To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #23-560-14 with Mainsail Parent, LLC (dba Aspirion Health Resources 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 #23-560-14 with Mainsail Parent, LLC (dba Aspirion Health Resources LLC), a limited liability company, effective May 1, 2026, to amend Contract #23-560-13, to increase the payment limit by $450,000, from $500,000 to an amount not to exceed $950,000, to provide additional accounts receivable solutions with processing out-of-state Medicaid billing and provide commercial insurance claim denial resolution for the Health Services Department, with no change in the term ending January 31, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditure of up to $450,000 and will remain funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
This Contract meets the business needs of the County by providing accounts receivable solutions for out-of-state Medicaid billing and follow up with commercial insurance denials using the latest billing and editing technology available resulting in faster claim submission and increased payments. This Contractor has been providing services to the Health Services Department since October 1, 2014. This Contract is entered into under and subject to the following legal authorities: California Government Code ?? 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The Office of the Director's contract monitoring staff meet on a regular basis to ensure monitoring of performance measures set forth in this Contract are upheld. This Contractor was approved by the Public Works Department's Purchasing Division on December 16, 2025.
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