To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #77-421-3 with Telehealth Specialty Medical Group, PC
☒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 #77-421-3 with Telehealth Specialty Medical Group, PC, a corporation, (formally known as Telemedicine Group, P.C. (dba Telemed2u)), in an amount not to exceed $4,500,000, to provide behavioral health and other medical specialty telehealth services for Contra Costa Health Plan (CCHP) members and County recipients for the period January 1, 2026 through December 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $4,500,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized behavioral health and other medical specialty telehealth services including but not limited to: cardiology, dermatology, dietary/nutrition, endocrinology, gastroenterology, gynecology, hepatology, infection disease, nephrology, neurology, orthopedics, otolaryngology, pulmonary, rheumatology, and urology for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Services for behavioral health and medical psychiatric telehealth services include electronic video and communication technologies to facilitate outpatient therapy services including diagnosis, consultation, treatment, medication management, education, and care management services for CCHP members. This Contractor has been a part of the CCHP Provider Network providing these services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since January 1, 2022.
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 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. Per Administrative Bulletin 600.3, CCHP Physician services are exempt from solicitation requirements.
On December 6, 2022, the Board of Supervisors approved Contract #77-421-1 with Telemedicine Group, P.C. (dba Telemed2u), in an amount not to exceed $1,800,000, for the provision of behavioral health and other medical specialty telehealth services for CCHP members and County recipients, for the period January 1, 2023 through December 31, 2025.
On February 4, 2025, the Board of Supervisors approved County Contract Amendment #77-421-2 with Telemedicine Group, P.C. (dba Telemed2u), effective February 1, 2025, to increase the payment limit by $1,500,000 to a new payment limit of $3,300,000, for additional behavioral health and other medical specialty telehealth services with no change in the term.
Approval of Contract #77-421-3 will allow the Contractor to continue to provide behavioral health and other medical specialty telehealth services under their new business name through December 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized behavioral telehealth services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the county will not be provided which may extend wait time for patients.