HomeMy WebLinkAboutItem HA4 - MOU with CalOptima Health Community Development Agency
santa-ana.org/cd
Item # 4
City of Santa Ana
20 Civic Center Plaza, Santa Ana, CA 92701
Staff Report
November 7, 2023
TOPIC: Memorandum of Understanding with CalOptima Health
AGENDA TITLE
Authorize staff to enter into a Memorandum of Understanding with CalOptima Health,
Orange County Housing Authority, Anaheim Housing Authority, and Garden Grove
Housing Authority, to facilitate access to supportive services for voucher holders
assisted by the Housing Authority
RECOMMENDED ACTION
Authorize the Executive Director of the Housing Authority to execute a Memorandum of
Understanding with CalOptima Health to facilitate access to supportive services for
voucher holders assisted by the Housing Authority
GOVERNMENT CODE §84308 APPLIES: Yes
DISCUSSION
The Santa Ana Housing Authority (“SAHA”) is one of four housing authorities operating
within Orange County that administers the U.S. Department of Housing and Urban
Development’s (“HUD’s”) Section 8 Housing Choice Voucher (“HCV”) Program. The
HCV program assists very low-income, elderly, and disabled families so that they can
afford decent, safe, and sanitary housing in the private market. Throughout Orange
County, the Anaheim Housing Authority, Garden Grove Housing Authority, and SAHA
administer the program within their respective city jurisdictions, while the Orange
County Housing Authority administers the program in all other Orange County cities and
unincorporated areas. Despite each housing authority administering its own HCV
Program independently, they have long established a collaborative, working partnership
and regularly engage in collaborative efforts to enhance service delivery for voucher
holders throughout Orange County.
Over the last five years, these housing authorities have been awarded new funding to
manage additional rental assistance programs commonly referred to as Special
Purpose Vouchers (“SPVs”) such as the Emergency Housing Voucher program,
Stability Voucher program, Mainstream Voucher program, Veterans Affairs Supportive
Housing, Non-Elderly Disabled program, Family Unification program, and Foster Youth
to Independence program. While the new funding is a significant benefit for our
communities, it has given rise to an increasing need for supportive services. The rising
MOU with CalOptima Health
November 7, 2023
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need for supportive services can be attributed to the diverse needs of families and
individuals that face different health challenges and barriers to leasing up with their
voucher. Supportive services, traditionally not the primary focus of housing authorities,
have become essential to ensuring the success and well-being of our voucher holders
(“program participants”).
In line with the commitment to offer comprehensive services to all program participants,
discussions among the four housing authorities have led to the creation of a joint
Memorandum of Understanding (“MOU”) with the Orange County Health Authority, a
public agency doing business as CalOptima Health (“CalOptima”), to provide referrals
for supportive services through the California Advancing and Innovating Medi-Cal
(“CalAIM”) program. CalOptima is Orange County’s single largest health insurer and
provides health care coverage for Orange County low-income residents who are eligible
for Medi-Cal. CalOptima participates in the CalAIM program, which offers services
directed at supporting some of the most vulnerable populations in Orange County,
including people experiencing homelessness, older adults, children with complex care
needs, and people involved with the justice system.
Under the MOU, each Housing Authority will request the voluntary written interest and
consent of program participants. With consent from a program participant, CalOptima
will assess program participants for eligibility and refer eligible participants to CalAIM
providers for Community Support and Enhanced Care Management (“ECM”) services.
In addition to ECM services, the Community Support services include but are not limited
to:
1. Housing transition navigation services;
2. Housing deposits;
3. Housing tenancy and sustaining services;
4. Short-term post-hospitalization housing;
5. Recuperative care;
6. Respite services;
7. Day habilitation services;
8. Asthma remediation;
9. Medically tailored meals/medically-supportive food;
10.Community transition services/nursing facility transition to a home;
11.Personal care and homemaker services;
12.Environmental accessibility adaptations (home modifications); and
13.Nursing facility transition/diversion to assisted living facilities, such as Residential
Care facilities for elderly and adult residential facilities.
This joint MOU is designed to establish a referral framework and facilitate access to
CalAIM’s program resources for SAHA’s HCV and SPV program participants. It may
also be expanded to HCV program applicants in the future. The objective is to provide
program participants with county-wide access to valuable resources and streamline
MOU with CalOptima Health
November 7, 2023
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referrals to supportive health services. This joint MOU would allow SAHA to leverage
CalOptima’s existing resources and expertise in healthcare and social services. As a
result, SAHA can seamlessly refer program participants to supportive services at no
cost to the agency. By participating in this joint MOU, SAHA can best serve the public
by facilitating referrals to essential health services, improving the overall health of our
community, and contributing to the efficient use of resources.
FISCAL IMPACT
There is no fiscal impact associated with this action.
EXHIBIT(S)
1. MOU with CalOptima Health
Submitted By: Michael L. Garcia, Executive Director of Community Development
Approved By: Steven A. Mendoza, Acting City Manager
CalOptima Health PHA MOU Page 1 of 18
MEMORANDUM OF UNDERSTANDING
between
ORANGE COUNTY HOUSING AUTHORITY, a public housing authority established
under California Health & Safety Code section 34200 and operationally organized under
the Orange County Community Resources Department , ANAHEIM HOUSING
AUTHORITY, GARDEN GROVE HOUSING AUTHORITY, SANTA ANA HOUSING
AUTHORITY
and
ORANGE COUNTY HEALTH AUTHORITY dba CALOPTIMA HEALTH
This Memorandum of Understanding (“MOU”) is entered into by and between the Orange County
Health Authority, a public agency doing business as CalOptima Health (“CalOptima”), Orange
County Housing Authority, Anaheim Housing Authority, Garden Grove Housing Authority, and
Santa Ana Housing Authority (each public housing authority is individually referred to as “PHA”
and collectively “PHAs”). Each PHA and CalOptima may each be referred to individually as a
“Party” and collectively as the “Parties”.
I.BACKGROUND
CalOptima is a public agency that provides health care coverage for Orange County residents who
are eligible for Medi-Cal. In January 2022, the Department of Health Care Services (“DHCS”)
launched the California Advancing and Innovating Medi -Cal (“CalAIM”) initiative. CalOptima
participates in CalAIM, which seeks to improve quality of life and health outcomes of the Medi-
Cal population by leveraging Medi-Cal as a tool to address many complex challenges facing
California’s most vulnerable residents, including those facing housing insecurity and instability.
Two specific initiatives within CalAIM are Enhanced Care Management (“ECM”) and
Community Supports. CalOptima has committed to offering all 14 Community Supports and
expanding its provider network accordingly. These Community Supports services are directed at
supporting some of the most vulnerable populations in Orange County , including those
experiencing homelessness, older adults, children with complex care needs, and those involved
with the justice system.
As local public housing authorities, each PHA, among other things, administers federally funded
programs to provide rental assistance to qualified tenants in privately owned rental housing. Each
PHA administers the Housing Choice Voucher (“HCV”) program, as well as Special Purpose
Voucher (“SPV”) programs such as the Emergency Housing Voucher program, Stability Voucher
program, Mainstream Voucher program, Veterans Affairs Supportive Housing, Non-Elderly
Disabled program, Family Unification program, and Foster Youth to Independence program.
Participants and applicants (“Participants”) in the HCV program and SPV programs may use rental
assistance in a variety of rental dwellings with property owners willing to part icipate in the
program. Each PHA desires to help connect certain Participants to support services offered by
CalOptima pursuant to a duly executed written consent form provided by its Participants.
EXHIBIT 1
CalOptima Health PHA MOU Page 2 of 18
II. PURPOSE
This MOU establish es a referral framework from each PHA to CalOptima for HCV and SPV
program Participants to leverage the ECM and Community Support services provided through
CalAIM. This MOU affirms the PHAs’ and CalOptima’s roles and responsibilities regarding the
referral relationships and provides the framework for each PHA’s referral program and sharing of
information. This MOU provide s for, among other things, the disclosure of information to
CalOptima, in accordance with the CalAIM Housing and Health Services Voluntary Consent Form
to Release, Share, and Disclose Confidential Information , attached as Exhibit A to this MOU. The
information will include the minimum necessary to confirm the enrollment of a PHA program
Participant in CalOptima’s Medi-Cal program. This information may include, for example, full
name, date of birth, and social security number.
III. TERM
This MOU becomes effective upon the last date the Parties execute this MOU on the signature
page (“Effective Date”) and remains in effect until terminated under Section XI.
IV. POPULATION TO BE SERVED
This MOU applies to any household member(s) who holds or is applying to hold a HCV or SPV
issued by a PHA and are voluntarily interested in, or already enrolled in, CalOptima’s Medi-Cal
program and consent to provide their information to CalOptima by executing the “CalAIM
Housing and Health Services Voluntary Consent Form to Release , Share, and Disclose
Confidential Information.”
This may include:
• HCV or SPV applicants who have an active application in process of eligibility
that has been pulled off of a waiting list for an HCV or SPV;
• HCV or SPV applicants who are waiting to be pulled off of a waiting l ist so long
as they provide their written consent;
• HCV or SPV Participants in the Project-Based Voucher program; or
• Any other category of HCV or SPV applicant or participant not already listed who
may be served by a PHA.
V. SCOPE OF CALOPTIMA SERVICES
A. Once CalOptima receives information from a PHA of: (i) an individual or family
(household) member with an HCV or SPV (or who is waiting to receive their HCV or
SPV); and (ii) who has provided written consent to share their information with CalOptima ,
by executing the CalAIM Housing and Health Services Vol untary Consent Form to
Release, Share, and Disclose Confidential Information attached as Exhibit A, CalOptima
shall follow this process:
1. If the individual or household member is unsure of their Medi-Cal status,
CalOptima shall either:
EXHIBIT 1
CalOptima Health PHA MOU Page 3 of 18
a. Confirm Medi-Cal enrollment; or
b. If the individual or household member is not enrolled in Medi-Cal,
refer the individual or household member to the Orange County
Social Services Agency (“SSA”) for potential Medi-Cal enrollment.
2. Pursuant to an already existing enrollment. CalOptima staff shall make
reasonable efforts to contact all such enrollees to assess for eligibility for
ECM and Community Supports services. If eligible, and interested,
CalOptima will make appropriate referrals for services. CalOptima shall
make reasonable efforts to monitor ECM and Community Supports services
provided to individuals or household members to ensure they are beneficial.
B. CalOptima shall provide aggregate data to each PHA regarding Medi-Cal eligibility
and service delivery referrals under this MOU.
C. CalOptima will contract with CalAIM providers to provide Community Support and
ECM services, as required under CalAIM. In addition to ECM services, those
Community Support services include, but are not limited to (as further described and
defined under CalAIM):
1. Housing transition navigation services;
2. Housing deposits;
3. Housing tenancy and sustaining services;
4. Short-term post-hospitalization housing;
5. Recuperative care;
6. Respite services;
7. Day habilitation services;
8. Asthma remediation;
9. Medically tailored meals/medically-supportive food;
10. Community transition services/nursing facility transition to a home;
11. Personal care and homemaker services;
12. Environmental accessibility adaptations (home modifications); and
13. Nursing facility transition/diversion to assisted living facilities, such as
Residential Care facilities for elderly and adult residential facilities.
EXHIBIT 1
CalOptima Health PHA MOU Page 4 of 18
D. CalOptima shall provide oversight and monitoring of its contracted CalAIM providers
and manage all CalAIM providers that perform services under this MOU.
VI. SCOPE OF SERVICES TO BE PROVIDED BY EACH PHA
A. From among its population of HCV and SPV program Participants, each PHA will:
1. Request the voluntary written interest and consent of the program applicant
or participant to register for Medi-Cal or their current enrollment status in
Medi-Cal in order to gain access to the benefits available to the applicant or
participant through CalAIM. Each PHA may make its request for voluntary
written interest and consent, at any time, for an HCV or SPV holder.
2. Request written consent to disclose applicant or participant information, or
other related information, to CalOptima so that the applicant or participant
may access CalAIM benefits. Each PHA shall use reasonable efforts to
make this request at least once in writing during the eligibility process for
issuance of an HCV or SPV.
3. Request written voluntary interest and consent from Participants to release
information to CalOptima, including to the CalAIM providers contracted by
CalOptima, as provided in Exhibit A.
B. For those HCV and SPV recipients who voluntary provide written interest and
consent under Section IV.A (Population To Be Served) in order to disclose their
information to CalOptima for CalAIM purposes, each PHA will:
1. Share the minimum information necessary to confirm the program applicant
or participant’s enrollment in CalOptima’s Medi-Cal program. This
information may be shared electronically in a secure system , via transfer of
a physical form signed by the applicant or participant , or via another method
agreed upon by the Parties that complies with applicable laws .
C. Pursuant to the HCV and SPV program regulations found at 24 CFR Parts 5 and
982, each PHA will:
1. Issue vouchers for Participants to search for appropriate rental housing (if a
voucher has not already been issued ).
2. Administer and provide the applicant or participant with monthly rental
assistance in accordance with the regulations in 24 CFR Part 982 by
providing housing assistance payments on behalf of the participant to the
applicable landlord.
VII. COMMUNICATION
EXHIBIT 1
CalOptima Health PHA MOU Page 5 of 18
During the term of this MOU, each PHA and CalOptima will remain in contact as necessary to
effectuate the purpose of this MOU. Each Party will communicate with its mutual Participants in
accordance with applicable government agency requirements, policies and procedures. Each PHA
and CalOptima will meet as needed to review services described in this MOU . Primary point of
contacts will be assigned by each PHA and CalOptima. CalOptima’s point of contact will be
within the CalAIM team.
VIII. COLLABORATION
Each PHA and CalOptima will work together to ensure that individuals and household members
who receive services under this MOU are given the opportunity to be referred to CalOptima for
appropriate follow-up if they are interested in or are already enrolled in Medi-Cal. Each PHA and
CalOptima shall use reasonable efforts to ensure that the disclosure of Participant information from
a PHA to CalOptima is performed pursuant to an executed CalAIM Housing and Health Services
Voluntary Consent Form to Release, Share, and Disclose Confidential Information , as provided in
Exhibit A. CalOptima shall implement procedures to ensure that it only accepts Participant
information from a PHA for Participants who have provided written consent to share their
information with CalOptima, by executing the CalAIM Housing and Health Services Volu ntary
Consent Form to Release, Share, and Disclose Confidential Information attached as Exhibit A.
Each Party agrees to meet as needed to address the following:
A. Funding opportunities;
B. Federal regulations, agency policies and compliance;
C. Program operations, procedures, and logistics; and
D. Participant needs and challenges.
IX. RECORDS RETENTION
Each PHA and CalOptima will retain all records related to this MOU for at least three (3) years
from the date of inactivity of services or for such longer periods as required by law .
X. CONFIDENTIALITY
A. Each PHA and CalOptima agree to maintain the confidentiality , privacy, and
security of all applicant, participant, and tenant records and information pursuant
to all applicable federal and state laws and regulations , including without limitation,
U.S. Privacy Act of 1974 and the Health Insurance Portability and Accountability
Act of 1996 (“HIPAA”), including interpretive case la w, as may now exist or be
hereafter amended , to the extent applicable. For the sake of clarity, none of the
PHAs are covered entities, as that term is defined and used under the HIPAA and
its implementing regulations, and none of the PHAs are CalOptima’s business
associate, as that term is used in HIPAA and its implementing regulations. All
information that a PHA discloses under this MOU shall be considered and kept
confidential by CalOptima, CalOptima’s contracted Medi-Cal providers, and Cal-
Optima’s employees, agents, staff, and volunteers.
EXHIBIT 1
CalOptima Health PHA MOU Page 6 of 18
B. Parties further agree that any breach of confidentiality or privacy concerning any
applicant, participant, and/or tenant records related to this MOU shall be addressed
pursuant to applicable law and each Party’s internal compliance program, as
amended from time to time.
C. The Parties shall require all staff, agents, employees , volunteers, vendors,
contractors, and/or subcontractors with access to an applicant’s, participant’s, or
tenant’s information to maintain the confidentiality of any and all applicant,
participant, and tenant records and information with which they may come into
contact, as required by law.
D. The Parties’ confidentiality obligations herein shall survive termination or
expiration of this MOU for any reason.
XI. TERMINATION OF MOU
A PHA may terminate its participation in, and obligations under, this MOU with or without cause
by providing thirty (30) days’ written notice to the other Parties. A PHA’s termination of
participation in this MOU shall not terminate this MOU in its entiret y, but it shall terminate the
MOU with respect to the PHA that terminates its participation hereunder . If all PHAs terminate
their participation in this MOU, either individually or collectively , this MOU shall be terminated
in its entirety. In addition, CalOptima may terminate this MOU with or without cause by providing
thirty (30) days’ written notice to all participating PHAs prior to the effective date of termination .
Except as provided otherwise hereunder, exercise by any PHA of the right to terminate
participation in this MOU shall relieve the PHA of all further obligations under this MOU upon
termination, except for those provisions that survive termination as stated herein . Except as
provided otherwise hereun der, termination of this MOU shall relieve all Parties of all further
obligations under this MOU upon termination , except for those provisions that survive termination
as stated herein.
XII. GENERAL PROVISIONS
A. No change, modification, extension, or waiver of this MOU shall be effective unless
in writing and signed by all Parties. If any law, rule, or regulation applicable to this
MOU, or any interpretation thereof by any court, is modified or implemented
during the term of the MOU in a way that materially changes the terms of the MOU
(“Regulatory Change ”), CalOptima may, upon written notice to PHAs, propose
an amendment of the MOU to PHAs to the minimum degree necessary to comply
with the Regulatory Change . If any PHA does not accept the proposed Regulatory
Change, CalOptima may immediately terminate this MOU upon written notice to
PHAs. This MOU represents the entire understanding of the Parties with respect to
the subject matter herein and supersedes all prior agreements a nd understandings,
whether written or oral, between the Parties concerning such terms .
B. If any provision of this MOU is held invalid or unenforceable by any court of law,
the remaining provisions of this MOU shall nevertheless continue to be valid and
enforceable as though the invalid or unenforceable parts had not been included
herein.
EXHIBIT 1
CalOptima Health PHA MOU Page 7 of 18
C. A PHA may not assign or delegate any obligations or rights under this MOU
without the prior written consent of CalOptima.
D. This MOU shall be governed by the laws of the State of California, and the Parties
consent to venue and personal jurisdiction over them in Superior Court in Orange
County, California, and in U.S. District Court for the Central District of California,
as applicable, for purposes of construction and enforcement of this MOU. The
Parties shall comply with all applicable laws in performance of their obligations
under this MOU.
E. Each Party warrants that it has the full right, power, and authority to enter into and
fully perform its obligations under this MOU and that the execution, delivery, and
performance of this MOU by that Party does not conflict with any other agreement
to which it is a Party or by which it is bound.
F. Each Party has had the opportunity to have counsel of its choice examine the
provisions of this MOU, and no implication shall be drawn against any Party by
virtue of the drafting of this MOU.
G. This MOU may be executed in multiple counterparts, each of which shall be
deemed an original and all of which together shall be deemed one and the same
instrument.
H. If the Parties are unable to informally resolve any dispute arising out of or relating
to this MOU, a Party, with the concurrence of all other Parties, may submit the
dispute for resolution exclusively through confidential, binding arbitration, instead
of through trial by court or jury, in Orange County, California, in accordance with
the commercial dispute rules then in effect of the Judicial Arbitration and Mediation
Services (“JAMS”). The arbitration shall be conducted on an expedited basis by a
single arbitrator. In making decisions about discovery and case management, it is
the Parties’ express agreement and intent that the arbitrator at all times pro mote
efficiency without denying any Party the ability to present relevant evidence. In
reaching and issuing decisions, the arbitrator shall have no jurisdiction to make
errors of law and/or legal reasoning. In the event arbitration is mutually agreed to,
the Parties shall share the costs of arbitration equally, and each Party shall bear its
own attorneys’ fees and costs.
I. CalOptima agrees to indemnify, defend, and hold harmless each PHA and its
elected and appointed officials, officers, employees, and agents and those special
districts and agencies for which County of Orange’s Board of Supervisors acts as the
governing Board from any third-party claims, demands, including defense costs, or
liability of any kind or nature, including, but not limited to, personal injury or
property damage, arising from or related to Cal Optima’s failure to perform its
obligations under this MOU, gross negligence or intentional misconduct .
J. Each PHA agrees to indemnify, defend, and hold CalOptima, its elected and
appointed officials, officers, employees, agents, directors, members, and/or
EXHIBIT 1
CalOptima Health PHA MOU Page 8 of 18
affiliates harmless from any third-party claims, demands, including defense costs,
or liability of any kind or na ture, including, but not limited to, personal injury or
property damage, arising from or related to that PHA’s failure to perform its
obligations under this MOU, gross negligence or intentional misconduct .
K. If judgment is entered against one Party by a cour t of competent jurisdiction
because of the concurrent active negligence of the other Party or its officials,
officers, directors, employees, or agents , the Parties agree that liability will be
apportioned as determined by the court.
L. Each Party represents and warrants that the person executing this MOU on behalf
of its organization is an authorized agent who has actual authority to bind its
organization to each and every term, condition, and obligation of this MOU and
that all requirements have been fulfilled to provide such actual authority.
M. Nothing herein contained shall be construed as creating the relationship of
employer and employee, or principal and agent, between a PHA and any applicant
or participant participating in this program, CalOptima, or any of CalOptima’s
agents or employees.
N. This MOU may be executed in two or more counterparts, each of which shall be
deemed an original and all of which together shall constitute the same agreement.
Facsimile, documents executed, scanned, and tran smitted electronically, and
electronic signatures shall be deemed original signatures for purposes of this MOU,
with such facsimile, scanned, and electronic signatures having the same legal effect
as original signatures.
XIII. SECURITY
A. The Parties agree to maintain the confidentiality of all information and records
shared as a result of this MOU pursuant to all applicable laws relating to privacy
and confidentiality that currently exist or exist at any time during the term of this
MOU. The Parties represent, warrant, and covenant that they have implemented
and will maintain during the term of this MOU administrative, physical, and
technical safeguards to reasonably protect private and confidential Participant
information, to protect again st anticipated threats to the security or integrity of data,
and to protect against unauthorized physical or electronic access to or use of data.
Such safeguards and controls shall include at a minimum:
1. Storage of confidential paper files that ensures rec ords are secured, handled,
transported, and destroyed in a manner that prevents unauthorized access.
2. Control of access to physical and electronic records to ensure data is accessed
only by individuals with a need to know for the delivery of MOU services.
3. Control to prevent unauthorized access and to prevent employees of the Party
from providing data to unauthorized individuals.
EXHIBIT 1
CalOptima Health PHA MOU Page 9 of 18
4. Firewall protection.
5. Use of encryption methods of electronic data while in transit from the Parties ’
networks to external ne tworks, when applicable.
6. Measures to securely store all data, including, but not be limited to, encryption
at rest and multiple levels of authentication and measures , to ensure data shall
not be altered or corrupted by third parties. The Parties further re present and
warrant that they have implemented and will maintain during the term of this
MOU administrative, technical, and physical safeguards and controls consistent
with state and federal security requirements.
B. At termination of this MOU and the records retention period required herein ,
whichever is later, if feasible, the Parties shall return or destroy all information
received from the other Parties. If such return or destruction is not feasible, the
Parties shall extend the protections of this MOU to the information and limit further
uses and disclosures to those purposes that make the return or destruction of the
information infeasible.
XIV. SECURITY BREACH NOTIFICATION
A. All Parties shall have policies and procedures in place for the effective management
of Security Breaches, as defined below. In the event of any actual, attempted,
suspected, threatened, or reasonably foreseeable circumstance C alOptima or a PHA
experiences or learns of that either compromises or could reasonably be expected
to comprise CalOptima or PHA data through unauthorized use, disclosure, or
acquisition of CalOptima or PHA data (“Security Breach ”), the Party that has
identified the potential Security Breach shall notify the other Party of its discovery
within twenty four (24) hours. After such notification, the Party that has identified
the potential Security Breach of the other Parties’ data shall, at its own expense,
promptly:
1. Investigate to determine the nature and extent of the Security Breach ;
2. Contain the incident by taking necessary action, including, but not limited to,
attempting to recover records, revoking access, and/or correcting weaknesses
in security; and
3. Report to the other Party the nature of the Security Breach, the data used or
disclosed, the person who made the unauthorized use or received the
unauthorized disclosure, what has been done or will be done to mitigate any
harmful effect of the unauthorized use or disclosure, and the corrective action
that has been taken or will be taken to prevent future similar unauthorized use
or disclosure.
B. The Party, whose data has been breached in violation of applicable law , at its sole
discretion and on a case-by -case basis, will determine what actions are necessary
in response to the breach and who will perform these actions. Actions may include
EXHIBIT 1
CalOptima Health PHA MOU Page 10 of 18
but are not limited to: notifications; investigation and remediation costs, including
notification of all whose personal information was disclosed; outside investigation;
forensics; counsel; crisis management; and credit monitoring. In the event the Party,
whose data has been breached, determines that additional action(s) are required, the
other Party shall bear the reasonable costs to remedy the breach. In the event the
Party, whose data has been breached, conducts additional actions(s) arising out of
or in connection with a Security Breach, the other Party shall reimburse the Party,
whose data has been breach ed, for costs associated to legally required actions.
XV. NOTICES
A. All notices required by this MOU shall be submitted to the addresses in this section. Any
notice not related to termination of this MOU may be submitted electronically to the
address set forth below.
Orange County Housing Authority
1501 E St. Andrew Place
Santa Ana, CA 92705
Anaheim Housing Authority
201 S Anaheim Boulevard
Suite 201, 2nd Floor
P.O. Box 3222
Anaheim, CA 92803 -9987
Garden Grove Housing Authority
12966 Euclid St, Suite 150
Garden Grove 92840
Santa Ana Housing Authority
20 Civic Center Plaza
Santa Ana, CA 92701
CalOptima:
Attn: Contracting Department - Director of Contracting
505 City Parkway West
Orange, CA 92868
Email:
B. All mailed notices shall be deemed effective when in writing and deposited in the United
States mail, first class, postage prepaid and addressed as above.
[signature pages follow]
EXHIBIT 1
CalOptima Health PHA MOU Page 11 of 18
In Witness Whereof, the Parties have signed this by their duly authorized representatives,
effective as of the Effective Date .
CALOPTIMA HEALTH
Signature
Yunkyung Kim
Chief Operating Officer
Date
APPROVED AS TO FORM
[insert entity]
By: ______________________________
[insert title]
Date: _____________________
EXHIBIT 1
CalOptima Health PHA MOU Page 12 of 18
ORANGE COUNTY HOUSING AUTHORITY
ORANGE COUNTY COMMUNITY RESOURCES
Signature
Julia Bidwell
Print Name
Executive Director
Title
Date
Approved as to Form:
Office of the County Counsel
Orange County, California
John Cleveland, County Counsel Date
EXHIBIT 1
CalOptima Health PHA MOU Page 13 of 18
ANAHEIM HOUSING AUTHORITY
Signature
Grace Stepter
____________
Print Name
Executive Director
Title
Date
Approved as to Form:
Ryan Hodge, Deputy City Attorney Date
ATTEST:
By:
City Clerk
EXHIBIT 1
CalOptima Health PHA MOU Page 14 of 18
GARDEN GROVE HOUSING AUTHORITY
Signature
Lisa Kim
Print Name
Executive Director
Title
Date
Attest:
Secretary Date
EXHIBIT 1
CalOptima Health PHA MOU Page 15 of 18
SANTA ANA HOUSING AUTHORITY
Signature
Michael L. Garcia
______
Print Name
Executive Director
______
Title
Date
Approved as to Form:
Jose Montoya, Assistant City Attorney Date
ATTEST:
By:
Jennifer Hall, Recording Secretary
10/19/2023
EXHIBIT 1
CalOptima Health PHA MOU Page 16 of 18
Exhibit A
CalAIM Housing and Health Services
Voluntary Consent Form to Release, Share, and Disclose Confidential Information
Orange County Health Authority dba CalOptima Health is a public agency that provides health
care coverage for Orange County residents who a re eligible for Medi-Cal. CalOptima Health is
working alongside the [insert Public Housing Authority name] (Housing Authority) to ensure that
any interested housing choice or special purpose voucher applicants/participants are not only
enrolled for Medi-Cal, if eligible, but also, receiving any and all benefits that they are eligible for
and interested in receiving, including ava ilable housing navigation opportunities.
By signing below, I voluntarily agree to allow the Housing Authority to disclose to CalOptima
Health the minimum information necessary about me to confirm enrollment in Medi-Cal and
provide the services described herein, including confidential information and personally
identifying information,1 for the following purposes:
1. To determine my current enrollment status in Medi-Cal or my interest in registering for
Medi-Cal.
2. To aid me in accessing the benefits available through CalAIM,2 including case
management, and assist in providing temporary and or/permanent housing opportunities.
3. To assist in making referrals for various health care benefits, including, but not limited to,
CalAIM Enhanced Care Management and Community Supports.3
4. To monitor the services, I receive to ensure they are beneficial.
By signing below, I further acknowledge and agree that CalOptima Health may contract with third
party Medi-Cal providers to provide services to me . For purposes of this form, CalOptima’s
contracted Medi-Cal providers include providers that perform the following categories of services:
CalAIM Enhanced Care Management and Community Supports . I understand, agree, and
authorize Housing Authority and CalOptima to disclose information about me for the purposes
described above. Please note that the list of CalOptima’s contracted Medi -Cal providers can
change frequently and without notice, and therefore the website should be consulted for the most
recent list: https://www.caloptima.org/en/ForMembers/Medi-Cal/FindAProvider. This Voluntary
1 For example, this information may include full name, date of birth, social security number and contact information to
assist in coordinating Medi -Cal related benefits or CalOptima services.
2 CalAIM is the California Advancing and Innovating Medi -Cal initiative, which the California Department of Health Care
Services launched to improve quality of life and health outcom es for the Medi-Cal population by using Medi -Cal as a
tool to address challenges facing Medi -Cal members. CalOptima, as a Medi-Cal health plan, participates in CalAIM
and assists its Medi-Cal members in obtaining benefits under CalAIM.
3 These services may include: housing transition navigation services, housing deposits, housing tenancy and sustaining
services, short-term post-hospitalization housing, recuperative care, respite services, day habilitation services, asthma
remediation, medically tailored meals/medically-supportive food, community transition services/nursing facility
transition to a home, personal care and homemaker services, environmental accessibility adaptations, and nursing
facility transition/diversion to assisted living facilities such as residential care facilities for elderly and adult residential
facilities. CalOptima will assist you in determining for which CalAIM services you are eligible.
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CalOptima Health PHA MOU Page 17 of 18
Consent Form is effective on the date provid ed below. Unless otherwise revoked earlier in writing,
this authorization expires five (5) years after the date you sign.
I understand that I may terminate this Voluntary Consent Form at any time by submitting a
written notice to the Housing Authority. Termination of this Voluntary Consent Form will not
apply to information that was shared under this Voluntary Consent Form prior to its termination.
I confirm that I have read the preceding information, agree to its contents, and have re ceived a
copy of this form. I also understand that signing this form is voluntary and that I am not required
to sign this form. Treatment, payment, or eligibility for benefits provided by the Housing
Authority, CalOptima, and CalOptima’s contracted Medi -Cal providers will not be affected if I do
not sign this form. Any questions that I may have had have been answered fully and to my
satisfaction. I am the individual indicated below, the individual’s legal representative, or am
otherwise authorized by the individual to sign the below and accept these terms on their behalf. If
I am not the individual, I understand and agree that any references to “I”, “you”, or “my” are
deemed to include the individual.
Head of Household or Legal Representative (Print Full Legal Name) Signature Date
Home Address City State Zip Code
Email Address Date of Birth Telephone number
Co -Head/Other Adult or Legal Representative (Print Full Legal Name)
Signature Date
Email Address Date of Birth Telephone number
Other Adult or Legal Representative (Print Full Legal Name)
Signature Date
Email Address Date of Birth Telephone number
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CalOptima Health PHA MOU Page 18 of 18
Other Adult or Legal Representative (Print Full Legal Name)
Signature Date
Email Address Date of Birth Telephone number
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