To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #27-169-22 with Lifelong Medical Care
☒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 #27-169-22 with Lifelong Medical Care, a non-profit corporation, in an amount not to exceed $4,200,000, to provide primary care physician (PCP) including urgent care, acupuncture, and specialty medical services for Contra Costa Health Plan (CCHP) members and County recipients for the period July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this contract will result in annual expenditures of up to $4,200,000 and will be funded as budgeted 100% by CCHP Enterprise Fund II revenues. (Rate increase)
BACKGROUND:
CCHP has an obligation to provide certain PCP services including, urgent care, acupuncture, and specialty medical health care services, for its members under the terms of their Individual and Group Health Plan membership contracts with the County. This contractor is a Federally Qualified Health Center (FQHC) facility and has been a part of the CCHP Provider Network providing these PCP and specialty medical services while fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since February 1997. This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. This contract renewal will maintain comprehensive area coverage for the entire CCHP membership and meet the Knox-Keene Act, time and distance mandate required by the State of California Department of Managed Health Care (DMHC) Services. Health Services Personnel approved this contract to ensure no conflicts with labor relations. This 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 May 23, 2023, the Board of Supervisors approved Contract #27-169-20 with Lifelong Medical Care, in an amount not to exceed $2,000,000, for the provision of PCP services, including urgent care, acupuncture and specialty medical services for CCHP members and County recipients for the period July 1, 2023 through June 30, 2024.
On December 12, 2023, the Board of Supervisors approved Amendment Agreement #27-169-21 with Lifelong Medical Care, effective December 1, 2023, to increase the payment limit by $100,000 to a new payment limit of $2,100,000, to provide additional CalAIM outreach services led by the California Department of Health Care Services (DHCS), to improve outcomes for people covered by Medi-Cal with no change in the original term.
Approval of Contract #27-169-22 will allow the contractor to continue to provide PCP services including urgent care, acupuncture, and specialty medical services for CCHP members and County recipients through June 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, certain primary care physician and specialty medical health care services including urgent care and acupuncture services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and may cause a delay in services to CCHP members.