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HomeMy WebLinkAboutMINUTES - 06232009 - C.105RECOMMENDATION(S): Approve and authorize the Health Services Director, or his designee (Patricia Tanquary), to execute on behalf of the County, Contract #27–633–4 with AmeriHealth Mercy Health Plan, dba AmeriHealth Mercy Contractor, a general partnership, in an amount not to exceed $70,000,000, to provide pharmacy administration services for the Contra Costa Health Plan, for the period from May 1, 2009 through April 30, 2012. FISCAL IMPACT: This Contract is funded 100% by Contra Costa Health Plan Member Premiums. Actual costs will depend upon usage. BACKGROUND: Both the State Department of Health Services and the Federal Centers for Medicare and Medicaid Services (CMS) require a Pharmacy Benefits Manger who can develop, maintain, and manage a large pharmacy network and monitor the correct dispensing of drug benefits, co-pays under multiple group product lines adhering to the required Health Plan Formulary and Health Plan Prior authorization protocol. On May 9, 2006, the Board of Supervisors APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 06/23/2009 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, District I Supervisor Gayle B. Uilkema, District II Supervisor Mary N. Piepho, District III Supervisor Susan A. Bonilla, District IV Supervisor Federal D. Glover, District V Supervisor Contact: Patricia Tanquary 313-6008 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: June 23, 2009 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Celicia Nelson, Deputy cc: L Smith, B Borbon C.105 To:Board of Supervisors From:William Walker, M.D., Health Services Director Date:June 23, 2009 Contra Costa County Subject:Contract #27–633–4 with AmeriHealth Mercy Health Plan (dba AmeriHealth Mercy Contractor) BACKGROUND: (CONT'D) approved Contract #27–633 (as amended by subsequent Amendments #27-633-1 through #27-633-3) with AmeriHealth Mercy Health Plan, dba AmeriHealth Mercy Contractor, for provision of pharmacy administration services for Contra Costa Health Plan members, including providing drug utilization review and management, prior authorization procedures, account management, member pharmacy call center, analysis and reporting services and developing partnerships with prescribers and pharmacies, for the period from May 1, 2006 through April 30, 2009. In accordance with the terms of the agreement, County and Contractor agree to a mutual indemnification clause to hold each other harmless for any claims arising out of the performance of this contract. Approval of Contract #27–633–4 will allow the Contractor to continue providing services through April 30, 2012.