To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #27-764-11 with Oliver Wyman Actuarial Consulting, 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 Agreement #27-764-11 with Oliver Wyman Actuarial Consulting, Inc., a corporation, effective May 1, 2024, to amend Contract #27-764-10 to modify contract provisions to conform to Department of Managed Healthcare (DMHC) requirements with no change in the contract payment limit of $450,000 or the original term of December 1, 2023 through November 30, 2026.
FISCAL IMPACT:
Approval of this amendment will not result in additional funding and remains funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II.
BACKGROUND:
The Health Services Department and CCHP are required by state and federal regulations to provide various certified actuarial documents in order to maintain its authorization to provide health care services to its members and recipients. This contractor has an established record of providing this expertise to the county since December 1, 2008. 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.
The nature of actuarial consulting services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. This is the only provider in CCHP's service area and CCHP is currently contracted with them. This contract renewal 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. This contractor has been approved by t...
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