Plumas County Municipal Code Ch. 10 Partnership Healthplan of California Commission

(a) Partnership HealthPlan of California Commission ("Commission") is a multi-County commission that has created a managed health care plan for Medi-Cal recipients. The purpose of this chapter is to authorize the County of Plumas to join the existing Commission. This will allow the implementation of a County organized health system in Plumas County as authorized by Welfare and Institutions Code Section 14087.54.

(b) The Commission will negotiate an exclusive contract with the California Department of Health Care Services authorizing the expansion of the Partnership HealthPlan of California into Plumas County. This expansion is expected to occur on or about January 1, 2024.

(§ 1, Ord. 2021-1137, adopted September 14, 2021)

Pursuant to Welfare and Intuitions Code section 14087.54, the Plumas County Board of Supervisors hereby authorizes the County of Plumas to join the Commission.

(§ 1, Ord. 2021-1137, adopted September 14, 2021)

(a) Commission representation shall be based on the number of Medi-Cal beneficiaries enrolled in the HealthPlan in each County, as determined by the Partnership HealthPlan of California established formula.

(b) Individuals may be appointed to the Partnership HealthPlan Commission by the Plumas County Board of Supervisors, with recommendations from the Plumas County Director of Public Health.

(c) The Commission members appointed by the Plumas County Board of Supervisors shall serve at the pleasure of the Board and shall represent be selected as follows:

(d) Individuals appointed to the Partnership Commission may include:

(1) Employees of the County within Public Health

(2) Local healthcare and medical providers who provide services to Medi-Cal beneficiaries

(3) Medi-Cal beneficiaries

(4) Family members of Medi-Cal beneficiaries.

(§ 1, Ord. 2021-1137, adopted September 14, 2021)

The term for the Commissioners shall be for a two-year period. Nothing herein shall prohibit a person from serving more than one (1) term. Each Commission member shall remain in office at the conclusion of the member's term until a successor member has been selected and installed into office. An office shall become vacant if a Commission member discontinues to live or work in Plumas County, or fails to attend, without advance notice, three (3) meetings in a row of the Commission.

(§ 1, Ord. 2021-1137, adopted September 14, 2021)

Pursuant to Welfare and Institutions Code section 14087.54(d), any obligations of the Commission, statutory, contractual, or otherwise, shall be the obligations solely of the Commission and shall not be the obligations of the County of Plumas.

(§ 1, Ord. 2021-1137, adopted September 14, 2021)

The County may establish a local managed care Committee to inform the Commission on behalf of Plumas County of local health needs, priorities and issues. Individuals on this local Committee shall by nominated by the Plumas County Director of Public Health or designee.

(§ 1, Ord. 2021-1137, adopted September 14, 2021)

The Commission shall continue to represent Plumas County until such time as the Plumas County Board of Supervisors terminates the representation. To terminate the representation, the Plumas County Board of Supervisors or its designee shall provide ninety (90)-day notice to other participating counties and the State Department of Health Care Services, as specified in Welfare and Institutions Code section 14087.54(g).

(§ 1, Ord. 2021-1137, adopted September 14, 2021)