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File #: 24-3687    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 10/23/2024 In control: BOARD OF SUPERVISORS
On agenda: 11/5/2024 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Symplr Care Management LLC, to modify the contract provisions to conform to the California Department of Managed Health Care requirements and provide additional credentialing support services for the Contra Costa Health Plan with no change in the payment limit of $900,000 or term ending August 31, 2026. (100% Contra Costa Health Plan Enterprise Fund II)
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To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #77-592-1 with Symplr Care Management, LLC
?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 #77-592-1 with Symplr Care Management, LLC, a limited liability company, effective November 1, 2024, to amend Contract #77-592, for additional credentialing support services with regard to Conta Costa Health Plan's (CCHP) healthcare operations, with no change in the payment limit of $900,000 or the original term of September 1, 2023 through August 31, 2026.

FISCAL IMPACT:
Approval of this Amendment will not impact the payment limit of $900,000 and is funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II revenues.

BACKGROUND:
This Contract meets the needs of the County by providing CCHP with services regarding its healthcare operations by increasing the efficiency of credentialing medical providers contracted in CCHP's Provider Network. CCHP is mandated by its contracts with Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) to use a National Committee for Quality Assurance certified vendor to perform primary source verification on all providers and vendors who will deliver services to CCHP Members. Symplr Care Management, LLC, was chosen for its expertise in the field, and response time of the primary source verification process and issued a single source status for this contract. Contractor has been fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since September 2023. This Contract is entered into under and subject to the following legal authorities: California Government Code ?? 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations

On June 27, 2023, the Board ...

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