To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #77-430-5 with Jiva Health, Inc
☒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 #77-430-5 with Jiva Health, Inc, a professional corporation, effective February 1, 2026, to amend Contract #77-430-3 (as amended by Contract Amendment #77-430-4), to increase the payment limit by $1,000,000, from $9,000,000 to a new payment limit of $10,000,000, to provide additional primary care physician (PCP), medical specialist services including endocrinology, diabetes, allergy, sleep, podiatry, rheumatology, telehealth and non-physician services including durable medical equipment (DME) services, with no change in the term ending December 31, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of $1,000,000 which will be funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II revenues. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain PCP services, medical specialist services including endocrinology, diabetes, allergy, sleep, podiatry, rheumatology, telehealth and non-physician services including DME services for its members under the terms of their Individual and Group Health Plan membership Contracts with the County. This Contractor has been a part of the CCHP Provider Network providing these services and fostering a deep understanding of the CCHP organizational 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 January 21, 2025, the Board of Supervisors approved Contract #77-430-3 with Jiva Health, Inc, in an amount not to exceed $9,000,000, for the provision of PCP, medical specialist services including endocrinology, diabetes, allergy, sleep, podiatry and non-physician services including DME services for CCHP members and County recipients for the period January 1, 2025 through December 31, 2027.
On October 7, 2025, the Board of Supervisors approved Contract Amendment #77-430-4 with Jiva Health, Inc, effective January 1, 2026, to allow CCHP to meet the regulatory mandate of Department of Health Care Services (DHCS) and Center for Medicare and Medicaid Services (CMS), implement a Dual Eligible Special Needs Plan (D-SNP) and authorize the 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 or term.
Approval of Contract Amendment #77-430-5 will allow the Contractor to provide additional PCP, medical specialist, non-physician services through December 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, the additional PCP, medical specialist and non-physician services needed 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.