Agenda

Return

C.41

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 24, 2023

Contra

Costa

County

Subject:

Cancellation Agreement #77-214-4 and Contract #77-214-5 with America West Medical Transportation, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/24/2023

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
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 24, 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, as follows: (1) Cancelation Agreement #77-214-4 with America West Medical Transportation, Inc., a corporation, effective at the end of business on April 30, 2023; and (2) Contract #77-214-5 with America West Medical Transportation, Inc., a corporation, in an amount not to exceed $600,000, to provide non-emergency medical transportation services for Contra Costa Health Plan (CCHP) members and County recipients, for the period May 1, 2023 through April 30, 2025.

FISCAL IMPACT:

This contract will result in contractual service expenditures of up to $600,000 over a 2-year period and will be funded 100% by CCHP Enterprise Fund II revenues. (Rate increase)

BACKGROUND:

CCHP has an obligation to provide certain non-emergency medical transportation services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. This contractor has been a part of the CCHP Provider Network and providing these services since April 2019.

On April 20, 2021, the Board of Supervisors approved Contract #77-214-1 with America West Medical Transportation, Inc., in an amount not to exceed $525,000 for the provision of non-emergency medical transportation services for CCHP members and County recipients for the period April 1, 2021 through March 31, 2024.

On January 18, 2022, the Board of Supervisors approved Contract Amendment Agreement #77-214-2 with America West Medical Transportation, Inc., effective January 1, 2022, to amend Contract #77-214-1, to increase the payment limit by $150,000 from $525,000 to a new payment limit of $675,000 and to include additional rates per the California Advancing and Innovating Medi-Cal (CalAIM) initiative, with no change in the term of April 1, 2021 through March 31, 2024.

In consideration of the contractor’s agreement to continue providing services and the Department's need to increase rates to maintain an adequate network for CCHP members to meet California Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) mandates, the Department and contractor have agreed to (1) mutual cancelation of the current contract in accordance with General Conditions Paragraph 5 (Termination), of the contract (Cancelation Agreement #77-214-4), and (2) establishment of a new contract with the updated terms and conditions for the next two years.

Under new Contract #77-214-5, the contractor will provide non-emergency medical transportation services for CCHP members and County recipients with the term of May 1, 2023 through April 30, 2025.

CONSEQUENCE OF NEGATIVE ACTION:

If this cancelation and new contract are not approved, certain specialized non-emergency medical transportation services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided.