1. Insure The Uninsured Project Remaining Uninsured Orange County Isabel Becerra, Chief Executive Officer February 17, 2015 1

2. MISSION STATEMENT: The Coalition of Orange County Community Health Centers is a consortium of safety net providers and key partners creating quality healthcare for all.

3. The COALITION Our member health centers ARE the primary care safety net in Orange County Incorporated 1974 26 clinic organizations, 58 clinic sites 50% FQHCs 300,000 annual patients; 800,000 annual visits 3

4. Primary Care Funding Undocumented The Lara bill PRUCOL for those with deferral from deportation 4

5. Evolving Role for Health Care Agency Tobacco Settlement Revenue (TSR) Infrastructure 5

6. Evolving role for CalOptima FQHC Readiness Support FQHC Implementation Support 6

7. Reinstatement of EAPC 7

8. PLANNING FOR ACA FQHC Expansion Campaign, 2001 Now 50% membership FQHC CalOptima Safety Net Grants, 2014 Development of IPA, 2008 Access and Capacity Study, 2010 Patient Health Home Innovation Project, 2011 3 pilot sites Now 5 health centers NCQA accredited (three Level 3!) Centralized Outreach and Enrollment Efforts 8

9. SUPPORT AND COLLABORATIVE EFFORTS Medical and Dental Provider Forums Shared Care Collaborative Specialty Care and Social Services E-referral module Workforce Initiative AHEC (pipeline activities) 9

10. CalOptima Community Network Impact on CHCs Direct contract with CalOptima Non-exclusive relationship CHCs can keep existing IPA contracts Access to utilization and quality data Framework for Quality Management and Pay for Performance Programs Build managed care experience Support sustainability of access points 10

11. Questions 11 THANK YOU