To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #77-781 with Wider Circle, Inc.
☒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 #77-781 with Wider Circle, Inc., a corporation, in an amount not to exceed $300,000, to provide enrollment services for a supplemental benefit managed care plan concerning a clinical and social needs program for the Contra Costa Health Plan (CCHP) for the period August 12, 2025 through August 11, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $300,000 over a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
Effective January 1, 2026, CCHP will launch a Dual Eligible Special Needs Plan (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 Contractor was approved by the Public Works Department’s Division on June 30, 2025. This Contract request was approved by Contra Costa Health Personnel to ensure no conflict with labor relations.
Approval of this new Contract #77-781 will allow the Contractor to provide enrollment services for a supplemental benefit managed care plan concerning a clinical and social needs program for CCHP’s D-SNP Program through August 11, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, CCHP will not be able to enroll people who qualify for both Medicare and Medi-Cal into its D-SNP Program which would cause serious financial and operational risks.