HomeMy WebLinkAboutMINUTES - 12082015 - C.60RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#27-986 with Sonja Robinson, R.N. (dba Healthcare Solulations USA), a self-employed individual, in an amount not
to exceed $384,000, to provide healthcare consultation and technical assistance to the Health Plan Medical
Management team for the period from December 1, 2015 through November 30, 2016.
FISCAL IMPACT:
This Contract is funded 100% by Contra Costa Health Plan Member Premiums.
BACKGROUND:
Under Contract #27-986, the Contractor will provide consultation and technical assistance to the Contra Costa Health
Plan on Utilization Review Management and Health Plan Prior Authorization and Referral Processes including
working in collaboration with the Health Plan’s Chief Medical Director, Assistant Directors, Chief Executive Officer,
Utilization Review Nurses and Authorization staff; and updating policies and procedures for utilization review,
authorization and referral processes and ensure they meet requirements of Centers for Medicare and Medicaid
Services (CMS), California Department of Mental Health (DMHS), California Department of Health Care Services
(DHCS) and National Committee for Quality Assurance (NCQA) accreditations; through November 30, 2016.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/08/2015 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
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: December 8, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: T Scott, N Rios
C. 60
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:December 8, 2015
Contra
Costa
County
Subject:Contract #27-986 with Sonja Robinson, R.N. (dba Healthcare Solutions USA)
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the Contra Costa Health Plan Management Team will not receive the benefits of
consultation and technical assistance from this contractor.
CHILDREN'S IMPACT STATEMENT:
Not applicable.