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Consolidated Agreement FYI ATTACHMENT A Page 17 of 33 A. Discontinuance of the OBCM or CC4C Program The Division of Public Health (DPH) is responsible for assuring the Statewide provision of Obstetric Care Management (OBCM) and Care Coordination for Children (CC4C) services. DPH considers this a core public health service and prefers that each local health department continues to provide it. Every resource including technical assistance from the regional consultants and Women's and Children's Health (WCH) Section should be used to resolve issues to prevent discontinuation of services. In the event that the Department decides it can no longer fulfill this obligation, the Department shall: 1. Notify the DPH Deputy Director in writing of the Department's intention to discontinue the service 90 days in advance of any planned action. 2. Cooperate with the DPH Deputy Director's office in developing a joint plan for transition that will include the appropriate local partners. 3. Prepare a joint letter co-signed by the DPH Deputy Director and the Department's Health Director outlining the agreed upon terms for the transition. 4. Submit an Assurance Plan as outlined in Section B to the DPH Deputy Director's Office that includes a copy of any proposed subcontracts. This plan must be approved by the DPH prior to,. execution of the pilot model period. 5. Upon approval of the pilot model, the Department shall submit monthly reports to DPH that includes program activity updates and service data. Reports shall reflect reporting requirements in network contracts for the Medicaid population and in Agreement Addenda for the non -Medicaid population, including the monthly status reports from the service provider. 6. Notify DPH 90 days before the scheduled end of the pilot period regarding the Department's desire to continue the program past the pilot phase. DPH will review the progress of the pilot and determine whether it is the in best interest of the DPH to renew the pilot and report back to the Department 30 days before the scheduled end of the pilot period. Discontinuation of OBCM or CC4C without an approved transition plan may result in the withholding of all funds from the Department at the discretion of the DPH Deputy Director. B. Assurance Plan Requirements for OBCM or CC4C If the approved transition results in the Department moving to an assurance model for OBCM, CC4C or both to another service provider for a pilot period of up to one year, the Department shall: 1. Monitor and evaluate the service provider quarterly based on the agreements outlined in the transition plan assurances model. 2. Provide monthly status reports on the implementation of the pilot model inclusive of all components of this Section B: Assurance Plan Requirements for OBCM or CC4C, with both Medicaid and non - Medicaid clients in the report. These reports are to be delivered to the OBCM and CC4C regional consultants and the respective program managers. 3. Conduct quarterly meetings with Executive Level County Health Department and Network representatives to review OBCM and CC4C services. Provide meeting dates, agendas, and names of the meeting attendees to the OBCM and CC4C regional consultants.