Partnership HealthPlan of California is authorized by the State of California to provide health care services for Medi-Cal managed care beneficiaries in 24 Northern California counties.[6]
Coverage programs
Medi-Cal. California’s version of Medicaid is the only public program that covers many low-income adults and children.
Other coverage programs have been included in the past:[7]
2002-2005 County Medical Services Program (CMSP) program (Solano and Napa counties).
2007-2014 PartnershipAdvantage, a Special Needs Plan Medicare Advantage program (Yolo, Napa, Solano counties only)
2010-2013 Healthy Families, the California version of the federal Children's Health Insurance Program (Napa, Sonoma, Solano, Yolo counties only). In 2013, the Healthy Families Program was folded into Medi-Cal as part of the Affordable Care Act.
2005-2016 Healthy Kids. Partnership HealthPlan also offered a health insurance product called Healthy Kids to low income children not otherwise eligible for Medi-Cal.[8] In 2016, the Healthy Kids Program was folded into Medi-Cal under California's SB 75, passed in 2015. [9]
History and structure
In 1993, the State Department of Health Services produced a report entitled “Expanding Medi-Cal Managed Care: Reforming the Health System – Protecting Vulnerable Populations” which served as a blueprint for expansion of Medi-Cal managed care.[10]
The Solano Health Partnership, the predecessor of Partnership HealthPlan, began serving Medi-Cal beneficiaries in Solano County in 1994 as a County Organized Health System. The Solano Coalition for Better Health, a community stakeholder group, founded Partnership HealthPlan.[11] The Coalition began discussing overall health of the Solano County community in 1988 culminating in a contract with the State of California in 1992, beginning operations in 1994.[12]
In 1998, the Solano Health Partnership expanded into Napa County, and changed its name to Partnership HealthPlan of California. Further geographic expansions are listed[13]
Wellness and Recovery Program (Substance use disorder services for seven counties) Launched 2020. [37]
Governance
Partnership HealthPlan is governed by a board of commissions composed of up to 40 members representing all 24 counties, including physicians, county officials, hospital leaders, providers, PHC health plan members, and public representatives.[38]
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