To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Terminate Contract #77-781-1 with Wider Circle, Inc.
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to issue a 30-day advance written notice to Wider Circle, Inc., a corporation, to terminate Contract #77-781, to provide enrollment services for the Contra Costa Health Plan’s (CCHP) Dual Eligible Special Needs Plan (D-SNP), effective at the close of business on December 31, 2026.
FISCAL IMPACT:
There is no fiscal impact for this action. This Contract was funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
On January 1, 2026, CCHP launched a D-SNP for patients who qualify for both Medicare and Medi-Cal assistance. Part of administering a D-SNP requires CCHP to provide supplemental benefits. To ensure CCHP has a path to D-SNP enrollment, it needs service contracts that can meet these requirements and help facilitate enrollment. As such, CCHP is seeking knowledge of other Managed Care Plans with experience operating a successful D-SNP. If CCHP does not establish a mechanism for enrollment, it faces the possibility of zero D-SNP enrollment, which poses a serious financial and operational risk. Under this Contract, Wider Circle, Inc. will provide services to launch its Connect for Life Program for CCHP, helping CCHP minimize the impact of operational changes on its patients to ensure a healthy D-SNP population that has many social and clinical risks.
A summary of service contract deliverables, including measurable outcomes required of the Contractor to be monitored by the department, including in compliance with Section III (B)(7) of the Purchasing Policy include Contractor’s successful design, implementation, and delivery of the program and in compliance with the Health Information Probability and Accountability Act of 1996. This Contract request was approved by Contra Costa Health Personnel to ensure no conflict with labor relations. This Contractor was approved by the Public Works Department’s Division on June 30, 2025.
On August 12, 2025, the Board of Supervisors approved Contract #77-781 with Wider Circle, Inc., in an amount not to exceed $300,000, for the provision of enrollment services for a supplemental benefit managed care plan concerning a clinical and social needs program for CCHP’s D-SNP Program, for the period August 12, 2025 through August 11, 2027.
On October 21, 2025, the Board of Supervisors approved rescinding Board Action (C.54) which pertained to Contract #77-781 with Wider Circle, Inc., allowing the Department to correct the Contract term to match the Contract for the period October 1, 2025 through September 30, 2027, with no change in the payment limit, for the provision of enrollment services for a supplemental benefit managed care plan concerning a clinical and social needs program for CCHP’s D-SNP Program.
Approval by the Board of Supervisors will allow the Health Services Department to issue a thirty-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 December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this termination is not approved, the department will be out of compliance with Contract requirements, which may delay service delivery and create operational risks.