To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #27-950-6 with Brighter Beginnings
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #27-950-6 with Brighter Beginnings, a non-profit corporation, effective December 1, 2023, to amend Contract #27-950-5, to increase the payment limit by $100,000, from $1,200,000 to a new payment limit of $1,300,000, with no change in the original term of October 1, 2023 through September 30, 2026.
FISCAL IMPACT:
Approval of this amendment will result in additional expenditures of up to $100,000 and will be funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II revenues. (Additional rates)
BACKGROUND:
CCHP has an obligation to provide certain Primary Care Physician (PCP) services including but not limited to: family medicine for its members under the terms of their Individual and Group Health Plan membership contracts with the county. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this contract to ensure no conflicts with labor relations in October 2023. This contractor has been a part of the CCHP Provider Network providing PCP services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since October 1, 2014.
On September 19, 2023, the Board of Supervisors approved Contract #27-950-5 with Brighter Beginnings, in an amount not to exceed $1,200,000, for the provision of PCP services for CCHP members and county recipients, for the period October 1, 2023 through September 30, 2026.
These additional funds are for CalAIM Transition Services which includes but is not limited to outreach and Enhanced Care Management (ECM) expansion. Services will be provided to people with restricted scope Medi-Cal in Contra Costa County who will transition to Full-Scope Medi-Cal beginning January 2024. Led by the California Department of Health Care Services (DHCS), the goal of CalAIM is to improve outcomes for people covered by Medi-Cal, including the most vulnerable residents, such as homelessness, behavioral health care access, children with complex medical conditions, the growing number of justice-involved populations who have significant clinical needs, and the growing aging population. This will be a one-time funding from CCHP Medi-Cal Incentive Fund-New Investment.
Approval of Contract Amendment Agreement #27-950-6 will allow the contractor to provide additional CalAIM outreach services for CCHP members and county recipients through September 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, the contract will not have sufficient funds to pay the contractor and CCHP members will not have access to the contractor’s additional PCP services under the terms of their Individual and Group Health Plan memberships.