(a) Counties voluntarily participating in the County Medical Services Program pursuant to Section 16809 may establish the County Medical Services Program Governing Board pursuant to procedures contained in this section. The governing board shall govern the County Medical Services Program. (b) The membership of the governing board shall be comprised of all of the following: (1) Three members who shall each be a member of a county board of supervisors. (2) Three members who shall be county administrative officers. (3) Two members who shall be county welfare directors. (4) Two members who shall be county health officials. (5) One member who shall be the Secretary of the Health and Welfare Agency, or the secretaryâs designee, and who shall serve as an ex officio, nonvoting member. (c) The governing board may establish its own bylaws and operating procedures. (d) The voting membership of the governing board shall meet all of the following requirements: (1) All of the members shall hold office or employment in counties that participate in the County Medical Services Program. (A) The three county supervisor members shall be elected by the boards of supervisors of the CMSP counties, with each county having one vote and convened at the call of the chair of the governing board. (B) The three county administrative officers shall be elected by the administrative officers of the CMSP counties convened at the call of the chair of the governing board. (C) The two county health officials shall be selected by the health officials of the CMSP counties convened at the call of the chair of the governing board. (D) The two county welfare directors shall be elected by the welfare directors of the CMSP counties convened at the call of the chair of the governing board. (2) Governing board members shall serve three-year terms. (3) No two persons from the same county may serve as members of the governing board at the same time. (4) The governing board may elect a permanent chair. (e) (1) The governing board is hereby established with the following powers: (A) Determine program eligibility and benefit levels. (B) Establish reserves and participation fees. (C) Establish procedures for the entry into, and disenrollment of counties from, the County Medical Services Program. Disenrollment procedures shall be fair and equitable. (D) Establish cost containment and case management procedures, including, but not limited to, alternative methods for delivery of care and alternative methods and rates from those used by the department. (E) Sue and be sued in the name of the governing board. (F) Apportion jurisdictional risk to each county. (G) Utilize procurement policies and procedures of any of the participating counties as selected by the governing board. (H) Make rules and regulations. (I) Make and enter into contracts or stipulations of any nature with a public agency or person for the purposes of governing or administering the County Medical Services Program. (J) Purchase supplies, equipment, materials, property, or services. (K) Appoint and employ staff to assist the governing board. (L) Establish rules for its proceedings. (M) Accept gifts, contributions, grants, or loans from any public agency or person for the purposes of this program. (N) Negotiate and set rates, charges, or fees with service providers, including alternative methods of payment to those used by the department. (O) Establish methods of payment that are compatible with the administrative requirements of the departmentâs fiscal intermediary during the term of any contract with the department for the administration of the County Medical Services Program. (P) Use generally accepted accounting procedures. (Q) Develop and implement procedures and processes to monitor and enforce the appropriate billing and payment of rates, charges, and fees. (R) Investigate and pursue repayment of fees billed and paid through improper means, including, but not limited to, fraudulent billing and collection p
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