To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #27-530-13 with BASS Medical Group
?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 #27-530-13 with BASS Medical Group, a corporation, effective July 1, 2026, to amend Contract #27-530-11 (as amended by Contract Amendment #27-530-12), 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 to offer care coordination and wrap around services, with no change in the payment limit of $21,600,000 or term ending in June 30, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will not result in any additional fiscal impact and will remain budgeted by the department and funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II revenues. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain PCP, Medical Specialist Provider and Non-Physician Provider services including but not limited to; urgent care, pulmonary care, neurology, gastric bypass, gastroenterology, podiatry, diagnostic imaging, laboratory, and other surgical services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. In January 2022, the Department of Health Care Services (DHCS) implemented its California Advancing and Innovating Medi-Cal (CalAIM) initiative, part of which requires all Medi-Cal Managed Care Plans to have a D-SNP line of business as of January 1, 2026, unless determined otherwise by the DHCS exemption process. D-SNPs are Medicare Advantage (MA) plans that provide specialized care to beneficiaries dually eligible for Medicare and Medi-Cal and offer care coordination and wrap-arou...
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