HomeMy WebLinkAboutMINUTES - 03122013 - C.64RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#27–799–2 with Health Management Systems, Inc., a corporation, in an amount not to exceed $75,000, to provide
professional auditing services for the period from February 1, 2013 through January 31, 2015.
FISCAL IMPACT:
This Contract is funded 100% by Health Plan member premiums. (No rate increase)
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.
On September 20, 2011 the Board of Supervisors approved Contract #27-799-1 (as corrected on November 8, 2011)
with Health Management Systems, Inc., for the period from August 1, 2011 through January 31, 2013 for the
provision of professional auditing services.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 03/12/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricial Tanquary,
313-6004
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: March 12, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: A Down, D Gary
C.64
To:Board of Supervisors
From:William Walker, M.D., Health Services
Date:March 12, 2013
Contra
Costa
County
Subject:Contract #27–799–2 with Health Management Systems, Inc.
BACKGROUND: (CONT'D)
Approval of Contract #27–799–2, will allow Contractor to continue 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, 2015, including mutual indemnification to hold harmless both parties for any claims
arising out of the performance of this Contract. Further, Contractor will indemnify County for any intellectual
property infringement claims relating to County’s use of any equipment, software, or device supplied by Contractor,
where such claims are not based solely on County’s modification or alteration of the equipment, software, or device.
County will indemnify Contractor as to intellectual property infringement claims based solely on County’s
modification of the equipment, software or device.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the Health Plan will be out of compliance with Medi-Cal Audit Corrective Action
Plan requirements.
CHILDREN'S IMPACT STATEMENT:
Not Applicable