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EligibilityAs of 2005, enrollment in Alliance Group Care was approximately 4,400 individuals.Outreach activities are conducted via the IHSS union in collaboration with the Alliance and thePublic Authority, the employer of record. There is no income eligibility requirement, butenrollees must work in Alameda County as an IHSS home care worker for the prior two months,be authorized to work a total of 70 hours or more during those two months, and continue to beauthorized to work at least 35 hours per month thereafter. Alliance Group Care does not providedependent coverage.Benefits and ServicesThe Alliance Group Care benefit package includes preventive care, physician services,hospital inpatient and outpatient care, laboratory and X-ray services, emergency room care,pharmaceuticals, and limited mental health, substance abuse, acupuncture, chiropractic careand other services. Dental care was added as a benefit and negotiations for vision care areunderway. Enrollees are responsible for an $8 per month premium. Physician services,preventive care visits and some pharmaceuticals do not require a co-payment, while hospital,ER, brand name and generic drugs, and some other services require a $5 point-of-service copayment.As with Alliance Family Care, Alliance Group Care enrollees choose a primary careprovider located at one of the participating care sites. The provider network consisted of localsafety net providers.FinancingFor its Group Care program, the Alliance secured a combined total of $1.5 millionannually from the tobacco settlement funds as well as county-based social service agencydollars. This money was then used to draw down $5.5 million in state and federal matchingdollars through a variety of programs and intergovernmental transfers. The Alliance usedfunding from the W.K. Kellogg Foundation’s Community Voices Initiative to support a GroupCare evaluation.Alliance Family Care xxxii,14Alameda County, CaliforniaOverviewIn 2000, The Alameda Alliance for Health (the Alliance), and its local community partnerscreated a coverage program to help the working uninsured with income below 300% of the FPL.Alliance Family Care utilizes the local health care safety net system as the provider network tooffer an affordable, family-centered, comprehensive health plan. Enrollment in Family Care iscombined with publicly funded programs provided in the county and thereby provided familieswith a seamless system of enrollment.Initial expectations were that the Alliance would enroll 2,000 members over five years.Instead, they reached their current membership after only 3 years. Alliance Family Care14 Personal Communications with Luella Penserga, Community Voices Project, May 2005D-22