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6 <br /> • Enhancing the outpatient service continuum by developing comprehensive outpatient <br /> providers in Alliance's communities. Outpatient services are available to everyone without a <br /> payer source who qualifies. <br /> • Building a community-based System of Care, a network of local agencies and community <br /> partners to address social and environmental factors, including homelessness,food insecurity, <br /> lack of transportation, that particularly impact the overall health of individuals that lack health <br /> coverage. <br /> • Organizing consistent community outreach and education initiatives to help individuals <br /> navigate the human services system and utilize available local resources. <br /> Finally, Orange County seeks greater transparency and participation in decision making that <br /> directly impacts its most vulnerable residents. Alliance is governed by a talented and diverse Board <br /> of Directors responsible for comprehensive planning, budgeting, implementing and monitoring of <br /> community-based services to meet the health needs of Medicaid recipients and individuals without <br /> insurance in its catchment area. Realigning with Alliance would provide Orange County a seat on <br /> the Alliance Board of Directors and participation in its many advisory committees. <br /> III. TIMELINE <br /> Disengagement will be effective as soon as permitted by law and reasonable. While the estimated <br /> approval date is nine months from our November 16, 2020 Letter of Intent, Orange County believes <br /> a reasonable effective date for the transition would be January 1, 2022, although it reserves the <br /> right to realign sooner to minimize any negative impact on County residents from a slower <br /> transition. The official disengagement date will ultimately be approved by the DHHS Secretary. <br /> To protect our residents in greatest need, disengagement with Cardinal will occur simultaneously <br /> with realignment or"engagement" with Alliance. The process will include a minimum of 60 days for <br /> the public to review and comment on this Disengagement Plan on our website. Following this <br /> comment period, the comments received will be posted for 30 days. Orange County intends to <br /> have ready for submission to the DHHS Secretary the Written Request to Disengage <br /> documentation and will look for approval from the Secretary within the 90 days as outlined in law. <br /> Important dates in this process: <br /> February 17, 2021 — Publish this Disengagement Plan 60 days for public comment <br /> April 18, 2021 — Post public comments received for 30 days <br /> May 19, 2021 — Submit the Request to Disengage to the Secretary <br /> August 17, 2021 —Anticipated approval by the Secretary <br /> Secretary Approval - December 31, 2021— Implementation phase <br /> January 1, 2022 — Effective date of transition <br /> IV. DISENGAGEMENT <br /> This Disengagement Plan serves as a guide and is the first step in the process of transitioning from <br /> Cardinal to Alliance. While this Plan should not be considered all-inclusive, we have made every <br /> Orange County LME/MCO Disengagement Plan 13 <br />