This contract meets the needs of Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Center patients by providing contractors CoverMyMeds ePA, a hosted formulary platform that automates the prior authorization (PA) process in Epic, CCRMC’s electronic health records system. This solution also includes CoverMyMeds RTPB RxBC applications, which help increase the performance of CCRMC’s current secured messaging platform, Superscripts, and add MyChart functionality, which allows patients to track their PAs. These improvements align with CCRMC’s quest to improve patient care and satisfaction.
In 2014, after the review of vendors who provide electronic prior authorization solutions, CoverMyMeds was chosen by the Department as providing the best solution. Further, other than costs paid to other software vendors for setting up interfaces to CoverMyMeds, this is a no-cost solution negotiated by the State of California on behalf of County Health Plans to streamline the PA process for Medi-Cal Rx members. The contract obligates the County to indemnify CoverMyMeds against third-party claims arising out of the information provided to CoverMyMeds by the County or County’s use of information furnished by CoverMyMeds, except to the extent CoverMyMeds’ gross negligence or willful misconduct caused the claim. This contract limits CoverMyMeds’ liability to $250,000.
The County’s electronic healthcare record vendor, Epic Systems Corporation, is a third party beneficiary of the contract and Epic has the right to enforce the contract against CoverMyMeds and the County.
Approval of new Contract #23-703 allows the contractor to provide services through August 3, 2026
If this contract is not approved, CCRMC will not have access to this formulary platform used by the Department of Health Care Services as the preferred channel on the secure provider portal utilized by Medi-Cal providers in the State of California.