
administration of the Business Associate or to carry out the legal
responsibilities of the Business Associate. Business Associate may
disclose PHI for this purpose if the disclosure is required by law, or the
Business Associate obtains reasonable assurances from the person to
whom the information is disclosed that it will be held confidentially and
used or further disclosed only as required by law or for the purposes for
which it was disclosed to the person. The person shall notify the Business
Associate of any instances of which the person is aware that the
confidentiality of the information has been breached, unless such person
is a treatment provider not acting as a business associate of Business
Associate.
8. Compliance with Other Applicable Law
8.1 To the extent that other state and/or federal laws provide additional,
stricter and/or more protective (collectively, more protective) privacy
and/or security protections to PHI or other confidential information covered
under this Agreement beyond those provided through HIPAA, Business
Associate agrees:
8.1.1 To comply with the more protective of the privacy and security
standards set forth in applicable state or federal laws to the
extent such standards provide a greater degree of protection
and security than HIPAA or are otherwise more favorable to the
individuals whose information is concerned; and
8.1.2 To treat any violation of such additional and/or more protective
standards as a breach or security incident, as appropriate,
pursuant to Section 18. of this Agreement.
8.2 Examples of laws that provide additional and/or stricter privacy protections
to certain types of PHI and/or confidential information, as defined in
Section 4. of this Agreement, include, but are not limited to the Information
Practices Act, California Civil Code sections 1798-1798.78, Confidentiality
of Alcohol and Drug Abuse Patient Records, 42 CFR Part 2, Welfare and
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Institutions Code section 5328, and California Health and Safety Code
section 11845.5.
8.3 If Business Associate is a Qualified Service Organization (QSO) as
defined in 42 CFR section 2.11, Business Associate agrees to be bound
by and comply with subdivisions (2)(i) and (2)(ii) under the definition of
QSO in 42 CFR section 2.11.
9. Additional Responsibilities of Business Associate
9.1 Nondisclosure
9.1.1 Business Associate shall not use or disclose PHI or other
confidential information other than as permitted or required by
this Agreement or as required by law.
9.2 Safeguards and Security
9.2.1 Business Associate shall use safeguards that reasonably and
appropriately protect the confidentiality, integrity, and availability
of PHI and other confidential data and comply, where
applicable, with subpart C of 45 CFR Part 164 with respect to
electronic protected health information, to prevent use or
disclosure of the information other than as provided for by this
Agreement. Such safeguards shall be based on applicable
Federal Information Processing Standards (FIPS) Publication
199 protection levels.
9.2.2 Business Associate shall, at a minimum, utilize a National
Institute of Standards and Technology Special Publication (NIST
SP) 800-53 compliant security framework when selecting and
implementing its security controls and shall maintain continuous
compliance with NIST SP 800-53 as it may be updated from
time to time. The current version of NIST SP 800-53, Revision
5, is available online at; updates will be available online through
the Computer Security Resource Center website.
9.2.3 Business Associate shall employ FIPS 140-2 validated
encryption of PHI at rest and in motion unless Business
Associate determines it is not reasonable and appropriate to do
so based upon a risk assessment, and equivalent alternative
measures are in place and documented as such. FIPS 140-2
validation can be determined online through the Cryptographic
Module Validation Program Search, with information about the
Cryptographic Module Validation Program under FIPS 140-2. In
addition, Business Associate shall maintain, at a minimum, the
most current industry standards for transmission and storage of
PHI and other confidential information.
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9.2.4 Business Associate shall apply security patches and upgrades,
and keep virus software up-to-date, on all systems on which PHI
and other confidential information may be used.
9.2.5 Business Associate shall ensure that all members of its
workforce with access to PHI and/or other confidential
information sign a confidentiality statement prior to access to
such data. The statement must be renewed annually.
9.2.6 Business Associate shall identify the security official who is
responsible for the development and implementation of the
policies and procedures required by 45 CFR Part 164, Subpart
C.
9.3 Business Associate's Agent
Business Associate shall ensure that any agents, subcontractors,
subawardees, vendors or others (collectively, "agents") that use or
disclose PHI and/or confidential information on behalf of Business
Associate agree to the same restrictions and conditions that apply to
Business Associate with respect to such PHI and/or confidential
information.
10. Mitigation of Harmful Effects
Business Associate shall mitigate, to the extent practicable, any harmful effect
that is known to Business Associate of a use or disclosure of PHI and other
confidential information in violation of the requirements of this Agreement.
11. Access to PHI
Business Associate shall make PHI available in accordance with 45 CFR section
164.524.
12. Amendment of PHI
Business Associate shall make PHI available for amendment and incorporate
any amendments to protected health information in accordance with 45 CFR
section 164.526.
13. Accounting for Disclosures
Business Associate shall make available the information required to provide an
accounting of disclosures in accordance with 45 CFR section 164.528.
14. Compliance with DHCS Obligations
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To the extent Business Associate is to carry out an obligation of DHCS under 45
CFR Part 164, Subpart E, comply with the requirements of the subpart that apply
to DHCS in the performance of such obligation.
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15. Access to Practices, Books and Records
Business Associate shall make its internal practices, books, and records relating
to the use and disclosure of PHI on behalf of DHCS available to DHCS upon
reasonable request, and to the federal Secretary of Health and Human Services
for purposes of determining DHCS' compliance with 45 CFR Part 164, Subpart E.
16. Return or Destroy PHI on Termination; Survival
At termination of this Agreement, if feasible, Business Associate shall return or
destroy all PHI and other confidential information received from, or created or
received by Business Associate on behalf of, DHCS that Business Associate still
maintains in any form and retain no copies of such information. If return or
destruction is not feasible, Business Associate shall notify DHCS of the
conditions that make the return or destruction infeasible, and DHCS and
Business Associate shall determine the terms and conditions under which
Business Associate may retain the PHI. If such return or destruction is not
feasible, Business Associate shall extend the protections of this Agreement to
the information and limit further uses and disclosures to those purposes that
make the return or destruction of the information infeasible.
17. Special Provision for SSA Data
If Business Associate receives data from or on behalf of DHCS that was verified
by or provided by the Social Security Administration (SSA data) and is subject to
an agreement between DHCS and SSA, Business Associate shall provide, upon
request by DHCS, a list of all employees and agents and employees who have
access to such data, including employees and agents of its agents, to DHCS.
18. Breaches and Security Incidents
Business Associate shall implement reasonable systems for the discovery and
prompt reporting of any breach or security incident, and take the following steps:
18.1 Notice to DHCS
18.1.1 Business Associate shall notify DHCS immediately upon the
discovery of a suspected breach or security incident that
involves SSA data. This notification will be provided by email
upon discovery of the breach. If Business Associate is unable to
provide notification by email, then Business Associate shall
provide notice by telephone to DHCS.
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18.1.2 Business Associate shall notify DHCS within 24 hours by email
(or by telephone if Business Associate is unable to email DHCS)
of the discovery of the following, unless attributable to a
treatment provider that is not acting as a business associate of
Business Associate:
18.1.2.1 Unsecured PHI if the PHI is reasonably believed to
have been accessed or acquired by an unauthorized
person;
18.1.2.2 Any suspected security incident which risks
unauthorized access to PHI and/or other confidential
information;
18.1.2.3 Any intrusion or unauthorized access, use or
disclosure of PHI in violation of this Agreement; or
18.1.2.4 Potential loss of confidential information affecting this
Agreement.
18.1.3 Notice shall be provided to the DHCS Program Contract
Manager (as applicable), the DHCS Privacy Office, and the
DHCS Information Security Office (collectively, "DHCS
Contacts") using the DHCS Contact Information in Section 18.6.
Notice shall be made using the current DHCS "Privacy Incident
Reporting Form" ("PIR Form"; the initial notice of a security
incident or breach that is submitted is referred to as an "Initial
PIR Form") and shall include all information known at the time
the incident is reported. The form is available online at the
DHCS Data Privacy webpage.
Upon discovery of a breach or suspected security incident,
intrusion or unauthorized access, use or disclosure of PHI,
Business Associate shall take:
18.1.3.1 Prompt action to mitigate any risks or damages
involved with the security incident or breach; and
18.1.3.2 Any action pertaining to such unauthorized disclosure
required by applicable Federal and State law.
18.2 Investigation
Business Associate shall immediately investigate such security incident or
breach.
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18.3 Complete Report
To provide a complete report of the investigation to the DHCS contacts
within ten (10) working days of the discovery of the security incident or
breach. This "Final PIR" must include any applicable additional information
not included in the Initial Form. The Final PIR Form shall include an
assessment of all known factors relevant to a determination of whether a
breach occurred under HIPAA and other applicable federal and state laws.
The report shall also include a full, detailed corrective action plan,
including its implementation date and information on mitigation measures
taken to halt and/or contain the improper use or disclosure. If DHCS
requests information in addition to that requested through the PIR form,
Business Associate shall make reasonable efforts to provide DHCS with
such information. A "Supplemental PIR" may be used to submit revised or
additional information after the Final PIR is submitted. DHCS will review
and approve or disapprove Business Associate's determination of whether
a breach occurred, whether the security incident or breach is reportable to
the appropriate entities, if individual notifications are required, and
Business Associate's corrective action plan.
18.3.1 If Business Associate does not complete a Final PIR within the
ten (10) working day timeframe, Business Associate shall
request approval from DHCS within the ten (10) working day
timeframe of a new submission timeframe for the Final PIR.
18.4 Notification of Individuals
If the cause of a breach is attributable to Business Associate or its agents,
other than when attributable to a treatment provider that is not acting as a
business associate of Business Associate, Business Associate shall notify
individuals accordingly and shall pay all costs of such notifications, as well
as all costs associated with the breach. The notifications shall comply with
applicable federal and state law. DHCS shall approve the time, manner
and content of any such notifications and their review and approval must
be obtained before the notifications are made.
18.5 Responsibility for Reporting of Breaches to Entities Other than
DHCS
If the cause of a breach of PHI is attributable to Business Associate or its
agents, other than when attributable to a treatment provider that is not
acting as a business associate of Business Associate, Business Associate
is responsible for all required reporting of the breach as required by
applicable federal and state law.
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18.6 DHCS Contact Information
To direct communications to the above referenced DHCS staff, the
Contractor shall initiate contact as indicated here. DHCS reserves the right
to make changes to the contact information below by giving written notice
to Business Associate. These changes shall not require an amendment to
this Agreement.
18.6.1 DHCS Program Contract Manager
See the Scope of Work exhibit for Program Contract Manager
information. If this Business Associate Agreement is not
attached as an exhibit to a contract, contact the DHCS signatory
to this Agreement.
18.6.2 DHCS Privacy Office
Privacy Office
c/o: Office of HIPAA Compliance
Department of Health Care Services
P.O. Box 997413, MS 4722
Sacramento, CA 95899-7413
Email: incidents(a dhcs.ca.gov
Telephone: (916) 445-4646
18.6.3 DHCS Information Security Office
Information Security Office
DHCS Information Security Office
P.O. Box 997413, MS 6400
Sacramento, CA 95899-7413
Email: incidents(aD_dhcs.ca.gov
19. Responsibility of DHCS
DHCS agrees to not request the Business Associate to use or disclose PHI in
any manner that would not be permissible under HIPAA and/or other applicable
federal and/or state law.
20. Audits, Inspection and Enforcement
20.1 From time to time, DHCS may inspect the facilities, systems, books and
records of Business Associate to monitor compliance with this Agreement.
Business Associate shall promptly remedy any violation of this Agreement
and shall certify the same to the DHCS Privacy Officer in writing. Whether
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or how DHCS exercises this provision shall not in any respect relieve
Business Associate of its responsibility to comply with this Agreement.
20.2 If Business Associate is the subject of an audit, compliance review,
investigation or any proceeding that is related to the performance of its
obligations pursuant to this Agreement, or is the subject of any judicial or
administrative proceeding alleging a violation of HIPAA, Business
Associate shall promptly notify DHCS unless it is legally prohibited from
doing so.
21. Termination
21.1 Termination for Cause
Upon DHCS' knowledge of a violation of this Agreement by Business
Associate, DHCS may in its discretion:
21.1.1 Provide an opportunity for Business Associate to cure the
violation and terminate this Agreement if Business Associate
does not do so within the time specified by DHCS; or
21.1.2 Terminate this Agreement if Business Associate has violated a
material term of this Agreement.
21.2 Judicial or Administrative Proceedings
DHCS may terminate this Agreement if Business Associate is found to
have violated HIPAA, or stipulates or consents to any such conclusion, in
any judicial or administrative proceeding.
22. Miscellaneous Provisions
22.1 Disclaimer
DHCS makes no warranty or representation that compliance by Business
Associate with this Agreement will satisfy Business Associate's business
needs or compliance obligations. Business Associate is solely responsible
for all decisions made by Business Associate regarding the safeguarding
of PHI and other confidential information.
22.2 Amendment
22.2.1 Any provision of this Agreement which is in conflict with current
or future applicable Federal or State laws is hereby amended to
conform to the provisions of those laws. Such amendment of
this Agreement shall be effective on the effective date of the
laws necessitating it, and shall be binding on the parties even
though such amendment may not have been reduced to writing
and formally agreed upon and executed by the parties.
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22.2.2 Failure by Business Associate to take necessary actions
required by amendments to this Agreement under Section
22.2.1 shall constitute a material violation of this Agreement.
22.3 Assistance in Litigation or Administrative Proceedings
Business Associate shall make itself and its employees and agents
available to DHCS at no cost to DHCS to testify as witnesses, or
otherwise, in the event of litigation or administrative proceedings being
commenced against DHCS, its directors, officers and/or employees based
upon claimed violation of HIPAA, which involve inactions or actions by the
Business Associate.
22.4 No Third-Party Beneficiaries
Nothing in this Agreement is intended to or shall confer, upon any third
person any rights or remedies whatsoever.
22.5 Interpretation
The terms and conditions in this Agreement shall be interpreted as broadly
as necessary to implement and comply with HIPAA and other applicable
laws.
22.6 No Waiver of Obligations
No change, waiver or discharge of any liability or obligation hereunder on
any one or more occasions shall be deemed a waiver of performance of
any continuing or other obligation, or shall prohibit enforcement of any
obligation, on any other occasion.
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California Department of Health Care Services
Name: Medical County Inmate Program (MCIP) Participation Agreement
No.: 23-MCI PFRESNO-10
Fund/Subclass: 0001/10000
Organization #: 56201683
Revenue Account #: 7295
Est. $800,000 Annually