DATE: July 8, 2025
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Amendment No. 2 to Master Agreement No. 19-444 for the Provision of Specialty and Primary Professional Medical Services and Emergency Care
RECOMMENDED ACTION(S):
TITLE
1. Under Administrative Policy No. 34 for competitive bids or requests for proposals, determine that an exception to the competitive bidding requirement is satisfied and a suspension of competition is warranted due to unusual or extraordinary circumstances, and that the best interests of the County would be served by adding United Health Centers of the San Joaquin Valley to the Master Agreement given the noncompetitive nature of Master Agreements; and
2. Approve and authorize the Chairman to execute Amendment No. 2 to Master Agreement to add United Health Centers of the San Joaquin Valley as a contracted provider with no change to the term of September 10, 2019, through September 9, 2029, or maximum compensation of $22,793,197.
REPORT
There is no additional Net County Cost associated with the recommended actions. Approval of the recommended actions will allow the Department of Public Health (Department) to utilize an additional qualified licensed and Community Medical Centers (CMC) credentialed medical service provider group for mandated specialty and primary professional medical services and emergency care within the hospital and clinic setting to eligible patients accessing the County's Medically Indigent Services Program (MISP). This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, the Department will not have full medical service coverage available to the County's MISP eligible beneficiaries in compliance with Welfare and Institutions Code, section 17000, et seq. and the County would still be responsible for the medical care and subsequent costs for eligible MISP patients. Currently, the County's obligation is m...
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