HomeMy WebLinkAboutMINUTES - 09202011 - C.54RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf
of the County, Contract #27–799–1 with Health Management Systems, Inc., a corporation,
in an amount not to exceed $25,000, to provide professional auditing services for the period
from August 1, 2011 through July 31, 2012.
FISCAL IMPACT:
This Contract is funded 100% by Health Plan member premiums.
BACKGROUND:
Contra Costa Health Plan is mandated by State and Federal law to have a comprehensive
fraud, waste, and abuse prevention and detection program which must include measures that
prevent, detect, and correct noncompliance with the Centers for Medicare and Medicaid
Services (CMS) program requirements.
Under Contract #27–799–1, Health Management Systems, Inc. will provide professional
auditing services, including fraud, waste, and abuse services, coordination of benefits, and
overpayment recovery
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 09/20/2011 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
Karen Mitchoff, 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: September 20, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: L Smith, D Gary
C.54
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:September 20, 2011
Contra
Costa
County
Subject:Contract #27–799–1 with Health Management Systems, Inc.
BACKGROUND: (CONT'D)
services for the Health Plan, through July 31, 2012, including mutual indemnification to
hold harmless both parties for any claims arising out of the performance of this Contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the Health Plan will be out of compliance with a Medi-Cal
Audit Corrective Action Plan requirement to provide evidence that policies and procedures
to comply with Fraud and Abuse reporting requirements have been implemented, that
monitoring tools and controls to detect fraud and abuse have been utilized, and that a more
proactive fraud and abuse detection and intervention program has been developed and
implemented.
CHILDREN'S IMPACT STATEMENT:
Not Applicable