Agenda

Return

C. 88

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 4, 2023

Contra

Costa

County

Subject:

Amendment Agreement #77-240-3 with Norcal Imaging

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/04/2023

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

ABSENT:

Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Sharron A. Mackey, 925-313-6104
cc:	Noel Garcia Marcy 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 4, 2023
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 Amendment Agreement #77-240-3 with Norcal Imaging, a general partnership, effective April 1, 2023, to amend Contract Agreement #77-240-2, to modify Nuclear Medicine and positron emission tomography - computed tomography (PET/CT) expensive isotopes rates to continue to provide outpatient radiology services for CCHP members and County recipients, with no change in the original payment limit of $6,000,000, and no change in the original term of August 1, 2021 through July 31, 2024.

FISCAL IMPACT:

Approval of this amendment will not impact the payment limit of the contract; however, the compensation page will be modified to include revised rates for nuclear medicine and PET/CT services due to increased needs for individuals being served.

BACKGROUND:

CCHP has an obligation to provide certain specialized outpatient radiology services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. This contractor has been in the CCHP Provider Network providing these services since August 1, 2019.

On June 22, 2021, the Board of Supervisors approved Contract #77-240-2 with Norcal Imaging, in an amount not to exceed $6,000,000 for the provision of outpatient radiology services for CCHP members and County recipients for the period August 1, 2021 through July 31, 2024.

Due to Nuclear Medicine and PET/CT Expensive Isotopes rates not being listed on the Medi-Cal or Medicare Fee Schedule, the Department is requesting the contract compensation page be modified to ensure proper monthly provider compensation for utilization and the inclusion of services for CCHP members and County recipients.

Approval of Contract Amendment Agreement #77-240-3 will revise the Nuclear Medicine and PET/CT Expensive Isotopes rates and allow the contractor to continue to provide outpatient radiology services through July 31, 2024.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract amendment is not approved, CCHP members would not have access to additional outpatient radiology services from this contractor.