RECOMMENDATION(S):
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #77-626 with Netsmart Technologies, Inc. dba McBee Associates, a corporation, in an amount not to exceed $400,000, to provide admission review support services for Contra Costa Health Plan (CCHP) Management Team for the period August 1, 2023 through July 31, 2024.
FISCAL IMPACT:
Approval of this contract will result in annual contractual service expenditures of up to $400,000 and will be funded 100% by CCHP Enterprise Fund II.
BACKGROUND:
CCHP has an obligation to maintain certain specialized healthcare management services to ensure CCHP members get the most benefit from their Individual and Group Health Plan membership contracts with the county. This contractor will provide admission support and review services, under the CCHP Utilization Management Unit for Medi-Cal members admitted to the emergency department at affiliated hospitals. This contractor will begin providing services on August 1, 2023.
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