ADOPTED - MAY 12, 1998

Agenda Item No. 21

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE A MEDICAID CLINIC PLAN AGREEMENT

WITH THE MCLAREN HEALTH PLAN

RESOLUTION #98-113

WHEREAS, Ingham County operates a system of primary care clinics providing care to Medicaid-eligible and uninsured persons; and

WHEREAS, the Michigan Medicaid Program is moving all Medicaid-eligible persons into managed care arrangements; and

WHEREAS, there will be three organizations with Medicaid contracts to serve Ingham County residents and the county already has risk sharing agreements with the Physicians Health Plan (PHP) and Comprehensive Health Services of Detroit (The Wellness Plan); and

WHEREAS, the McLaren Health Plan is now certified to provide services to Medicaid-eligible persons and has offered to enter into a limited risk agreement for primary care and other services; and

WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize a contract with the McLaren Health Plan.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes a limited risk agreement with the McLaren Health Plan, whereby the Ingham County Health Department will provide primary care services and coordinate the comprehensive care of Medicaid-eligible persons enrolled in the McLaren Health Plan Medicaid Clinic Plan.

BE IT FURTHER RESOLVED, that these agreements shall provide for two payment mechanisms--a fee-for-service and a capitated monthly payment arrangement for each person assigned whereby the county shall share in any savings earned by the HMO's for those persons assigned to the county and shall have a limited liability, not to exceed 10% of the monthly capitation for any losses experienced by the HMO for those persons assigned to the county.

BE IT FURTHER RESOLVED, that the agreements shall be for one year periods commencing upon full execution and shall be continued thereafter on a year-to-year basis with either party having the right to terminate with proper notice.

ADOPTED - MAY 12, 1998

Agenda Item No. 21

RESOLUTION #98-113

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the contracts after review by the County Attorney.

HUMAN SERVICES: Yeas: Czarnecki, Smiley, Stid, Keefe

Nays: None Absent: Juall Approved 5/4/98

FINANCE: Yeas: Goulet, Keefe, McDonald, Grebner, Bernero, Schafer

Nays: None Absent: Czarnecki Approved 5/6/98