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.