To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment/Extension #77-639-1 with Health Management Associates, Inc.
?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/Extension #77-639-1 with Health Management Associates, Inc., a corporation, effective October 1, 2024, to increase the payment limit by $270,270, from $768,784 to a new payment limit of $1,039,054 and to extend the termination date from October 22, 2024 to December 31, 2024 for additional consultation and technical assistance to the Contra Costa Health Plan (CCHP) as the acting interim Chief Operating Officer (COO).
FISCAL IMPACT:
Approval of this Amendment will result in additional annual expenditures of up to $270,270 and will be funded as budgeted by the department in FY 2024-25, by 100% Contra Costa Enterprise Fund II. (No rate increase)
BACKGROUND:
This contract is entered into under and subject to the following legal authorities: California Government Code ?? 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations.
This Contract allows the contractor to provide an interim CCHP COO to act as the appointed Compliance, Fraud, Waste & Abuse Officer, oversee of the daily health plan operation to including clinical and non-clinical departments, ensure new benefits of CalAIM are integrated into CCHP's operations, and address and respond to California Department of Healthcare Services (DHCS) and California Department of Managed Health Care Corrective Action Plans.
All Medi-Cal Managed Care Plans, which includes CCHP, are required to have a COO. CCHP begin its search for the COO in August 2023 in which Health Management Associates, Inc. had the most qualified, experienced, trained candidate as outlined in the Medi-Cal Managed Care contract wit...
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