To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #77-823 with Vision Service Plan
?Recommendation of the County Administrator ? Recommendation of Board Committee
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RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County a Vision Care Agreement (County Contract #77-823) with Vision Service Plan, a California nonprofit corporation, in an amount not to exceed $270,000, to provide hosted vision plan management and administrative services to Contra Costa Health Plan’s Medicare Advantage Dual Eligible Special Needs Plan members for the period October 20, 2026 through December 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $270,000 over a two-year period and will be funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II revenues.
BACKGROUND:
This Contract meets the needs of the County by delegating a California-licensed specialized health care service plan administrator for CCHP’s Medicare Advantage (MA) Dual Eligible Special Needs (D-SNP) members' vision service benefits. Vision Service Plan is a licensed California specialized health care service plan as defined by the California Knox-Keene Health Care Service Plan Act of 1975 and licensed by the California Department of Managed Health Care and the California Department of Insurance to arrange and coordinate vision services through delegated and non-delegated agreements in California. Vision Service Plan will be responsible for certain Plan functions, including but not limited to provider network development, network adequacy, credentialing, member services, claims processing, and other delegated activities as required by CCHP. Each month, CCHP will reimburse Vision Service Plan a $6.01 Per Member Per Month Capitation Payment Rate as outlined in Exhibit B of the Agreement on behalf of each Covered Person or Member for the performance o...
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