Agenda

Return

C. 63

To:	Board of Supervisors
From:	William Walker, M.D., Health Services
Date:	February 5, 2013

Contra

Costa

County

Subject:

Amendment/Extension #23-312-9 with La Clinica de La Raza, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/05/2013

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:

Mary N. Piepho, District III Supervisor

Contact:	Patrick Godley, 957-5410
cc:	J Pigg D Gary

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: February 5, 2013
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract Amendment/Extension Agreement #23-312-9 with La Clinica de La Raza, Inc., a non-profit corporation, effective September 1, 2012, to amend Contract #23-312-8, to increase the payment limit by $200,000, from $150,000 to a new payment limit of $350,000, and to extend the term of the Contract from April 30, 2013 through April 30, 2014.

FISCAL IMPACT:

This amendment is funded 100% by the Enterprise I Fund. (No rate increase)

BACKGROUND:

On April 21, 2009, the Board of Supervisors approved modifications to the County’s Basic Health Care (BHC) program. This Contract will allow the community clinics to provide primary medical care services to residents affected by the change in the County’s BHC Program.

BACKGROUND: (CONT'D)

On May 15, 2012, the Board of Supervisors approved Contract #23–312–8 with La Clinica de La Raza, Inc., to provide primary medical care services to low income uninsured residents of Contra Costa County, for the period from May 1, 2012 through April 30, 2013, with modifications to the General Conditions from the standard County format.

At the time of negotiations, the payment limit was based on target levels of utilization. However, the utilization during the term of the agreement was higher than originally anticipated. Approval of Contract Amendment/Extension Agreement #23-312-9, will allow the Contractor to provide additional primary medical care services to low-income, uninsured residents of Contra Costa County, through April 30, 2014.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment/extension is not approved, payment to Contractor for services will not be approved and patients will experience longer wait times and potentially go untreated, due to reduced access to the medical services provided at Contractor’s clinic.

CHILDREN'S IMPACT STATEMENT:

Not Applicable.