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File #: 26-418    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 1/20/2026 In control: BOARD OF SUPERVISORS
On agenda: 2/3/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Health Management Associates, Inc., to increase the payment limit by $4,500,000 to an amount not to exceed $5,971,000, and extend the termination date through June 30, 2029, to provide additional consultation and technical assistance services with regard to implementation of the Medicaid Dual Eligible Special Needs Plan (D-SNP), and to modify the contract provisions to include Department of Managed Health Care (DMHC) required language concerning D-SNP obligations and requirements. (100% Contra Costa Health Plan Enterprise Fund II)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #23-864-1 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 #23-864-1 with Health Management Associates, Inc., a corporation, effective December 1, 2025, to amend Contract #23-864, to increase the payment limit by $4,500,000, from $1,471,000 to a new payment limit of $5,971,000 and extend the termination date from June 30, 2026 through June 30, 2029, to provide additional consultation and technical assistance services with regard to implementation of the Medicaid Dual Eligible Special Needs Plan (D-SNP), and modify the contract provisions to include Department of Managed Health Care (DMHC) required language concerning D-SNP obligations and requirements.

FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional annual expenditures of up to $4,500,000 and will be funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II. (No rate increase)

BACKGROUND:
Health Management Associates, Inc has been providing consultation and technical assistance with regard to technology implementation of the Medicaid Dual Eligible Special Needs Plan (D-SNP) services to the CCHP since January 1, 2025. The Contractor's services include acting as the D-SNP expert advisor to the Office of Information and Technology by participating in training, testing and ensuring compliance with business needs and regulatory requirements. 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. Division Contract monitoring staff meet on a regular basis to ensure monitor...

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