To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #27-939-9 with Axis Community Health, Inc.
☒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 #27-939-9 with Axis Community Health, Inc., a non-profit corporation, effective July 1, 2026, to amend Contract #27-939-8, to include a pay for performance (P4P) incentive to continue providing Primary Care Physician (PCP) and other specialty medical services for Contra Costa Health Plan (CCHP) members and County recipients with no change in the payment limit of $3,000,000 and no change in the term ending June 30, 2028.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of $3,000,000 and will remain budgeted by the department and funded 100% by CCHP Enterprise Fund II revenues. (Additional rate)
BACKGROUND:
CCHP has an obligation to provide certain PCP and other specialty medical services 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. This Contractor has been a part of the CCHP Provider Network providing PCP services as a Federally Qualified Health Center (FQHC) facility and fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since July, 2014.
Contractor currently cooperates and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care, 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. Per Administrative Bulletin 600.3 CCHP Physician services are exempt from solicitation requirements
On July 22, 2025, the Board of Supervisors approved Contract #27-939-8 with Axis Community Health, Inc., in an amount not to exceed $3,000,000, for the provision of PCP and other specialty medical services for CCHP members and County recipients for the period July 1, 2025 through June 30, 2028.
Approval of Contract Amendment #27-939-9 will allow the Contractor to include the PCP incentive to continue to provide services for CCHP members and County recipients through June 30, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, certain specialized PCP and other specialty medical services for CCHP members under the terms of their Individual and Group Health Plan membership Contract with the County will not be provided and services may be delayed.