DATE: March 24, 2020
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Agreement with Sant? Health System, d.b.a. Advantek Benefit Administrators
RECOMMENDED ACTION(S):
TITLE
1. Make a finding that it is in the best interest of the County to suspend the competitive bid process consistent with Administrative Policy No. 34 in accordance with the "unusual or extraordinary circumstances" exception to contract with Advantek Benefit Administrators for payment, of certain non-emergency specialty medical services as referred by approved federally funded clinics and emergency hospitals; and
2. Approve and authorize the chairman to execute an Agreement with Sant? Health System dba Advantek Benefit Administrators, for the determination of beneficiary eligibility and administration of payment to approved providers for non-emergency specialty medical services for Fresno County, effective April 20, 2020 through April 19, 2025, which includes a three-year base contract with two optional 12-month extensions, total not to exceed $3,000,000.
REPORT
Approval of the recommended actions will allow the Department of Public Health to continue to fund the administrative services and to reimburse non-emergency specialty care services for residents meeting property and income limits and who do not qualify for the Medically Indigent Services Program (MISP) or participation in the Affordable Care Act (ACA). This item is Countywide.
ALTERNATIVE ACTION(S):
Your Board could choose not to approve the recommended actions, ceasing the non-emergency specialty medical care services funded by the Department, requiring individuals who do not qualify for MISP or full Scope Medi-cal under ACA to find an alternate means to receive and fund services.
SUSPENSION OF COMPETITION/SOLE SOURCE CONTRACT:
The Department's request to waive the competitive bidding process is consistent with Administrative Policy No. 34, as Advantek Benefit Administrat...
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