Sponsor: Financial Assistance Services
Title
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Revenue Agreement with Monarch Healthcare Management IV LLC
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Recommendation
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1. Approve the agreement with Monarch Healthcare Management IV LLC for financial assistance processing services for the period of October 21st, 2025, through October 20th, 2026 in the amount of $96,644.
2. Authorize the Chair and Chief Clerk to execute the agreement.
3. Authorize the County Manager to approve and execute amendment to renew the term of the agreement for up to one year, in a form approved by the County Attorney’s Office.
4. Approve an increase in the personnel complement of Financial Assistance Services by 2 Full Time Equivalents Eligibility Specialist.
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Background and Rationale
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When many residents’ life circumstances changes and they need long-term care, they come to Ramsey County to apply for Medical Assistance and other economic assistance supports. Unfortunately, because of a number of factors, including the volume of applications received, the processing of these applications can be delayed, which ultimately delays the residents ability to receive care because the care provider cannot receive payment for services. In response to these issues, Monarch Healthcare, a company that manages seven long-term care facilities located in Ramsey County, approached Ramsey County to explore solutions.
The solution that was identified was to add two additional Eligibility Specialists positions (80 hours per week across two staff), that Monarch Healthcare would reimburse expenses not reimbursed through Random Moments Time Study reimbursement, to process renewals and be the intake liaison for new applications. The other expenses related to these positions will be reimbursed through existing random moment cost reimbursement, so no additional levy costs are expected to be incurred. This is a pilot project and Financial Assistance Services will assess the effectiveness following the initial year of the agreement.
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County Goals (Check those advanced by Action)
☒ Well-being ☐ Prosperity ☐ Opportunity ☐ Accountability
Racial Equity Impact
Due to long-standing racial economic disparities in Ramsey County, residents who are seeking public health insurance to cover the cost of their long-term care are more likely to be Black, Indigenous and People of Color. By receiving these outside funds, Financial Assistance Services will be more able to process applications and renewals timelier, ensuring that diverse residents receive the healthcare that they need urgently.
Community Participation Level and Impact
This agreement is in direct response to concerns expressed by a community partner through engagement. Financial Assistance Services regularly engages with the Care Providers of Minnesota network to gather feedback and to be accountable to these partners, who are serving the same residents as the county.
☐ Inform ☐ Consult ☒ Involve ☐ Collaborate ☐ Empower
Fiscal Impact
This action will increase revenue to Financial Assistance Services by $96,644 through Monarch and estimate $96,644 of random moments cost reimbursement. Revenue from the agreement with Monarch Healthcare Management IV LLC as well as estimated random moments cost reimbursement will fund the requested two Full-time Equivalent positions in the 2025 and 2026 budgets.
Last Previous Action
None.
Attachments
1. Client Service Agreement Between Ramsey County and Monarch Healthcare Management IV LLC