Legislation Details

File #: 26-4546    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 10/6/2026 In control: BOARD OF SUPERVISORS
On agenda: 10/20/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Manor Care-Tice Valley CA, LLC (dba HCR – ManorCare Tice Valley), in an amount not to exceed $14,000,000 to provide skilled nursing facility services for Contra Costa Health Plan members and County recipients for the period October 1, 2026 through September 30, 2028. (100% Contra Costa Health Plan Enterprise Fund II)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #77-397-4 with Manor Care-Tice Valley CA, LLC (dba HCR – Manor Care Tice Valley)
Recommendation: Recommendation of the County Administrator
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RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #77-397-4 with Manor Care-Tice Valley CA, LLC (dba HCR – ManorCare Tice Valley), a limited liability company, in an amount not to exceed $14,000,000, to provide skilled nursing facility (SNF) services for Contra Costa Health Plan (CCHP) members and County recipients, for the period October 1, 2026 through September 30, 2028.

FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $14,000,000 over a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues.

BACKGROUND:
CCHP has an obligation to provide certain specialized SNF health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Members are released from the hospital to recover at an SNF until they are well enough to be sent home. These services include but are not limited to: twenty-four (24) hour medical care, social service and case management coordination, wound care, respiratory therapy, nasogastric and gastric tube feeding, physical and speech therapy services. This Contractor has been a part of the CCHP Provider Network providing SNF services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since October 2021.

CCHP must also maintain network adequacy in accordance with applicable state and federal requirements, ensuring members have timely access to clinically appropriate services. The Contractor supports CCHP in meeting these obligations by providing specialized offerings that are limited within the local market, thereby helping CCHP uphold access-to...

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