1. Strengthening MAA Programs: Gaining Support of Organizational Leaders
Mimi Hall
Plumas County Public Health Agency
2017 LGA Annual Conference

2. Shifting the MAA Paradigm
Changing national and state funding
Strengthening local resources
Every local jurisdiction already performs, and expends CPE for, reimbursable activities
MAA as part of local jurisdiction financing VS optional program

3. Changing Health Landscape
2010 Affordable Care Act
2014 Medi-Cal Expansion
SUD, MH benefits
2014 Managed Care Medi-Cal expansion
2015 changes to inmate health
2017 New administration
3 district h

4. Identify MAA Opportunities: Big Picture
Public Health Accreditation
Community Health Improvement Plans and Strategic Plans
Whole Person Care
Re-entry partnerships and initiatives
Requirements for Community Health Assessments, Strategic Plans and Community Health Improvement Plans are an opportunity for MAA to align with broader organizational and community efforts

5. Identify MAA Opportunities: On the Ground
Sell MAA opportunities to CPE funded programs
Leverage MAA programmatic reach and financial benefits to build and maintain partnerships
Jail Medical changes, focus on newly eligible expansion population . AOD and MH benefits

6. Create a Multi-Year Roadmap
Understand your organization’s health improvement goals and how increasing Medi-Cal access and utilization will help achieve them
ID measurable short and long range goals
Incorporate into existing local planning – Community Corrections Partnership, Mental Health Services Act, AOD Strategic Planning, Community Health Assessment/Improvement Plans
Provide a Plumas year-by-year example for each bullet

7. Step 1: ID Target Audience
Internal:
Program and Division managers
Fiscal leadership
Department leadership
External:
Other county/city departments
Nonprofits
MHSA funded programs
Provide a Plumas year-by-year example for each bullet

8. Step 2: Have a Plan Complete a Fiscal Leveraging Assessment Tool
Interview leadership, fiscal and program staff to determine capacity
Consult with “like” LGAs and LGA Consultant
Consider year-by-year growth
Provide a Plumas year-by-year example for each bullet

9. Step 3: Make your pitch Tailor to your audience: Program
Workload concerns, benefit, training
Chief fiscal officer
Cost, sources of match, audit risk and defense, best practices
Top leadership
Increasing capacity, reinforcing service mission
Provide a Plumas year-by-year example for each bullet

10. Plumas MAA Journey: a Slow Climb
FY MAA reimbursement: $104,188
FY MAA reimbursement: $361,731
FY MAA Reimbursement: $659,755
FY MAA Invoiced:
$844,744
Provide a Plumas year-by-year example for each bullet of claiming units

11. MAA Journey cont’d
FY 05-06: 2 Claiming Units, 9 time survey participants.
Today: 7 Claiming Units, 74 time survey participants
AOD, Probation, Tribal non-profit, Family Resource Center non-profit, 2 district hospitals.
Provide a Plumas year-by-year example for each bullet

12. Strategies Involve leadership of every claiming unit
Connect decision makers with “top 10” LGAs
Incorporate into existing local planning – Community Corrections Partnership, Mental Health Services Act, Community Health Assessment/Improvement Plans

13. Operational Considerations
How will capacity align with program implementation and growth?
Internal staff? Use of vendors?
Initial investments?

14. Chicken or the Egg?
Outreach Enrollment and Retention multi-agency workgroup
Express Enrollment at K-12 Schools
ACA Health Systems coordination across hospital, tribal, nonprofit and public agencies
Never miss an opportunity – recoup multiple benefits

15. Leadership Philosophy
Mission must drive financial opportunities, not the other way around
Shared vision across multiple partners to guide priorities

16. Thank You Mimi Hall mimihall@countyofplumas.com 530-283-6342
QUESTIONS?
Thank You Mimi Hall