To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Rescind Prior Board Action Pertaining to Contracted Services with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RESCIND Board action of October 22, 2024 (C.77), which pertained to a contract with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California); and APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #27-935-7 with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California), a sole proprietor, in an amount not to exceed $2,700,000, to provide ophthalmology services for Contra Costa Health Plan (CCHP) members and County recipients, for the period November 1, 2024 through October 31, 2026.
FISCAL IMPACT:
This Contract will result in contractual service expenditures of up to $2,700,000, over a 2-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized ophthalmology services for its members and County recipients under the terms of their Individual and Group Health Plan membership contracts with the County. Ophthalmology services are mandated by Federal regulations. Center of Medicare and Medicaid (CMS) follows code of Federal Regulations 16 CFR Part 456 and 42 CFR §1004.1. This Contractor has been a part of the CCHP Provider Network since June 2014, and continue to foster a deep understanding of the CCHP organizations mission, values, and long-term objectives.
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 approve this Contract to ensure no conflicts with labor relations. Contractor shall cooperate with and participate in CCHP’s 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 CCHP Physician services are exempt from solicitation requirements.
On October 4, 2022, the Board of Supervisors approved (1) Cancellation Agreement 27-935-5 with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California), effective at the end of business on October 31, 2022; and (2) Contract #27-935-6 with Amitabh Kant Bharadwaj, M.D. (dba Retina Specialists of Northern California), in an amount no to exceed $900,000, for the provision of ophthalmology services for CCHP members and County recipients, for the period November 1, 2022 through October 31, 2024.
On October 22, 2024 the Board of Supervisors approved Board Order C.77 to execute Contract #23-935-7 however, the dates on the staff report were incorrect. This action will rescind the incorrect staff report and allow the Department to correct the term from November 1, 2024 through October 31, 2027 to a new contract term of November 1, 2024 through October 31, 2026.
The purpose of this Board Order is to correct the Contract term to read November 1, 2024 through October 31, 2026 to match the Contract term dates as agreed upon by the County and Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the prior incorrect Board action will stand and the term dates approved in the prior board authorization will not match the Contract and reflect the intent of the parties.