To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #77-711-1 with Chris E. Esguerra, M.D., P.C. (dba Esteem Health PSC)
☒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 #77-711-1 with Chris E. Esguerra, M.D., P.C. (dba Esteem Health PSC), a corporation, effective March 1, 2026, to amend Contract #77-711, to include the Dual Eligible Special Needs Plan (D-SNP) obligations and requirements, authorizing Contractor to provide specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal and offer care coordination and wrap-around services with no change in the payment limit of $400,000 or term ending September 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of $400,000 and is funded 100% by CCHP Enterprise Fund II revenues. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide telehealth behavioral health therapy services to CCHP members and County recipients under the terms of their Individual and Group Health Plan membership Contracts with the County. This Contractor has been with CCHP providing these services and fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since October 1, 2024.
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 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. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On September 24, 2024, the Board of Supervisors approved Contract #77-711 with Chris E. Esguerra, M.D., P.C. (dba Esteem Health PSC), in an amount not to exceed $400,000 for the provision of telehealth behavioral health therapy services for CCHP members and County recipients for the period October 1, 2024 through September 30, 2026.
Approval of Contract Amendment #77-711-1 will allow the Contractor to provide D-SNP specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal through September 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, CCHP will not be compliant with Center for Medicare and Medicaid Services (CMS) Network Adequacy regulatory requirements.