County Programs: Required Agreements & Engagement
Community Health Plan of Imperial Valley (CHPIV) and Local Government Agencies (LGAs)
Founded in California, CHPIV believes that every person deserves a safety net for their health, regardless of age, income, employment status or current state of health. We work with community residents and stakeholders in both the public and private sectors to: Advance opportunities for improved health and access to comprehensive health care services; Promote the long-term viability of safety net providers; Increase prevention, education, and early intervention services; and Partner with Medi-Cal managed care plans to monitor and improve the local healthcare system.
As one of the Medi-Cal Managed Care Plans (MCPs) in California, CHPIV contracts with the Department of Health Care Services (DHCS) to provide high quality, accessible, and cost-effective health care through managed care delivery systems. Our Contract with DHCS requires us to build partnerships with the following Third Party Entities to ensure member care is coordinated and members have access to community-based resources in order to support whole-person care:
- Local Health Departments;
- Local Educational and governmental agencies, such as county behavioral health departments for Specialty Mental Health Care and Substance Use Disorder (SUD) Treatment Services; and
- Other local programs and services, including
- Social services;
- Child Welfare Departments;
- Continuums of Care programs;
- First 5 programs and providers;
- Regional Centers;
- Area Agencies on Aging;
- Caregiver Resource Centers;
- Women, Infants and Children Supplemental Nutrition Programs;
- Home and Community-Based Services (HCBS) waiver agencies and providers; and justice departments.
At CHPIV, we also believe that to reduce health disparity gaps and improve outcomes, we need to enhance access to quality care. That requires a robust whole-person health model that directly addresses social drivers. Progress relies on metrics, including by race and ethnicity. CHPIV collaborates and works with various community partners, Local Government Agencies (LGAs) and other Third Party Entities to close gaps, provide quality care for members and improve our communities.
Memorandums of Understanding (MOUs)
The MOUs are intended to be effective tools for clarifying roles and responsibilities between CHPIV, its partnering LGAs and other Third Parties Entities, to support local engagement, and facilitate care coordination and the exchange of information necessary to enable care coordination and improve the referral processes between CHPIV, its partnering LGAs and other Third Party Entities. The MOUs are also intended to improve transparency and accountability by setting forth certain existing requirements for each party as it relates to service or care delivery and coordination so that the parties to the MOU are aware of each other’s obligations.
The purpose of the MOU is to:
- List the minimum MOU components required by the CHPIV Contract with DHCS;
- Clarify roles and responsibilities for coordination of the delivery of care and services of all Members, particularly across Medi-Cal managed care plan carved out services, which may be provided by the Third Party Entity;
- Establish negotiated and agreed upon processes for how CHPIV, its partnering LGAs and other Third Party Entities will collaborate and coordinate on population health and/or other programs and initiatives;
- Memorialize what data will be shared between CHPIV, its partnering LGAs and other Third Party Entities and how the data will be shared to support care coordination and enable monitoring;
- Provide public transparency into relationships and roles/responsibilities between CHPIV, its partnering LGAs and other Third Party Entities; and
- Provide mechanisms for the parties to resolve disputes and ensure overall oversight and accountability under the MOU.
CHPIV’s Contract with DHCS requires us to execute an MOU with each of the LGAs and Third Party Entities outlined below. DHCS has developed MOU templates for Medi-Cal managed care plans, LGAs and Third Party Entities to utilize in this process to ensure that all Contract provisions for MOUs are captured and provide standardization in reporting. Each MOU is a binding, contractual agreement between CHPIV, its partnering LGAs and/or Third Party Entities which outlines the responsibilities and obligations of CHPIV, its partnering LGAs and/or Third Party Entities to coordinate and facilitate whole-system, person centered care for local Medi-Cal members.
MOUs Between Medi-Cal Managed Care Plans and Third Party Entities
DHCS has developed a webpage that contains all related resources and reference materials for the Memoranda of Understanding Between Medi-Cal Managed Care Plans and Third Party Entities.
CHPIV County
CHPIV is contracted with DHCS to provide Medi-Cal services in Imperial County in California.
| COUNTY NAME | AVAILABLE MEMORANDUMS OF UNDERSTANDING (MOU) |
|---|---|
| Imperial | Download MOU |
CHPIV Medi-Cal Quarterly Meetings
2024 Imperial County Quarterly Meetings
| COUNTY DEPARTMENT | QUARTER 1 MEETING DATE | QUARTER 2 MEETING DATE | QUARTER 3 MEETING DATE | QUARTER 4 MEETING DATE |
|---|---|---|---|---|
| County Social Services Programs and Child Welfare | n/a | n/a | n/a | |
| In-Home Supportive Services (IHSS) | n/a | n/a | n/a | |
| Local Health Departments including, without limitation, California Children’s Services, Maternal and Child and Adolescent Health, Tuberculosis Direct Observation Therapy | March 14, 2024 10:30 AM | June 13, 2024 10:30 AM | September 19, 2024 10:30 AM | December 12, 2024 10:30 AM |
| Intermediate Care Facility for Developmentally Disabled | February 20, 2024 11:00 AM | May 14, 2024 11:00 AM | August 13, 2024 11:00 AM | November 12, 2024 11:00 AM |
| Specialty Mental Health Services in Medi-Cal Mental Health Plans | February 21, 2024 1:00 PM | May 28, 2024 1:30 PM | August 21, 2024 1:00 PM | November 20, 2024 1:00 PM |
| SUD Treatment Services in Drug Medi-Cal Organized Delivery Systems (ODS) | February 21, 2024 1:00 PM | May 28, 2024 1:30 PM | August 21, 2024 1:00 PM | November 20, 2024 1:00 PM |
| Women, Infant, & Children | n/a | n/a | n/a | TBD |