DATE: November 6, 2018
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive Agreement with Sant? Health System, d.b.a. Advantek Benefit Administrators
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive 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, 2018 through April 19, 2020, which includes one-year base contract with an optional 12-month extension, total not to exceed $5,569,392.
2. Ratify the Director of the Department of Public Health and the County Purchasing Manager's previous payment of invoices received from Sant? Health System dba Advantek Benefit Administrators from April 20, 2018 to November 6, 2018 for services performed.
REPORT
Approval of the recommended actions will allow the Department of Public Health to fund administrative services to reimburse non-emergency specialty medical 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). Additionally, approval will ratify invoices paid for services provided from April 19, 2018, the end of the previous agreement, to November 6, 2018. The recommended agreement encompasses the two remaining years of the previous five-year agreement. The recommended agreement is funded with Health Realignment, with no increase in Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Your Board could choose not to approve the first recommended action, ceasing the non-emergency specialty medical care services funded by the Department, requiring individuals who do not qualify for MISP or the ACA to find an alternate means to receive and fund services. There is no al...
Click here for full text