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• County managed care systems (county organized health systems) are allowed to participate in the pool and given two years to obtain a commercial health plan license. • MRMIB will give priority in contracting to plans with significant numbers of providers who serve uninsured children. In summary, the Managed Risk Medical Insurance Board (MRMIB) and the Department of Health Services (DHS) have established a variety of mechanisms by which to coordinate in the administration, monitoring, and evaluation of the programs described in the plan. The mechanisms include: • Both DHS and MRMIB report to the Secretary of the Health & Welfare Agency who can ensure that both agencies are operating under consistent policies and procedures; • The Director of DHS, is a MRMIB Board Member. Thus, every issue before the Board is one which the Director can comment on to other Board Members and vote on. Furthermore, the Health and Welfare Agency sits on MRMIB as a ex-officio member; • DHS and MRMIB have created a Healthy Families Core Workgroup consisting of DHS’ and MRMIB’s senior management. The workgroup meets every other week to ensure coordination of the program. During these meetings, workgroup members provide status reports on the various projects being implemented and discuss implementation issues; • DHS staff has provided input to MRMIB staff on every version of the MRMIB Healthy Families regulations, as well as on the model contracts, negotiations and provided input to DHS staff on the application form common to both Healthy Families and Medi-Cal (Medicaid) for children, the outreach contract, and the outreach and media approach. MRMIB has also consulted with DHS staff on a range of issues such as Medi-Cal quality standards, Medi-Cal threshold language requirements, and the definition of traditional and safety net providers; • DHS has created a new high-level management position (Associate Director) to facilitate coordination of the program within and between agencies; and • DHS staff attends MRMIB’s public meetings, including board meetings, and meetings with potential vendors to explain the model contracts. COUNTY CHILDREN’S HEALTH INITIATIVE PROGRAM (C-CHIP) Effective Date: Approval Date: November 1, 2009 HFP Family Contribution Increase November 1, 2009 HFP Co-Payment Increase November 1, 2009 HFP Limited Dental Plan Choice for New Subscribers

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