Agenda

Return

C. 36

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 9, 2021

Contra

Costa

County

Subject:

Contract #77-317 with Availity, LLC

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/09/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

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

ABSENT:

Candace Andersen, District II Supervisor

Contact:	Sharron Mackey, 925-313-6104
cc:	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: March 9, 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 #77-317 with Availity, LLC, a limited liability company, in an amount not to exceed $1,100,000, to provide electronic claims processing services for the Contra Costa Health Plan (CCHP) for the period March 1, 2021 through February 28, 2022.

FISCAL IMPACT:

This contract will result in contractual service expenditures of up to $1,100,000 over a one-year period and will be funded 100% by CCHP Enterprise Fund II revenues.

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. CCHP requires the most current electronic claims processing services to reimburse CCHP providers for services rendered to CCHP members.

BACKGROUND: (CONT'D)

Under Contract #77-317, the contractor will provide electronic claims processing services for CCHP providers for reimbursement of services rendered to CCHP members for the period March 1, 2021 through February 28, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, electronic claims processing services will not be available for CCHP providers to submit electronic claims for services rendered to CCHP members.