HomeMy WebLinkAboutMINUTES - 04212015 - C.52RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#27–799–4 with Health Management Systems, Inc., a corporation, in an amount not to exceed $650,000, to provide
auditing services to Contra Costa Health Plan for the period from February 1, 2015 through January 31, 2017.
FISCAL IMPACT:
This Contract is funded 100% by Contra Costa Health Plan Enterprise Fund II. (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 non-compliance with
the Centers for Medicare and Medicaid Services (CMS) program requirements. On March 12, 2013 the Board of
Supervisors approved Contract #27-799-2 (as amended by Contract Amendment Agreement #27-799-3) with Health
Management Systems, Inc., for the period from February 1, 2013 through January 31, 2015 for the provision of
professional auditing services. Approval of Contract #27–799–4, will allow Contractor to continue to provide
professional
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 04/21/2015 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
ABSENT:Federal D. Glover, District V
Supervisor
Contact: Patricia 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: April 21, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: A Floyd, C Rucker
C. 52
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:April 21, 2015
Contra
Costa
County
Subject:Contract #27–799–4 with Health Management Systems, Inc.
BACKGROUND: (CONT'D)
auditing services, including fraud, waste, and abuse services, coordination of benefits, and overpayment recovery
services for the Health Plan, through July 31, 2017. This contract includes modifications to Paragraph 18 of the
General Conditions, including mutual indemnification.
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