Agenda

Return

C. 73

To:	Board of Supervisors
From:
Date:	February 6, 2018

Contra

Costa

County

Subject:

Amendment #27-799-7 with Health Management Systems, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/06/2018

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Patricia Tanquary, (925) 313-6004
cc:	A Floyd 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: February 6, 2018
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute Contract Amendment Agreement #27-799-7 with Health Management Systems, Inc., a corporation, effective November 1, 2017, to amend Contract #27-799-6 to provide additional Inpatient Diagnosis Related Group Grouping/Pricing audit services for the Contra Costa Health Plan, with no change in the original payment limit of $3,000,000 or term of February 1, 2017 through January 31, 2019.

FISCAL IMPACT:

This amendment is funded 100% by Contra Costa Health Plan Enterprise Fund II. (No rate increase)

BACKGROUND:

On February 7, 2017, the Board of Supervisors approved Contract #27-799-6 with Health Management Systems, Inc., to provide auditing services, for the period from February 1, 2017 through January 31, 2019.

BACKGROUND: (CONT'D)

Approval of Contract Amendment Agreement #27-799-7 will allow the contractor to provide additional auditing services through January 31, 2019.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, the Contra Costa Health Plan will be out of compliance with Medi-Cal Audit Corrective Action Plan requirements.