To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #27-935-7 with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California)
☒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 #27-935-7 with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California), a sole proprietor, in an amount not to exceed $2,700,000, to provide ophthalmology services for Contra Costa Health Plan (CCHP) members and county recipients, for the period November 1, 2024 through October 31, 2027.
FISCAL IMPACT:
This Contract will result in contractual service expenditures of up to $2,700,000, over a 3-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized ophthalmology services for its members and County recipients under the terms of their Individual and Group Health Plan membership contracts with the County. Ophthalmology services are mandated by Federal regulations. Center of Medicare and Medicaid (CMS) follows code of Federal Regulations 16 CFR Part 456 and 42 CFR §1004.1. This Contractor has been a part of the CCHP Provider Network since June 1, 2014, and will continue to foster a deep understanding of the CCHP organizations mission, values, and long-term objectives.
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 approve this contract to ensure no conflicts with labor relations. Contractor shall cooperate with and participate in CCHP’s 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 October 4, 2022, the Board of Supervisors approved (1) Cancellation Agreement 27-935-5 with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California), a sole proprietor, effective at the end of business on October 31, 20222; and (2) Contract #27-935-6 with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California), a sole proprietor, in an amount no to exceed $900,000, to provide ophthalmology services for Contra Costa Health Plan (CCHP) members and County recipients, for the period November 1, 2022 through October 31, 2024.
Approval of Contract #27-935-7 will allow Contractor to continue providing ophthalmology services for CCHP members and County recipients through October 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized ophthalmology services for CCHP members under the terms of their Individual and Group Health Plan membership contract with the County will not be provided.