Agenda

Return

C. 60

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	December 8, 2015

Contra

Costa

County

Subject:

Contract #27-986 with Sonja Robinson, R.N. (dba Healthcare Solutions USA)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/08/2015

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Patricia Tanquary, 313-6004
cc:	T Scott N Rios

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: December 8, 2015
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract #27-986 with Sonja Robinson, R.N. (dba Healthcare Solulations USA), a self-employed individual, in an amount not to exceed $384,000, to provide healthcare consultation and technical assistance to the Health Plan Medical Management team for the period from December 1, 2015 through November 30, 2016.

FISCAL IMPACT:

This Contract is funded 100% by Contra Costa Health Plan Member Premiums.

BACKGROUND:

Under Contract #27-986, the Contractor will provide consultation and technical assistance to the Contra Costa Health Plan on Utilization Review Management and Health Plan Prior Authorization and Referral Processes including working in collaboration with the Health Plan’s Chief Medical Director, Assistant Directors, Chief Executive Officer, Utilization Review Nurses and Authorization staff; and updating policies and procedures for utilization review, authorization and referral processes and ensure they meet requirements of Centers for Medicare and Medicaid Services (CMS), California Department of Mental Health (DMHS), California Department of Health Care Services (DHCS) and National Committee for Quality Assurance (NCQA) accreditations; through November 30, 2016.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, the Contra Costa Health Plan Management Team will not receive the benefits of consultation and technical assistance from this contractor.

CHILDREN'S IMPACT STATEMENT:

Not applicable.