DATE: September 26, 2017
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Amended and Restated Agreement with Sant? Health System dba Advantek Benefit Administrators
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute the First Amended and Restated Agreement No. 15-130 with Sant? Health System dba Advantek Benefit Administrators, to determine beneficiary eligibility and administer payment to approved providers for non-emergency specialty medical services for Fresno County, effective September 26, 2017, increasing the administrative fee and extending the term of the existing agreement by two optional 12-month periods from April 19, 2018 to April 19, 2020 with no increase in the maximum of $5,569,392.
REPORT
There is no increase in Net County Cost associated with the recommended action. Approval of the recommended action will allow the Department of Public Health to continue to provide funding for administrative services to reimburse for certain non-emergency specialty medical 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). Additionally, the recommended amendment would add two optional 12-month periods with no changes in the maximum or terms and conditions.
ALTERNATIVE ACTION(S):
Your Board could choose not to extend the existing agreement; however, the agreement would terminate on April 19, 2018 and the related specialty medical services would cease to be funded by the Department. If your Board chooses not to approve the recommended action, the Department will give Advantek a 30-day notice to terminate the agreement.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended action. The recommended amendment and restatement will extend the existing three-year term an additional two optional 12-month periods, with no increase in...
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