File #: 25-0126   
On agenda: 3/11/2025 Final action: 3/11/2025
Enactment date: Enactment #: Agreement No. 25-089
Recommended Action(s)
Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 24-337 with Health Management Associates, Inc. to provide consultation and assistance to the Department of Public Health with applying for the California Department of Health Care Services' Voluntary Rate Range Program, extending the term from June 18, 2026 to December 31, 2026, and increasing the maximum by $70,000 to a total of $317,843.
Attachments: 1. Agenda Item, 2. Agreement A-25-089 Amendment No. 1 to Agreement with HMA
DATE: March 11, 2025

TO: Board of Supervisors

SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health

SUBJECT: Amendment to Agreement with Health Management Associates, Inc.

RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 24-337 with Health Management Associates, Inc. to provide consultation and assistance to the Department of Public Health with applying for the California Department of Health Care Services' Voluntary Rate Range Program, extending the term from June 18, 2026 to December 31, 2026, and increasing the maximum by $70,000 to a total of $317,843.
REPORT
There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will extend the term of the agreement with Health Management Associates, Inc. (HMA) from June 18, 2026 to December 31, 2026 and increase the maximum compensation by $70,000 to a total of $317,843. HMA would provide the Department of Public Health (Department) with consultation to assist with completing the complex application for the California Department of Health Care Services' (DHCS) Voluntary Rate Range Program (VRRP) and participating in the program once approved. This item is countywide.

ALTERNATIVE ACTION(S):

Should your Board not approve the recommended action, the Department will not be able to obtain additional consultation services from HMA to navigate a complex process for application and participation in the DHCS's VRRP.

FISCAL IMPACT:

There is no increase in Net County Cost associated with the recommended action. Upon execution of the recommended amendment, the maximum compensation for the agreement will increase by $70,000 to a total of $317,843. The additional consultation services to assist the Department with the VRRP will be funded by Health Realignment. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2024-25 Adopted Budget and will b...

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