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File #: 25-5112    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 11/19/2025 In control: BOARD OF SUPERVISORS
On agenda: 12/9/2025 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Antioch Medical and Hospital Supply (dba Antioch Medical Supply), to include the Dual Eligible Special Needs Plan (D-SNP) authorizing Contractor to provide specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal and offer care coordination and wrap-around services with no change in the payment limit of $350,000 or term ending July 31, 2027. (100% Contra Costa Health Plan Enterprise Fund II)
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To:                                          Board of Supervisors

From:                                          Dr. Grant Colfax, Health Services Director

Report Title:                     Contract Amendment #77-606-2 with Antioch Medical and Hospital Supply (dba Antioch Medical Supply)

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 Amendment #77-606-2 with Antioch Medical and Hospital Supply (dba Antioch Medical Supply), a corporation, effective January 1, 2026, to amend Contract #77-606-1, to include the Dual Eligible Special Needs Plan (D-SNP) authorizing Contractor to provide specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal and offer care coordination and wrap-around services with no change in the payment limit of $350,000 or term ending July 31, 2027.

 

FISCAL IMPACT:

Approval of this Contract Amendment will not impact the payment limit of $350,000 funded 100% by CCHP Enterprise Fund II revenues.

 

BACKGROUND:

CCHP has an obligation to provide certain specialized durable medical equipment (DME) services and related supplies including prosthetics for orthotics and breast protheses for its 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. Health Services Personnel approved this contract to ensure no conflicts with labor relations. Contractor will cooperate with and participate 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 600.3, the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.

 

On September 16, 2025, the Board of Supervisors approved Contract #77-606-1 with Antioch Medical and Hospital Supply (dba Antioch Medical Supply), in an amount not to exceed $350,000 to provide DME services for CCHP members and County recipients for the period August 1, 2025 through July 31, 2027.

 

Approval of Contract Amendment #77-606-2 will allow Contractor to provide D-SNP specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal through July 31, 2027.

 

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.