To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #77-062-8 with Medic Shuttle, LLC
☒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 #77-062-8 with Medic Shuttle, LLC, a limited liability company, in an amount not to exceed $5,000,000, to provide non-emergency medical transportation (NEMT) services for Contra Costa Health Plan (CCHP) members and County recipients, for the period August 1, 2025 through July 31, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $5,000,000 over a two-year period and will be funded 100% by Contra Costa Health Plan Enterprise Fund II.
BACKGROUND:
CCHP has an obligation to provide certain NEMT services for its members under the terms of their Individual and Group Health Plan membership Contracts with the County. NEMT services provide transportation to and from covered Medi-Cal services for eligible members. These services also prioritize safety, accessibility, and comfort for passengers, with specially equipped vehicles. This Contractor has been part of the CCHP Provider Network providing NEMT services while fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives beginning April 2017.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. These NEMT services are mandated by the California Department of Health Care Services (DHCS) under federal law, which requires Medi-Cal Managed Care Plan’s to cover transportation-related travel expenses as set forth in 42 CFR section 440.170 (a)(3)(iii). Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates with and participates 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 the NEMT services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. Per Administrative Bulletin 600.3, the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
On July 11, 2023, the Board of Supervisors approved (1) Cancellation Agreement #77-062-6 with Medic Shuttle, LLC, a limited liability company, effective at the end of business on July 31, 2023; and (2) Contract #77-062-7 with Medic Shuttle, LLC, a limited liability company, in an amount not to exceed $2,500,000, to provide NEMT services for Contra Costa Health Plan (CCHP) Members, for the period August 1, 2023 through July 31, 2025.
Approval of Contract #77-062-8 will allow the Contractor to continue to provide NEMT services for CCHP members and County recipients through July 31, 2027. This Contract delay was due to extended negotiation of Contract terms between Contractor and Division.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, Contractor will not provide NEMT services needed for CCHP members and County recipients which is out of compliance with the DHCS.