Agenda

Return

C.130

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	September 13, 2022

Contra

Costa

County

Subject:

Amendment Agreement #77-002-8 with Lifelong Medical Care

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 09/13/2022

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 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: September 13, 2022
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 #77-002-8 with Lifelong Medical Care, a non-profit corporation, effective May 1, 2022, to amend Contract Agreement #77-002-7, to include integrated behavioral health services with no change in the original payment limit of $649,656, and no change in the original term of January 1, 2022 through December 31, 2022.

FISCAL IMPACT:

Approval of this amendment will not impact the payment limit of the contract; however, the payment provisions will be modified to include new rates for the additional services due to increased needs for individuals being served and to account for the monthly provider payment increase for the additional services. (Additional rate)

BACKGROUND:

The goal of the Contra Costa CARES Program is to provide comprehensive primary health care coverage and medical homes to low income, uninsured adults 19 years of age or older residing in Contra Costa County who are ineligible for full-scope Medi-Cal or Covered California and whose household gross income does not exceed 138% of the Federal Poverty Level. The program has enrolled over 81,000 individuals. Specialty care, dental, vision, emergency care and hospitalization are not covered benefits of the program. Lifelong Medical Center has been a CCHP Federally Qualified Health Center (FQHC) since November 2015.

On December 7, 2021, the Board of Supervisors approved Contract #77-002-7 with Lifelong Medical Care, in an amount not to exceed $649,656 for the provision of primary care medical services for the Contra Costa CARES Program, for the period January 1, 2022 through December 31, 2022.

On May 10, 2022, the Board of Supervisors approved FY 2022-23 Recommended Budget Actions, discussion item D.3, which allocated an additional $500,000, for Contra Costa CARES Programs to expand outreach and accelerate enrollment. Increasing the provider monthly payment per member and inclusion of integrated behavioral health services was also approved by the Board.

Due to an increased need for integrated behavioral health services, the Division is requesting this contract payment provisions be revised to ensure proper monthly provider compensation for utilization and the inclusion of integrated behavioral health services for Contra Costa CARES Program recipients.

Approval of Contract Amendment Agreement #77-002-8 will allow the contractor to include behavioral health services for the Contra Costa CARES Program through December 31, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract amendment is not approved, low income, uninsured adults would not have access to additional primary care services in Contra Costa County.