To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #77-451-1 with One Health Home Care, 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 #77-451-1 with One Health Home Care, Inc., a corporation, in an amount not to exceed $280,000, to provide home health care services for Contra Costa Health Plan (CCHP) members and county recipients for the period April 1, 2024 through March 31, 2026.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $280,000 over a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues (Rate increase)
BACKGROUND:
CCHP has an obligation to provide certain specialized home health care services including, but not limited to; assisting patients with medically necessary household services with supervision of a registered nurse, physical therapist, occupational therapist, or speech therapist under the terms of their Individual and Group Health Plan membership contracts with the county. This contractor has been a member in the CCHP Provider Network providing home health care services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since April 2022. This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Health and Safety Code § 1451. Home health care agencies adhere to all State and Federal rules and regulations and are required to enroll with the California Department of Public Health (CDPH) and meet Center for Medicare and Medicaid Services (CMS) regulation 42 CFR part 484 and 42 CFR 440.70(d). Health Services Personnel approved this contract to ensure there is no conflict with labor relations.
This 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. The nature of home health services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. One Health Home Care, Inc., is familiar with CCHP’s specific requirements to help ensure a smooth implementation and delivery process. Opting for this contractor with a proven track record and established reputation within the home health care community mitigates potential risks associated with CCHP’s successes and patient well-being.
There are a total 55 home health care agencies in CCHP’s service area. CCHP is currently contracted with 46 of the home health care agencies. 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 and assist with the CCHP Single Plan Model which will be effective January 1, 2024. This contractor has been approved by the Public Works Department’s Purchasing Division on January 9, 2024.
In May 2022, the County Administrator approved and the Purchasing Services Manger executed Contract #77-451 with One Health Home Care, Inc., in the amount not to exceed $200,000, for the provision of home health care services for CCHP members and county recipients for the period April 1, 2022 through March 31, 2024.
Approval of Contract #77-451-1 will allow the contractor to continue providing home health care services to CCHP members and county recipients through March 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this new contract is not approved certain specialized home health care services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the county will not be provided and services may be delayed.