Agenda

Return

C. 65

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 20, 2021

Contra

Costa

County

Subject:

Amendment Agreement #23-324-19 with Toyon Associates, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/20/2021

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:	Patrick Godley, 925-957-5405
cc:	L Walker 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: April 20, 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 Amendment Agreement #23-324-19 with Toyon Associates, Inc., a corporation, effective March 1, 2021, to increase the payment limit by $200,000, from $250,000 to a new payment limit of $450,000 with no change in the term of January 1, 2020 through December 31, 2021, for additional consultation and technical assistance on healthcare financial issues, including Medicare and Medi-Cal auditing and reporting.

FISCAL IMPACT:

Approval of this amendment will result in budgeted expenditures of up to $450,000 over a 2 year period and will be funded 100% by Hospital Enterprise I Fund revenues. (No rate increase)

BACKGROUND:

Toyon Associates, Inc. has been providing professional healthcare financial consultation, technical research, and advice to the county’s Health Services Department’s finance staff since January 2002.

On November 12, 2019, the Board of Supervisors approved Contract #23-324-18 with Toyon Associates, Inc., in an amount not to exceed $250,000, to provide consultation and technical assistance regarding Medicare and Medi-Cal Auditing and Reporting, including technical research and advice, for the period from January 1, 2020 through December 31, 2021.

Approval of Amendment Agreement #23-324-19 will allow the contractor to provide additional services through December 31, 2021.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, the hospital will be unable to complete required Medicare & Medi-Cal cost reports and will be unable to run interim cost reports to ensure that expected revenues are within the funding range included in the annual adopted budget.