HomeMy WebLinkAboutMINUTES - 07122011 - C.78RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf
of the County, Contract #23-336-8 with Toyon Associates, Inc., a corporation, in an amount
of not to exceed $750,000, to provide consultation and technical assistance to the
Department with regard to Third Party Social Security Income (SSI) reimbursement
recovery and reviews of Medicare ratio of the disproportionate share calculations applicable
to Contra Costa Regional Medical Center, for the period from July 1, 2011 through June 30,
2016.
FISCAL IMPACT:
This Contract is included in the Health Services Department's Enterprise I Budget. This
Contract is a contingent fee contract. Contractor will pursue on behalf of Contra Costa
Regional Medical Center, Medicare appeals. Contractor will be paid 23% of recoveries for
Social Security Income and the Medicaid Ratio, subject to maximum payment limitations
for each year being appealed; and 15% of recoveries for the appeals regarding the Medicare
Prospective Payment System budget neutrality factor.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 07/12/2011 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: George Washnak,
957-5440
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: July 12, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Demetria Gary
C. 78
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:July 12, 2011
Contra
Costa
County
Subject:Contract #23-336-8 with Toyon Associates, Inc.
BACKGROUND:
On August 5, 2008, the Board of Supervisors approved Contract #23-336-6 (as amended by
Amendment Agreement #23-336-7), with Toyon Associates, Inc., to provide consultation
and technical assistance to the department to conduct reviews of the Medicare ratios to
assess the maximum disproportionate share calculations, applicable to the Contra Costa
Regional Medical Center (CCRMC) for all cost reporting years. Services provided under
this Contract maximize the disproportionate share adjustment to which the CCRMC was
entitled. Contractor's services included, but were not limited to, attending meetings,
preparing and file reopening of appeal requests, submit findings and make recommendations
for submission to the Hospital, for the period from July 1, 2008 through June 30, 2011.
Approval of Contract #23-336-8 will allow the Contractor to continue to provide
professional consultation and technical assistance, through June 30, 2016.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the Department will not be able to recover reimbursement
due to CCRMC from Medicare appeals.
CHILDREN'S IMPACT STATEMENT:
Not applicable.