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File #: 24-3517    Version: 1 Name:
Type: Consent Item Status: Passed
File created: 10/4/2024 In control: BOARD OF SUPERVISORS
On agenda: 10/22/2024 Final action: 10/22/2024
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with CreDentals Services, Inc. (dba VPoint), in an amount not to exceed $600,000 to provide credentialing services for healthcare providers contracted in the Contra Costa Health Plan Provider Network for the period October 1, 2024 through September 30, 2027. (100% Contra Costa Health Plan Enterprise Fund II)

To:                                          Board of Supervisors

From:                                          Anna Roth, Health Services Director

Report Title:                     Contract #27-814-10 with CreDentals Services, Inc. (dba VPoint)

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 #27-810-10, which contains mutual indemnification, with CreDentals Services, Inc. (dba VPoint), a corporation, in an amount not to exceed, $600,000,  to provide credentialing services for healthcare providers contracted in the Contra Costa Health Plan (CCHP) Provider Network for the period October 1, 2024 through September 30, 2027.

 

FISCAL IMPACT:

Approval of this Contract will result in contractual service expenditures of up to $600,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.

 

BACKGROUND:

CCHP has an obligation to provide an extensive network of specialized healthcare providers that offer health care services to CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County. These providers must satisfy State and Federal licensure prerequisites, adhere to accreditation standards, ensure regulatory compliance, and hold relevant professional certifications. The healthcare professional credentialing services required for CCHP operations demands a high level of specialized expertise, experience, and knowledge this Contractor currently possesses. Contractor provides credentialing services for healthcare providers contracted in CCHP's provider network while continuing to  foster a deep understanding of the CCHP organizations mission, values, and long-term objectives since October 2010.

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. The nature of the credentialing services needed is complex and requires seamless coordination, integration and collaboration with existing programs systems, and personnel. This contractor has been approved by the Public Works Department’s Purchasing Division on July 7, 2024.

 

On October 5, 2021, the Board of Supervisors approved Contract #27-814-8 with CreDentals Services, Inc. (dba VPoint), formally doing business as VerifPoint, in an amount not to exceed $120,000, for the provision of credentialing services for healthcare providers in CCHP's provider network, for the period October 1, 2021 through September 30, 2024.

On May 23, 2023, the Board of Supervisors approved Amendment Agreement #27-814-9 with CreDentals Services, Inc. (dba VPoint), formally doing business as VerifPoint, effective June 1, 2023, to increase the payment limit by $120,000 to a new payment limit of $240,000, to provide additional credentialing services for CCHP Provider Network as utilization has surpassed the original expectation set forth at the commencement of the contract term with no change in the term.

 

Approval of Contract #27-814-10 will allow the Contractor to continue to provide credentialing services for healthcare providers in CCHP's provider network, through September 30, 2027. This Contract contains mutual indemnification to hold harmless both parties for any claims arising out of the performance of this Contract.

 

CONSEQUENCE OF NEGATIVE ACTION:

If this Contract is not approved, County’s providers will not be credentialed, and CCHP would be at-risk for non-compliance with Federal, State, and contractual requirements, and could subject County to potential sanctions, civil penalties and corrective action plans.