Agenda

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C. 65

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	August 2, 2016

Contra

Costa

County

Subject:

Approve Payments for Services Provided by California Ambulance

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 08/02/2016

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Anna Roth, 370-5101
cc:	Tasha Scott 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: August 2, 2016
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Auditor-Controller, or his designee, to pay $126,881.26 to California Ambulance for non-emergency transportation services rendered to patients of the Contra Costa Regional Medical Center and Health Centers during the period January 9, 2012 through June 30, 2016.

FISCAL IMPACT:

100% funding is included in the Hospital Enterprise Fund I budget.

BACKGROUND:

California Ambulance provides non-emergency transportation services to patients of the Contra Costa Regional Medical Center (CCRMC). On December 15, 2015, the Board of Supervisors approved payment in the amount of $90,669.92 to California Ambulance for non-emergency transportation services rendered to patients of the Contra Costa Regional Medical Center and Health Centers during the period October 1, 2013 through June 30, 2015. This was done with the understanding that an additional payment request would be submitted to the Board for the period January 9, 2012 through September 30, 2013 once an internal review of the claims received for services rendered during this time period was completed.

BACKGROUND: (CONT'D)

Prior to completing our internal review of these older claims, Contra Costa Emergency Medical Services reported that a former employee of California Ambulance was listed on the Medi-Cal Suspended and Ineligible Provider List (S&I List) published by the California Department of Health Care Services (DHCS).

On March 10, 2016, the Compliance Office notified California Ambulance that any future payments would be placed on hold until the County determined the amount California Ambulance had charged for the services provided by the suspended and ineligible provider.

Our review indicates that there are outstanding invoices from California Ambulance in the amount of $165,868. The Compliance Office has determined that the amount paid California Ambulance for services provided by the suspended, ineligible provider is $38,986.74, leaving a balance due of $126,881.26.

CONSEQUENCE OF NEGATIVE ACTION:

If payment is not authorized, California Ambulance will not be paid for the non-emergency transportation services rendered to patients of the Contra Costa Regional Medical Center and Health Centers.

CHILDREN'S IMPACT STATEMENT:

Not applicable.