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C.106
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: December  14, 2021
The Seal of Contra Costa County, CA
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:   12/14/2021
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
ABSENT:
Diane Burgis, District III Supervisor
Contact: Sharron Mackey, 925-313-6104
cc: K Cyr     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:     December  14, 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 #27-277-25 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, include data exchange requirements per the Department of Health Care Services All Plan Letter APL20-017, and revise 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 by 100% 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 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 additional Medi-Cal services to Medi-Cal members enrolled in the Kaiser Health Plan through September 30, 2021.  
  
On September 21, 2021, Board of Supervisors took 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 be renewed for two successive years 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 Department of Health Care Services All Plan Letter APL20-017, and revise reporting requirements for continuing Medi-Cal services for CCHP members enrolled in the Kaiser Health Plan with no change in the term.

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