To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Rescind Prior Board Action Pertaining to Contracted Services with Bakersfield Rehabilitation Hospital, LLC
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RESCIND Board action of May 23, 2023 (C.47), which pertained to a contract with Bakersfield Rehabilitation Hospital, LLC, and APPROVE and AUTHORIZE the Health Services Director, or designee, to execute Contract #77-521 with Bakersfield Rehabilitation Hospital, LLC, a limited liability company, in an amount not to exceed $500,000 for the provision of inpatient rehabilitation facility (IRF) services for Contra Costa Health Plan (CCHP) members for the period February 1, 2024 through January 31, 2025.
FISCAL IMPACT:
Approval of this contract will result in annual contractual service expenditures of up to $500,000 and will be funded 100% by CCHP Enterprise Fund II.
BACKGROUND:
CCHP has an obligation to provide certain specialized IRF services including nutritional and physical therapies, case management and social services, pain management and end of life care for its members under the terms of their Individual and Group Health Plan membership contracts with the county. This contractor is joining the CCHP Provider Network effective February 1, 2024.
Bakersfield Rehabilitation Hospital, LLC, was selected to provide IRF services to Contra Costa Health Plan Medi-Cal and Commercial Members. CCHP’s service area currently contains no IRF services and the selected provider has agreed to accept our contract terms and conditions. The medical professional services provided require specific certifications, licenses or DHCS and CMS regulatory approvals that this Contractor has. Contractor’s established compliance history ensures adherence to industry regulations and reduces potential legal and regulatory risks. This contractor will maintain the comprehensive area coverage for the entire CCHP Membership and meet the health care needs of CCHP members and meet the time and distance mandate required by the State of California Department of Managed Health Care Services and assist with the CCHP Single Plan Model which will be effective January 1, 2024. Other sources providing these services are unacceptable as they do not meet the State regulations and accreditation standards required for Medi-Cal Managed Care Plans, such as CCHP. Without having IRF services, CCHP may risk becoming non-compliant with State regulations regarding Managed Medi-Cal members.
The nature of these IRF services needed is complex and requires seamless coordination, integration, and collaboration with existing programs, systems, and personnel. Bakersfield Rehabilitation Hospital, LLC is familiar with CCHP’s specific requirements to help ensure a smoother implementation and delivery process. This contractor has been approved by the Public Works Department’s Purchasing Division on December 11, 2023.
On May 23, 2023 the Board of Supervisors approved Contract 77-521 with Bakersfield Rehabilitation Hospital, LLC, in the amount of $500,000 for the provision of IRF services for the period May 1, 2023 through April 30, 2024. This initial contract was never executed due to a non-responsive contractor.
This Board Order clarifies the intent of the parties to rescind the prior approved Board action of May 23, 2024 and revise the contract term from May 1, 2023 through April 30, 2024, to a new contract term of February 1, 2024 through January 31, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If the recommendation is not approved, the prior Board action will stand and will be inconsistent with the revised contract term.