To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #77-015-9 with Golden State Dermatology Associates Inc.
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #77-015-9 with Golden State Dermatology Associates Inc., a corporation, effective October 1, 2026, to amend Contract #77-015-6 (as amended by Contract Amendments #77-015-7 and #77-015-8), to include the Dual Eligible Special Needs Plan (D-SNP) obligations and requirements, authorizing the Contractor to provide specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal and offer care coordination and wrap-around services for Contra Costa Health Plan (CCHP) members and County recipients with no change in the term ending March 31, 2028.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of $6,180,000 and is funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain dermatology, otolaryngology, vein, and gender affirming surgery services for its members under the terms of their Individual and Group Health Plan membership Contracts with the County. This Contractor has been a part of the CCHP Provider Network providing these services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since April 1, 2016. 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. 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. Per Administrative Bulletin 600.4 CCHP Physician services are exempt from solicitation requirements.
On March 25, 2025 the Board of Supervisors approved Contract #77-015-6 with Golden State Dermatology Associates Inc. in an amount not to exceed $6,000,000 for the provision of dermatology, otolaryngology and gender affirming surgery services for CCHP members and County recipients for the period April 1, 2025 through March 31, 2028.
On February 10, 2026 the Board of Supervisors approved Contract Amendment #77-015-7, effective February 1, 2026, to increase the payment limit by $90,000 to a new payment limit of $6,090,000 to include vein treatment services with no change in the term ending March 31, 2028.
On April 14, 2026, the Board of Supervisors approved Contract Amendment #77-015-8, effective May 1, 2026, to increase the payment limit by $90,000 to a new payment limit of $6,180,000, to provide additional surgery services, in addition to dermatology, otolaryngology, and vein treatment services with no change in the term ending March 31, 2028.
Approval of Contract Amendment #77-015-9 will allow Contractor to provide D-SNP specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal through March 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, CCHP will not be compliant with Center for Medicare and Medicaid Services (CMS) Network Adequacy regulatory requirements.