Agenda

Return

C. 55

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	October 5, 2021

Contra

Costa

County

Subject:

Amendment #27-277-23 with Kaiser Foundation Health Plan, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 10/05/2021

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: October 5, 2021
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 #27-277-23 with Kaiser Foundation Health Plan, Inc., a non-profit corporation, effective September 30, 2021, to amend Contract #27-277-20 (as amended by Amendment Agreement #27-277-21 and Amendment Extension Agreement #27-277-22) to add data exchange requirements for the provision of additional Medi-Cal services for Contra Costa Health Plan (CCHP) members enrolled in the Kaiser Foundation Health Plan, with no change in the payment limit of $600,000,000.

FISCAL IMPACT:

This amendment will result in no additional contractual expenditures.

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.

BACKGROUND: (CONT'D)

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 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 Exhibit 8 (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 9, 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 Medi-Cal services to Medi-Cal members enrolled in the Kaiser Health Plan through September 30, 2021.

On September 21, 2021, Board of Supervisors approved a Board Order action clarifying incorrect term language previously approved by the Board on September 27, 2016, July 18, 2018 and September 10, 2019 to correct the term to match the agreement so it will automatically by renewed for two successive years periods, until such time it is terminated by either party.

Approval of Contract Amendment #27-277-23 will add data exchange requirements for the provision of additional Medi-Cal services for Contra Costa Health Plan members enrolled in the Kaiser Health Plan.

CONSEQUENCE OF NEGATIVE ACTION:

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