Ventura County |
Code of Ordinances |
Division 1. Government |
Chapter 3. Commissions and Boards |
Article 6. County Organized Health System |
§ 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:
(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)