Agenda

Return

C. 72

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	January 18, 2022

Contra

Costa

County

Subject:

Amendment #27-277-25 with Kaiser Foundation Health Plan, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/18/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Sharron Mackey, 925-313-6104
cc:	K Cyr M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 18, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #27-277-25 with Kaiser Foundation Health Plan, Inc., a non-profit corporation, effective July 1, 2021 to amend Contract #27-277-20 (as amended by Amendment Agreement #27-277-21 and Amendment/Extension Agreement #27-277-22) with no change in the payment limit of $600,000,000 to revise the Delegation Agreement, to include data exchange requirements per the Department of Health Care Services (DHCS) All Plan Letter APL20-017, and reporting requirements for continuing Medi-Cal services for Contra Costa Health Plan (CCHP) members enrolled in the Kaiser Health Plan with no change in the term.

FISCAL IMPACT:

Approval of this amendment will result in no additional contractual expenditures as funded 100% by CCHP Enterprise Fund II.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, certain specialized health care services for Medi-Cal members may not be provided.

BACKGROUND:

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 to provide additional Medi-Cal services to Medi-Cal members enrolled in the Kaiser Health Plan through September 30, 2021.

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.

Approval of Amendment Contract #27-277-25 will modify the Delegation Agreement, 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.