RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee (Patricia Tanquary), to execute, on behalf of the County, Contract Amendment/Extension Agreement #27-599-8 with Total Healthcare Management, Inc., a corporation, effective November 30, 2009, to amend Contract #27-599-7, to increase the payment limit by $130,000, from $250,000 to a new payment limit of $380,000 and to extend the term from November 30, 2009 through May 31, 2010.

FISCAL IMPACT:

This is a contingency fee contract. Contractor receives a percentage of the savings received from their actions.

BACKGROUND:

On December 16, 2008, the Board of Supervisors approved Contract #27-599-7 with Total Healthcare Management, Inc., for the period from December 1, 2008 through November 30, 2009, for the provision of claims processing and negotiations services for the Contra Costa Health Plan including acting as billing agent to negotiate discounted rates, reviewing the documentation of medical claims, and electronically transmitting claims from out-of-network medical providers.