Agenda

Return

C. 70

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 27, 2021

Contra

Costa

County

Subject:

Amendment/Extension Agreement #26-346-26 with the U.S. Department of Veterans Affairs

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/27/2021

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:	Jaspreet Benepal, 925-370-5741
cc:	E Suisala 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 27, 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/Extension Agreement #26-346-26, with the U.S. Department of Veterans Affairs, Northern California Health Care System (VANCHCS), including mutual indemnification, to amend Agreement #26-346-21 (as amended by Amendment Agreements #26-346-22 through #26-346-25) to extend the termination date from March 31, 2021 to March 31, 2022 with no change in the original payment limit of $2,294,377, for nuclear medicine services.

FISCAL IMPACT:

There is no change in the budgeted expenditures of up to $2,294,377, which are funded 100% by Hospital Enterprise Fund I revenues. However, the term extension will result in a portion of the previously approved expenditures and payments occurring in FY 2021-22. The services provided for the County's patients under this contract are billable to patients and third-party payors.

BACKGROUND:

For many years, the County and VANCHCS have maintained a mutual sharing agreement, which has made available to the County specialized medical services not otherwise available due to lack of resources, equipment, and personnel. These services included specialized laboratory testing, radiology services, nuclear medicine studies, computerized tomography (CT) scans, magnetic resonance imaging (MRI), dermatology, gastroenterology, urology, audiology and speech, and ophthalmology services. The County provides Emergency Room treatment and inpatient care, including certain ancillary services, for VANCHCS referred patients.

On March 27, 2018, the Board of Supervisors approved Agreement #26-346-21 with VANCHCS to provide a full range of Nuclear Medicine Services to County's patients at the VANCHCS Outpatient Clinic in Martinez and CCRMC’s Nuclear Medicine Department, in an amount not to exceed $474,000 for the period April 1, 2018 through March 31, 2019.

On July 24, 2018, the Board of Supervisors approved Amendment Agreement #26-346-22 with VANCHCS to modify the Rate Schedule, with no change in the original contract payment limit of $474,000, and no change in the original term of April 1, 2018 through March 31, 2019.

On April 9, 2019, the Board of Supervisors approved Amendment Agreement #26-346-23 with VANCHCS to increase the payment limit by $515,737 to a new payment limit of $989,737, and to extend the term through March 31, 2020.

On January 7, 2020, the Board of Supervisors approved Amendment Agreement #26-346-24 with VANCHCS to increase the payment limit by $594,640 to a new payment limit of $1,584,377, with no change in the term of April 1, 2018 through March 31, 2020.

On March 31, 2020, the Board of Supervisors approved Amendment Agreement #26-346-25 with VANCHCS to increase the payment limit by $710,000 to a new payment limit of $2,294,377, and to extend the term through March 31, 2021.

This contract includes mutual indemnification to hold harmless both parties for any claims arising out of the performance of this agreement.

Approval of Amendment/Extension Agreement #26-346-26 will allow the County to continue receiving funding for additional nuclear medicine services through March 31, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, VANCHCS will not be able to continue to provide nuclear medicine services to CCRMC patients.