To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Ratify the issuance of 30-day advance written notice to terminate Contract #27-640-12 with Noel T.D. Chiu, M.D., A Medical Corporation (dba Diablo Dermatology)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RATIFY the October 10, 2025 action of the Health Services Director’s designee (Irene Lo, M.D, FACS), who issued a 30-day advance written notice to Noel T.D. Chiu, M.D., A Medical Corporation (dba Diablo Dermatology), a corporation, to terminate Contract #27-640-11, for the provision of dermatology services for Contra Costa Health Plan (CCHP) Members and County recipients, effective at the end of business on November 9, 2025.
FISCAL IMPACT:
There is no additional fiscal impact for this action. This Contract was fully funded by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain dermatology services to 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 dermatology services and fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since February 1, 2007.
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 9, 2024, the Board of Supervisors approved Contract #27-640-11 with Noel T.D. Chiu, M.D., A Medical Corporation (dba Diablo Dermatology), in an amount not to exceed $2,700,000, for the provision of dermatology services for CCHP members and County recipients, for the period February 1, 2024, through January 31, 2027.
Approval by the Board of Supervisors will ratify the actions of the CCH issuing a 30-day advance written notice to the Contractor, in accordance with General Conditions, Paragraph 5. (Termination), that the Contract is terminated effective at the end of business on November 9, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved the termination notice issued by Health Services Department staff would not be ratified by the Board of Supervisors.