Chapter 11.04
PARTNERSHIP WITH HEALTH PLAN OF SAN JOAQUIN
Sections:
11.04.020 Membership of commission.
11.04.040 Powers and duties of commission.
11.04.050 Obligations of commission.
11.04.005 Purpose.
San Joaquin County health 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 permit the county of Alpine to join the existing commission. This will allow the implementation of a two-plan managed care model and local initiative health plan in Alpine County as authorized by Welfare and Institutions Code Section 14087.31.
The commission has a proven record of improving health care access to its members, who are Medi-Cal recipients, and improving Medi-Cal reimbursement rates to health care providers. The commission links each member with a primary care provider and has been successful in reducing inappropriate use of emergency rooms, providing appropriate levels of inpatient care for its members, developing innovative case management programs, and arranging for the provision of an enhanced level of local health care services.
The commission will negotiate an exclusive contract with the California Department of Health Care Services authorizing the expansion of the Health Plan of San Joaquin into Alpine County. This expansion is expected to occur on or about July 1, 2024. (Ord. 746 § 1, 2021; Ord. 742 § 1, 2021. Formerly 11.04.010)
11.04.010 Authorization.
Pursuant to Welfare and Institutions Code Section 14087.31, the Alpine County board of supervisors hereby authorizes Alpine County to join the commission. (Ord. 746 § 1, 2021; Ord. 742 § 1, 2021. Formerly 11.04.020)
11.04.020 Membership of commission.
The commission shall be comprised of thirteen commissioners with eleven commissioners appointed by the San Joaquin County board of supervisors, one commissioner appointed by the Alpine County board of supervisors and one commissioner appointed by the El Dorado County board of supervisors. The members appointed by the San Joaquin County board of supervisors shall be appointed in accordance with San Joaquin County Ordinance Code Division 7.
A. The member appointed by the Alpine County board of supervisors shall be:
1. A member of the Alpine County board of supervisors;
2. A county employee;
3. A Medi-Cal beneficiary who is also an HPSJ member; or
4. An HPSJ contracted health care provider.
B. The member appointed by the El Dorado County board of supervisors shall be:
1. A member of the El Dorado County board of supervisors;
2. A county employee;
3. A Medi-Cal beneficiary who is also an HPSJ member; or
4. An HPSJ contracted health care provider. (Ord. 746 § 1, 2021; Ord. 742 § 1, 2021. Formerly 11.04.030)
11.04.030 Term of office.
Commissioners shall serve a term of three years. (Ord. 746 § 1, 2021; Ord. 742 § 1, 2021. Formerly 11.04.040)
11.04.040 Powers and duties of commission.
Pursuant to the provisions of Section 14087.31 of the Welfare and Institutions Code and San Joaquin County Ordinance Code Section 5-7100 et seq., as it exists on the date of adoption of the ordinance codified in this chapter, the commission shall:
A. Have the power to negotiate the contract as specified in Section 14087.31 of the Welfare and Institutions Code, and to arrange for the provision of health care services provided under Chapter 7, Part 3, Division 9 of the Welfare and Institutions Code;
B. Be considered an entity separate from the county of Alpine County and the county of San Joaquin; and
C. Have the power to acquire, possess, and dispose of real or personal property, as may be necessary for the performance of its functions, to employ personnel and contract for services required to meet its obligations, and to sue or be sued. (Ord. 746 § 1, 2021; Ord. 742 § 1, 2021. Formerly 11.04.050)
11.04.050 Obligations of commission.
Pursuant to the provisions of Section 14087.31 of the Welfare and Institutions Code as it exists on the date of adoption of the ordinance codified in this chapter, any obligations of the commission, statutory, contractual, or otherwise, shall be the obligations solely of the commission and shall not be the obligations of Alpine County. The commission shall do business as the Health Plan of San Joaquin. (Ord. 746 § 1, 2021; Ord. 742 § 1, 2021. Formerly 11.04.060)