HomeMy WebLinkAboutMINUTES - 01092007 - C.86 I
TO: BOARD OF SUPERVISORS Contra
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FROM: William Walker, M.D., Health Services Director
By: Jacqueline Pigg, Contracts Administrator ___.,:sa a�!a Costa
DATE: December 21, 2006 '� : C u n t
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SUBJECT: Approval of Contract AlnendmentlAgreement#27-633-2 with AmeriHealth Mercy Health Plan ydba
AmeriHealth Mercy Contractor)
SPECIFIC REQUEST(S)OR.RECOMMENDATION(S)&BACKGROUND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Richard Harrison) to execute on
behalf of the County, Contract Amendment Agreement#27-633-2 with AmeriHealth Mercy Health Plan (dba
AmeriHealth Mercy Contractor), a general partnership, effective January 1, 2007, to increase the payment limit
by $1,000,000 from $76,000,000 to a new total payment limit of$77,000,000 and modify the Service Plan to
add additional pharmacy coverage under Medicare Part D, with no change in the original term of May 1, 2006
through April 30, 2009.
FISCAL IMPACT:
This Amendment is funded 100%by Contra Costa Health Plan Member Premiums.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S):
I
On May 9, 2006, the Board of Supervisors approved Contract #27-633 (as amended by Amendment
Agreement #27-633-1) with AmeriHealt4 Mercy Health Plan, (dba AmeriHealth Mercy Contractor), to
provide pharmacy administration services for Contra Costa Health Plan members including, but not limited to,
providing drug utilization review and management, prior authorization procedures, account management,
member pharmacy call center, analysis andl reporting services and developing partnerships with prescribers and
pharmacies, for the period from May 1, 2006 through April 30, 2009.
This Amendment will allow the Contractor to provide additional pharmacy administration coverage services
under Medicare Part D as required by the U.S. Department of Health and Human Services, Centers for
Medicaid and Medicare(CMS) for the Contra Costa Health Plan to provide obligations under its Special Needs
Plan status. �D
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
I
I
^G RECOMMENDATION OF COUNTY ADMINISi RATOR RECOMMENDATION OF BOARD COMMITTEE
--"APPROVE THER
r
SIGNATURE (S):
ACTION OF BOARD N APPROVED AS RECOMMENDED THER
VOT OF SUPERVISORS I I HEREBY CERTIFY THAT THIS IS A TRUE
INANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN:
OF SUP ISORS ON THE DATE SHOWN.
I U �
Contact Person: Richard Harrison(313-6004) ATTESTED N CULLEN, CLf OFT E BOARD 0
CC: Health Services Department (Contracts) SUPERVISORS AN COUNTY ADMINISTR OR
Auditor Controller
Contractor BY
f' I
Board Order
Page 2
#27-633-2
Approval of this Contract Amendment #27-633-2 will amend the Contract to increase the Payment Limit and
modify the Service Plan to add additional Pharmacy administration services with no change in the original
term, through April 30, 2009.