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C. 41
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: October  5, 2021
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Amendment Agreement #27-583-8 with Contra Costa Eye Medical Center, Inc.

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   10/05/2021
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: 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:     October  5, 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 #27-583-8 with Contra Costa Eye Medical Center, Inc., a corporation, effective October 1, 2021, to amend Contract #27-583-7, to modify the rates for Contra Costa Health Plan (CCHP) Commercial members from Medi-Cal rates to Medicare rates, with no change to the payment limit of $300,000 and no change in the original term of April 1, 2021 through March 31, 2024.

FISCAL IMPACT:

Approval of this amendment will result in modified rates, but will not impact the previosly approved contractual service expenditures of up to $300,000 over a three-year period, which is funded 100% by CCHP Enterprise Fund II revenues.

BACKGROUND:

CCHP has an obligation to provide certain specialized health care 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 providing ophthalmology services since 2004.  
  
On April 20, 2021, the Board of Supervisors approved Contract #27-583-7 with Contra Costa Eye Medical Center, Inc., in the amount of $300,000 to provide ophthalmology services for CCHP members and County recipients, for the period from April 1, 2021 through March 31, 2024.  
  
Approval of Contract Amendment Agreement #27-583-8 will allow the contractor to continue providing ophthalmology services with modified rates for CCHP Commercial members from Medi-Cal rates to Medicare rates, helping the provider meet the Department of Health Care Services network adequacy standards through March 31, 2024.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, certain specialized health care services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided.

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