HomeMy WebLinkAboutMINUTES - 11082011 - C.34RECOMMENDATION(S):
Correct the Board Order which was approved by the Board of Supervisors on September
20, 2011, Agenda Item C.54, Contract #27-799-1 with Health Management Systems, Inc., a
corporation, to reflect the intent of the parties in which the Payment Limit is increased from
$25,000 to an amount not to exceed $75,000 and to correct the term of the Contract from
August 1, 2011 through July 31, 2012 to read August 1, 2011 through January 31, 2013 to
provide professional auditing services to Contra Costa Health Plan.
FISCAL IMPACT:
This Contract is funded 100% by Health Plan member premiums. No change in the rate.
BACKGROUND:
On September 20, 2011, the Board of Supervisors approved Contract #27-799-1 with
Health Management Systems to provide professional auditing services including fraud,
waste, and abuse services, coordination of benefits, and overpayment recovery services for
the Health Plan, through July 31, 2012, including mutual indemnification to hold harmless
both parties for any claims
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 11/08/2011 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: November 8, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: A Down, D Gary
C.34
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:November 8, 2011
Contra
Costa
County
Subject:Correct September 20, 2011 Board Order Item #C.54 with Health Management Systems, Inc.
BACKGROUND: (CONT'D)
arising out of the performance of this Contract.
The purpose of this Board Order is to correct the payment limit of the contract from
$25,000 to $75,000 and also to correct the term of the contract to allow Contractor to
provide services through January 31, 2013.
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.