Contra Costa Health Plan (CCHP) has an obligation to provide certain specialized health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the county. This contractor has been a part of the CCHP Provider Network since October 1, 2004, providing health care services for CCHP Medi-Cal recipients enrolled in the Kaiser Foundation Health Plan.  
  
On September 27, 2016, the Board of Supervisors approved Contract #27-277-20 with Kaiser Foundation Health Plan, Inc., in an amount not to exceed $600,000,000 to provide health care services for Medi-Cal recipients enrolled in the Kaiser Foundation Health Plan, for the period from October 1, 2016 through September 30, 2019.  
  
On July 10, 2018, the Board of Supervisors approved Contract Amendment Agreement #27-277-21, to add a Delegation Agreement with no change in the payment limit of $600,000,000 or term of October 1, 2016 through September 30, 2019.  
  
On September 10, 2019, the Board of Supervisors approved Contract Amendment/Extension Agreement #27-277-22, to extend the term from September 30, 2019 to September 30, 2021, with no change in the payment limit of $600,000,000, to allow the contractor to continue providing additional Medi-Cal services to Medi-Cal members enrolled in the Kaiser Health Plan.  
  
On September 21, 2021, the Board of Supervisors approved item C.34 to clarify incorrect term language as previously approved by the Board on September 27, 2016, July 10, 2018 and September 10, 2019 to correct the term to match the agreement so it will automatically be renewed for successive two-year periods, until such time it is terminated by either party.  
  
On January 18, 2022, the Board of Supervisors approved Contract Amendment Agreement #27-277-25 to modify the Delegation Agreement, to include data exchange requirements per the DHCS All Plan Letter 20-017, and revise reporting requirements for continuing Medi-Cal services for CCHP members enrolled in the Kaiser Health Plan with no change in the payment limit of $600,000,000 or term.  
  
On July 26, 2022, the Board of Supervisors approved Contract Amendment Agreement #27-277-26 to modify the Delegation Agreement, to include current National Committee for Quality Assurance (NCQA) accreditation standards, and revise reporting requirements, for continuing Medi-Cal services for CCHP members enrolled in the Kaiser Health Plan with no change in the term of the agreement that is renewed for successive two-year periods, until such time it is terminated by either party.  
  
Approval of Contract Amendment Agreement #27-277-27 will allow contractor to modify contract to include provisions from DHCS All Plan Letters 21-012 (revised), 21-015 and 21-016 to implement the Cal AIM initiative to meet new requirements including Medi-Cal MCPs revised services and compensation pages for enhanced care management, division of financial responsibility and community support services for continuing Medi-Cal services for CCHP members enrolled in the Kaiser Health Plan with no change in the payment limit of $600,000,000 and no change in the term of the agreement that is renewed for successive two-year periods, until such time it is terminated by either party.  
  
This request was delayed due to Contractor's and Division’s ongoing negotiations to implement new mandated CalAIM initiatives to reach agreement regarding additions to rate structure and service revisions to retain compliance with Department of Health Care Services.

If this amendment is not approved, current DHCS requirements to implement the CalAIM initiative including Medi-Cal MCPs revised services and compensation pages for enhanced care management will not be included in the current agreement and county may be out of compliance with DHCS requirements.