Agenda - 04-06-2021; 8-i - Approval of the Continuity of Services Plan to Guide Realignment from Cardinal Innovations Healthcare to Alliance Health

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6 Care in Orange County, Alliance will work with local organizations and public partners to address social and environmental factors, including homelessness, food insecurity, and lack of transportation, that particularly impact the overall health and quality of life of individuals that lack health coverage. Alliance utilizes community collaboratives and roundtables with shared goals and accountability to achieve worthwhile, sustainable outcomes and Alliance will begin to establish these opportunities in Orange County. Additionally, Alliance has Outreach and Education as well as Member and Community Engagement teams that help individuals navigate the human services system and utilize available local resources. These teams provide various trainings on topics including Medicaid transformation and health wellness and prevention. By providing diverse communities the tools they need to succeed —from education and training, to the development of care guidelines and wayfinding through the system —Alliance aims to enable people to lead healthier, more satisfying lives. Provider Network Through the process of due diligence, the County learned that there is some overlap in the provider networks between Cardinal and Alliance, yet there are differences as well. Alliance contracts with 21 of the 38 total Orange County providers currently contracted with Cardinal. In addition to informal outreach to providers, the County, in coordination with Alliance, will send these providers written notice of the transition from Cardinal to Alliance. Alliance has agreed to bring into its network to continue to serve Members and the County providers that are in good standing with Cardinal and Alliance and meet all the applicable state imposed rules and requirements. Further, Alliance will develop an expedited credentialing process to confirm whether a provider is enrolled in the Alliance network and to assist providers not currently contracted with Alliance with entering such network upon confirmation of applicable state and other requirements. Lastly, there are providers in the Alliance network who do not serve individuals in Orange County who have expressed an interest and desire to do so. The Realignment Committee described in the LME/MCO Disengagement Plan will provide guidance on this subject in its work during the transitional phase to help facilitate increased access within the County to provide further choice and service capacity for Members. As the County continues to move forward, the work of the Realignment Committee does as well. This Committee, comprised of a cross section of community leaders overseen by the County Manager, will continue to develop the broader transition plan focused on the impact on individuals in need of services and providers. As part of that work, the Committee will have direct community leadership expectations to ensure the Plan is executed in such a way that minimizes the disruption to individuals receiving services and their providers. The Realignment Committee will also be responsible for coordinating communication sessions with key audiences (including Members and their families, providers, and stakeholders) to ensure the implementation period from