Agenda

Return

C. 69

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	December 15, 2015

Contra

Costa

County

Subject:

Payments for Services Provided by California Ambulance

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/15/2015

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:	Anna Roth, 925-370-5101
cc:	J Pigg 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: December 15, 2015
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Auditor-Controller, or his designee, to pay $90,669.92 to California Ambulance for non-emergency transportation services rendered to patients of the Contra Costa Regional Medical Center and Health Centers during the period October 1, 2013 through June 30, 2015.

FISCAL IMPACT:

100% funding is included in the Hospital Enterprise Fund I budget.

BACKGROUND:

California Ambulance provides non-emergency transportation services to patients of the Contra Costa Regional Medical Center (CCRMC). In September 2014, CCRMC was notified that County Risk Management had determined that all transportation providers should be placed under service contracts so that insurance and liability issues could be properly addressed. Prior to this time, California Ambulance had been paid under a Purchase Order. In addition, it was discovered that parts of the invoice approval process had broken down. CCRMC has identified these issues and has assigned appropriate staff to monitor the approval process to ensure invoices are processed promptly going forward.

BACKGROUND: (CONT'D)

During the period of transition, California Ambulance continued to provide non-emergency transportation services to patients in need to facilitate their medical treatment. Hospital Administration has therefore determined that California Ambulance is entitled to payment for the reasonable value of their services under the equitable relief theory of quantum meruit. That theory provides that where a person has been asked to provide services without a valid contract, and the provider does so to the benefit of the recipient, the provider is entitled to recover the reasonable value of those services

CONSEQUENCE OF NEGATIVE ACTION:

California Ambulance will not be paid for services rendered in good faith to patients of the Contra Costa Regional Medical Center and Health Centers. This will adversely impact the departments ability to provide non-emergency transportation of patients.

CHILDREN'S IMPACT STATEMENT:

Not applicable.