To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #77-435-1 with Braden Partners, L.P. (dba Pacific Pulmonary Services)
☒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 #77-435-1 with Braden Partners, L.P. (dba Pacific Pulmonary Services) a limited partnership, in an amount not to exceed $300,000, to provide Durable Medical Equipment (DME) related services and supplies of oxygen equipment for Contra Costa Health Plan (CCHP) members and county recipients for the period February 1, 2024 through January 31, 2027.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $300,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain specialized DME health care services including all related equipment and medical supplies to CCHP members under the terms of their Individual and Group Health Plan membership contracts with the county. This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. 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. Health Services Personnel approved this contract to ensure no conflicts with labor relations in November 2023. This contractor has been a part of the CCHP Provider Network providing DME related services and supplies and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since February 1, 2022.
Contractor currently cooperates with 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. There are a total of 49 DME service providers in CCHP’s service area. CCHP is currently contracted with 42 DME providers. 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. This contractor has been approved by the Public Works Department’s Purchasing Division on October 25, 2023.
In April 2022, the County Administrator approved and the Purchasing Services Manager executed Contract #77-435 with Braden Partners, L.P. (dba Pacific Pulmonary Services), in an amount not to exceed $100,000, for the provision of DME related services and supplies of oxygen equipment for CCHP members and county recipients for the period February 1, 2022 through January 31, 2024.
Approval of Contract #77-435-1, will allow the contractor to continue providing DME services and supplies of oxygen equipment to CCHP members and county recipients through January 31, 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 supplies needed for patients daily living may be delayed.