To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #77-357-2 with CityWheelchairs, Incorporated
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #77-357-2 with CityWheelchairs, Incorporated, a corporation, in an amount not to exceed $300,000, to provide durable medical equipment (DME) services and related supplies for power wheelchairs to Contra Costa Health Plan (CCHP) members and County recipients, for the period July 1, 2025 through June 30, 2027.
FISCAL IMPACT:
Approval this Contract will result in contractual service expenditures of up to $300,000 for a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized DME services, including related supplies for power wheelchairs to CCHP members under the terms of their Individual and Group Health Plan membership Contracts with the County. DME services are mandated by State and Federal regulations and related equipment is medically necessary to preserve bodily functions essential to activities of daily living or to prevent significant physical disability. 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. This Contractor has been with CCHP providing DME services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since July 1, 2021.
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. The nature of the DME services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. Per Administrative Bulletin 600.3 the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
On June 13, 2023, the Board of Supervisors approved Contract #77-357-1 with CityWheelchairs, Incorporated, in the amount not to exceed $270,000, for the provision of DME services and related supplies for power wheelchairs to CCHP members and County recipients for the period July 1, 2023 through June 30, 2025.
Approval of Contract #77-357-2 will allow Contractor to continue providing DME services and related supplies for power wheelchairs to CCHP members and County recipients through June 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized DME services for CCHP members under the terms of their Individual and Group Health Plan membership Contract with the County will not be provided and power wheelchair and supplies needed for patients daily living may be delayed.