§ 1380-4. The Ventura County Medi-Cal Managed Care Commission shall design and operate a program or programs, whose mission is to improve the health of its members through the provision of the best possible quality care and services. This will be accomplished by:  


Latest version.
  • (a)

    Delivering medical care via a contracted provider network that will improve access to primary, specialty and ancillary services;

    (b)

    Establishment of mechanisms to assure that medical care services meet appropriate quality of care standards;

    (c)

    Incorporating a plan of service delivery and implementing reimbursement mechanisms which promote the long-term viability of a locally operated Medi-Cal managed care system and the existing participating provider networks inclusive of "Safety Net" providers herein defined as Medi-Cal disproportionate share hospitals, county clinics, federally qualified health centers, and licensed rural health clinics;

    (d)

    Implementing a financial plan which includes the creation of a prudent reserve and which provides that if additional surplus funds accrue, they shall be used to expand access, improve benefits and augment provider reimbursement in Ventura County;

    (e)

    Placing a high priority on prevention, education, early intervention services and case management for enrolled recipients;

    (f)

    Ensuring that all obligations, statutory, contractual or otherwise, shall be the obligations of the Ventura County Medi-Cal Managed Care Commission and shall not be the obligations of the County of Ventura or the State of California;

    (g)

    Implementing programs and procedures to ensure a high level of member satisfaction.

(Ord. No. 4481, § 2, 10-16-2015)