To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #23-652-3 with Change Healthcare Technologies, LLC
Recommendation: Recommendation of the County Administrator
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RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Amendment No. 3 (Contract Amendment #23-652-3) with Change Healthcare Technologies, LLC, a limited liability company, effective October 6, 2026, to amend Contract #23-652 (as amended by Amendment No. 1 and 2 (Contract Amendment #23-652-1 and #23-652-2)), to increase the payment limit by $166,823, from $5,898,588 to a new payment limit of $6,065,411, with no change in the original term ending January 21, 2029, and extend the contract term for successive two (2) year periods until terminated, for additional InterQual software, maintenance and support services for Contra Costa Health (CCH).
FISCAL IMPACT:
Approval of this Amendment will result in additional expenditures of up to $166,823 and will be funded as budgeted by the department in FY’s 2026-29, by 100% Hospital Enterprise Fund I.
BACKGROUND:
Change Healthcare Technologies, LLC licenses InterQual software, an evidence-based clinical decision support solution to help payers, providers, and government agencies make clinically appropriate medical utilization decisions. Contra Costa Regional Medical Center (CCRMC) uses InterQual software and clinical content for performing medical necessity reviews. This software also helps determine appropriateness and level of admission, approximate length of stay, and determination of continued stay. The Contra Costa Health Plan (CCHP) has used InterQual since (at least) 2020 to ensure the appropriate utilization of resources and for medical necessity criteria. InterQual Exchange is an optional add-on to the InterQual® Connect™ Medical Review Service (Core) Product. The software will facilitate CCHP’s automation of the prior authorization proc...
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