To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contra Costa Health Plan Compliance Activities Report (January through March 2026)
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
ACCEPT the Contra Costa Health Plan (CCHP) Compliance Quarterly Activity Report for January through March 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.
During this reporting period, the CCHP Compliance Department continues to strengthen regulatory readiness across Medi-Cal, Medicare D-SNP and Commercial lines of businesses. CCHP Compliance Department is also stabilizing the D-SNP Care Plus program launched on January 1, 2026. Here are key highlights:
* Regulatory Monitoring: All required submissions were timely except for a few remediated delays. No critical findings were identified.
* Enforcement Matter: On March 13, 2026, the Department of Managed Health Care (DMHC) issued a follow-up subpoena requesting additional information related to Enforcement Matter 24-143. This interrogatory investigation sought the corrective action plans the Plan submitted in May 2023 to address deficiencies identified during the 2021 Mental Health and Substance Use Disorder invest...
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