The Northern California Regional Model Partnership

Following two years of collaboration and negotiations with the Partnership Health Plan of California (PHC), seven of the northernmost counties in the state and Solano County hammered out an innovative regional approach which allowed them to opt into participation in the Drug Medi-Cal Organized Delivery System 1115 Waiver. The collaboration will allow access to screening, assessment, early intervention and a continuum of SUD treatment across the eight counties meeting the levels of care stipulated in the Waiver Special Terms and Conditions. Participation in the DMC-ODS will bring significant federal financial resources to these eight communities. The new partnership will increase access to an organized continuum of SUD services directly linked to primary care. This increase in access would be unachievable for the eight counties without this regional partnership. For PHC, the partnership is consistent with its vision and mission and the goals.  

The DMC-ODS Waiver Forum funded by Blue Shield of California Foundation hosted a panel presentation and discussion of the Northern California Regional Model Partnership in December 2017. The December Forum was planned in collaboration with Margaret Kisliuk, Behavioral Health Administrator and Elizabeth Leslie, Program Manager, of the Partnership Health Plan of California. In addition to their overview of the administrative and fiscal structure of the regional model, provider network management, contracting and credentialing, the Forum included a panel of county administrators who spoke about the benefits and challenges of participating in this innovative model. The counties were represented by Anne Lagorio of Modoc County, Toby Reusze of Siskiyou County, and Andy Williamson of Solano County. The Forum was capped by a discussion of PHC’s plans for negotiations with Marin, Napa, Sonoma, and Yolo counties. While these counties are not participating in the Regional Model, the Waiver requires that each county develop a memorandum of understanding for the early intervention and coordination of services for shared Medi-Cal beneficiaries. DJ Pierce of Marin County spoke on behalf of the administrators. The Briefing Paper recapping the Forum and the Partnership Health Plan PowerPoint slides are included for your review.


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