Agenda

Return

C. 34

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	September 21, 2021

Contra

Costa

County

Subject:

Amendment #27-791-10 with Cotiviti, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 09/21/2021

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:	Sharron Mackey, 925-313-6104
cc:	F Carroll 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: September 21, 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 Contract Amendment Agreement #27-791-10 with Cotiviti, Inc., doing business in California as Cotiviti I, Inc., a corporation, effective September 1, 2021, to amend Contract #27-791-9, to increase the payment limit by $320,000 from $300,000 to a new payment limit of $620,000, and extend the termination date from October 31, 2021 to October 31, 2022.

FISCAL IMPACT:

Approval of this amendment will result in additional annual expenditures of up to $320,000 and will be funded as budgeted by the department in FY 2021-22, by 100% Contra Costa Health Plan Enterprise Fund II revenues.

BACKGROUND:

This contract meets the needs of the County’s population by providing data analysis software for Health Plan Employer Data and Information Set (HEDIS) projects and reports in support of State and contractual requirements for Contra Costa Health Plan (CCHP). Cotiviti Inc. provides the licensed program, Quality Intelligence, for the calculation and analysis of HEDIS measures used by CCHP. CCHP began contracting with this vendor in November 2009.

On February 25, 2020, the Board of Supervisors approved Contract #27-791-8 with Cotiviti, Inc. doing business in California as Cotiviti I, Inc., for the provision of consultation and technical assistance concerning data analysis services for HEDIS projects and annual reports for the period from November 1, 2019, through October 31, 2020. On October 13, 2020, the Board of Supervisors approved Contract #27-791-9 to allow the contractor to provide software and consultation services, and to license software to the County, through October 31, 2021.

Due to corporate changes, some services provided under contract #27-799-11 with Health Management Systems, Inc. (HMS) will now be performed by Cotiviti, Inc. Of those services, Cotiviti, Inc. has acquired the capabilities required for the provision of Fraud, Waste and Abuse, Inpatient Diagnosis Related Group (DRG) Grouping/Pricing Audit, and Eliza Services for HIF/MET Program. Thus, in consideration for Cotiviti Inc’s agreement to increase their services to include auditing services, the County and Cotiviti, Inc. agree to increase the payment limit.

Approval of Contract Amendment Agreement #27-791-10 will allow the contractor to provide additional services through October 31, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, CCHP will be able to utilize this contractor for its various auditing capabilities.