To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #77-729 with Bilberry Holdings, LLC (dba East Bay Post-Acute)
☒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 #77-729 with Bilberry Holdings, LLC (dba East Bay Post-Acute), a limited liability company, in an amount not to exceed $500,000, to provide skilled nursing facility (SNF) and sub-acute adult facility services for Contra Costa Health Plan (CCHP) members and County recipients, for the period December 1, 2024 through November 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $500,000 over a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain SNF and sub-acute adult facility services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Members are released from the hospital to recover at an SNF until they are well enough to be sent home. These services include but are not limited to: twenty-four (24) hour medical care, social service and case management coordination, wound care, respiratory therapy, nasogastric and gastric tube feeding, physical and speech therapy services. 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. Contractor will cooperate with and participate in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care and services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs.
The nature of SNF and sub-acute adult facility services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. This Contract will maintain comprehensive area coverage for the entire CCHP membership and meet the Knox-Keene Act, time and distance mandate required by the State of California Department of Managed Health Care (DMHC) services. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
Approval of Contract #77-729 will allow the Contractor to provide SNF and sub-acute adult facility services for CCHP members and County recipients through November 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain SNF and sub-acute adult facility services for CCHP members under the terms of their Individual and Group Health Plan membership Contracts with the County will not be provided and may cause a delay in services to CCHP members.