To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Cancellation Agreement #27-871-6 and Contract #27-871-7 with Viet H Ho, M.D., a Professional Corp.
☒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 as follows: (1) Cancellation Agreement #27-871-6 with Viet H Ho, M.D., a Professional Corporation, effective at the end of business on November 30, 2024; and Contract #27-871-7 with Viet H Ho, M.D., a Professional Corp., in an amount not to exceed $510,000, to provide ophthalmology services for Contra Costa Health Plan (CCHP) members and County recipients for the period December 1, 2024 through November 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $510,000 over a three-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 under the terms of their Individual and Group Health Plan membership contracts with the County. Ophthalmology is a clinical and surgical specialty within medicine that deals with the diagnosis and treatment of eye disorders. This Contractor has been a member in CCHP Provider Network providing ophthalmology services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since May 1, 2012.
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 Administration Bulletin 600.3 CCHP Physician services are exempt from solicitation requirements.
On April 12, 2022, the Board of Supervisors approved Contract #27-871-5 with Viet H Ho, M.D., a Professional Corporation, in an amount not to exceed $375,000, for the provision ophthalmology services for CCHP members and County recipients for the period May 1, 2022 through April 30, 2025.
In consideration of the Contractor’s agreement to continue providing ophthalmology services and the departments need to increase rates to maintain an adequate network for CCHP members to meet California Department of Health Care Services (DHCS) and California Department of Managed Health Care (DMHC) mandates, the department and Contractor have agreed to (1) mutual cancellation of the current Contract in accordance with General Conditions Paragraph 5 (Termination), of the Contract (Cancellation Agreement #27-871-6) will accomplish this cancellation, and (2) establish a new Contract with the correct terms and conditions for the next three years.
Under new Contract #27-871-7 Contractor will provide ophthalmology services for CCHP members and County recipients for the period December 1, 2024 through November 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this new Contract is not approved certain specialized ophthalmology services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and may cause a delay in services to CCHP members.