To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Correct Board Order Item #C.98 with Chris E. Esguerra, M.D., P.C. (dba Esteem Health Services PSC)
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE clarification of Board action of September 24, 2024, (C.98) to change the name of the Contractor to read Chris E. Esguerra, M.D., P.C. (dba Esteem Health PSC) instead of Chris E. Esguerra, M.D., P.C. (dba Esteem Health Services PSC), with no change in the payment limit of $400,000 and no change in the term of October 1, 2024 through September 30, 2026.
FISCAL IMPACT:
This Contract is funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain telehealth behavior health services - therapy for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Behavioral health services - therapy are mandated by State and Federal regulation Department of Health Care Services (DHCS) has added behavioral health therapy services to the list of medically necessary outpatient mental health services as covered benefit under the Medi-Cal program, under DHCS All Plan Letter (APL) 13-021. 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.
The nature of the telehealth behavior health services - therapy needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. This Contract will maintain comprehensive area coverage for the entire CCHP membership and meet the Knox-Keene Act, time and distance mandate required by the State of California Department of Managed Health Care (DMHC) services. These contracted services were determined to be exempt from Adm...
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