CCHP has an obligation to provide certain CCHP member services including surveys of CCHP members to facilitate the best practices in providing member services. This contractor was chosen by the Department of Managed Health Care (DMHC) for Health Plans to conduct these surveys if the health plan isn’t performing surveys themselves. This contractor provides annual PAAS survey and post validation services for CCHP and has been providing member survey services since June 1, 2018.
On May 24, 2022, the Board of Supervisors approved Contract #77-195-4 with Q Metrics, Inc., in an amount not to exceed $70,103, for the provision of Timely Access PAAS services for CCHP for the period from May 1, 2022 through April 30, 2023.
On February 28, 2023, the Board of Supervisors approved Contract Amendment #77-195-5 with Q Metrics, Inc., effective February 1, 2023, to increase the payment limit by $13,000 to a new payment limit of $83,103 with no change in the term, to provide additional post validation services as required by the California Department of Managed Health Care (DMHC).
Approval of Contract #77-195-6 will allow the contractor to continue providing PAAS administration services and post validation services as required by the DMHC through April 30, 2024. The requested contract includes language where the County agrees to hold the contractor harmless for claims of loss and penalties imposed by the DMHC for not meeting DMHC wave methodology.
If this contract is not approved, the contractor will not be able to provide administration of the Timely Access Provider Appointment Availability Survey for CCHP, which may result in CCHP being out of compliance with the DMHC.