To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contra Costa Health Plan Compliance Activities Report (April through June 2026)
Recommendation: Recommendation of the County Administrator
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RECOMMENDATIONS:
ACCEPT the Contra Costa Health Plan (CCHP) Compliance Quarterly Activity Report for April through June of 2026, as recommended by the CCHP Joint Conference Committee.
FISCAL IMPACT:
There is no fiscal impact for this action.
BACKGROUND:
To promote transparency and accountability, CCHP quarterly submits the Compliance Activities Report for review by the governing body. The Compliance Activities Report provides required oversight information on the effectiveness of the Plan’s Compliance Program, the status of key compliance activities, and any significant risks or issues that warrant attention, in accordance with Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS) contractual obligations and Knox Keene Act of 1975 for Medi-Cal, Commercial and Medicare D-SNP managed care regulations. Attachment A – Compliance Quarterly Activities Report is included.
This reporting period has been marked by significant achievements, proactive risk management, and continued progress in compliance initiatives. Here are key highlights:
Regulatory Monitoring: All required regulatory submissions were completed on time. There were only minor delays that were swiftly remediated. The Compliance Department successfully monitored and disseminated regulatory changes. This includes HPMS guidance, DHCS contract amendments and updates to regulatory management processes. No critical findings were identified in this period. This underscores our robust compliance posture.
Operational Challenges: The team overcame operational hurdles related to regulatory submission portals. This included troubleshooting DHCS, DMHC and CMS reporting systems. Intensive recruitment efforts and panel interviews were conducted along...
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