To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #23-627-12 with Medvision, 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 No. 3 (#23-627-12) with Medvision, Inc., a corporation, effective April 16, 2025, to amend Contract #23-627-9 (as amended by Contract Amendment #23-627-10 and #23-627-11), to increase the payment limit by $146,815, from $258,216 to a new payment limit of $405,031, for additional for patient medical necessity review criteria and guidance software for the Contra Costa Health Plan (CCHP).
FISCAL IMPACT:
This Contract Amendment will result in additional contractual service expenditures of up to $146,815 over a one-year period and will be funded 100% by Contra Costa Health Plan Enterprise Fund II. (Rate increase
BACKGROUND:
This Contract Amendment meets the needs of the County by allowing CCHP access to Contractor's Apollo Managed Care web portal, a clinical guideline application, and online resource that helps ensure appropriate patient care by providing medical review criteria and guidelines that assist in identifying case management and treatment options that are appropriate and medically necessary. CCHP has subscribed to the Apollo Managed Care Web Portal application since (at least) 2017 to aid in healthcare management regarding ambulatory, inpatient, behavioral health, rehabilitation, post-acute, primary care, and case management. Contractor's Apollo Managed Care online medical review criteria and guideline publications are evidence-based and operate with Microsoft.Net framework. Medical review criteria and guidelines are mandated by the Department of Health Care Services to ensure healthcare providers follow regulations and approve services that meet patient(s) medical necessity.
A summary of service contra...
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