Item 32 - Feasibility and Fiscal Evaluation for a Municipal Public Health Agency

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Technical Assistance – Mental Health Services Agency Orange County Health Care Agency Duration of Project September 2020–December 2020 Budget $202,000 (three projects) Link to Strategic Plan Not applicable Project Description Orange County Health Care Agency (OCHCA) engaged HMA to assist with the following three projects:  Assist school-based mental health providers and ensure the sustainability of services during the COVID-19 pandemic. OCHCA requested HMA to provide technical support to mental health providers as they apply to register as Medi-Cal providers. HMA provided the following training and technical assistance: o training materials, policies and procedures, and workflows on the Medi-Cal provider registration process o training sessions for school-based mental health providers to provide an overview of the Medi-Cal provider registration process  Assess dual eligibles (Medicare and Medicaid beneficiaries) in Orange County  Analyze inpatient psychiatric services, assess how the pandemic has impacted operations, and identify opportunities for process improvement. Our analysis included how current processes may need to be further modified due to the COVID-19 pandemic, including supporting virtual visits, minimizing direct patient contact, and expanding telehealth visits and monitoring Fiscal and Budget Support Agency Los Angeles County Department of Public Health Duration of Project October 2015-August 2016 and January 2019-July 2019 Budget $205,000 (two projects) Link to Strategic Plan Not applicable Project Description The Los Angeles County DPH engaged HMA for two finance and budget projects. In 2015–2016, DPH asked HMA to identify revenue opportunities. This work included a comprehensive review of existing DPH revenues and funding streams, and HMA worked closely with DPH management to understand their mandated functions and contractual obligations as a local public health department. HMA pinpointed where DPH was missing revenue opportunities and provided recommendations on how best to capture the revenues. In 2019, DPH engaged HMA to assist in an internal reform of accounting and budgeting across the agency’s 30 plus programs and operating divisions. DPH sought this assistance based on a re-organization of the agency. This project entailed working closely with DPH finance staff to properly align expenditures, funding streams, and revenues across mandated, contractual, and discretionary programs. HMA provided DPH with tools to align budgeting, accounting, and revenue and expenditure reporting so that program managers have greater visibility into the finances and overall financial performance of specific programs. EXHIBIT 1