HomeMy WebLinkAboutMINUTES - 12072005 - C.111 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D., Health Services Director Contra
By: Jacqueline Pigg, Contracts Administrator Costa
40
DATE: December 7, 2005 cos>w'c-ur't't J` County
SUBJECT: Approval of Contract Amendment/Extension Agreement#27-277-9
with Kaiser Foundation Health Plan, Inc.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Richard Harrison) to execute on behalf
of the County, Contract Amendment/Extension Agreement #27-277-9 with Kaiser Foundation Health Plan,
Inc., a non-profit corporation, effective December 1, 2005, to amend Contract #27-277-8, to increase the
Contract payment limit by $17,500,000, from $8,300,000, to a new total of $25,800,000, and extend the
Contract term from September 30,2006 through September 30, 2008.
FISCAL IMPACT:
This Contract is funded 100% by Contra Costa Health Plan member premiums. Costs depend upon
utilization. As appropriate, patients and/or third-party payors will be billed for services.
BACKGROUNDIREASON(S) FOR RECOMMENDATION(S):
I
Kaiser Foundation Health Plan has been a traditional provider of health care services to Medi-Cal
beneficiaries in Contra Costa County. With the implementation of the Local Initiative for Medi-Cal
managed care, Kaiser, in order to continue to enroll Medi-Cal members, must affiliate with the Local
Initiative. The affiliation arrangement allows Medi-Cal recipients to choose Contra Costa Health Plan as
their managed care plan, and designates Kaiser as their provider.
On September 27, 2005, the Board of Supervisors approved Contract #27-277-8, with Kaiser Foundation
Health Plan, Inc., for the period from October 1, 2005 through September 30, 2006, for the provision of
professional health care services for Medi-Cal recipients enrolled in Kaiser Foundation Health Plan.
Capitation rates for Contractor's services have been negotiated each year, when the Contract has been
renewed. County. and Contractor have negotiated a three-year pricing structure in order to provide County
with pricing stability for those services that County is required to provide to Medi-Cal recipients.
Approval of Contract Amendment/Extension Agreement #27-277-9 will allow the Contractor to continue
providing services through September 30, 2008.
CONTINUED ON ATTACHMENT- _YES SIGNATURE: 1 V�9 '� •�QI`` v
i
� ECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
_
APPROVE IOTHER
SIGNATURE (S):
ACTION OF BOARD APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
/ I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: I OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
HN SWEETEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Rich Harrison 313-6008
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BY DEPUTY
Contractor