Title
Approve and authorize the Contracts/Purchasing Officer or his designee to sign a Renewal and Amendment No. 2 with CaptureRX for 340B pharmacy claims identification and reporting services, extending the agreement for an additional six (6) months, for a revised full term of December 1, 2019 through June 30, 2022, with no change to the total contract amount of $97,800.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Contracts/Purchasing Officer or his designee to sign a Renewal and Amendment No. 2 with CaptureRX for 340B pharmacy claims identification and reporting services, extending the agreement for an additional six (6) months, for a revised full term of December 1, 2019 through June 30, 2022, with no change to the total contract amount of $97,800.
SUMMARY/DISCUSSION:
The Health Department Clinic Services Bureau (Clinic Services) operates ten community clinic sites designated as Federally Qualified Health Centers (FQHCs) which provide preventive, primary, and specialty medical care services which are all mandated by Health Resources and Services Administration (HRSA) to provide primary health services to all patients regardless of ability to pay.
CaptureRX is a technology company providing 340B pharmacy claims identification and reporting services for 340B-eligible healthcare entities to maximize 340B savings from eligible Medicaid pharmacy claims. Managed Care Medicaid claims have transitioned to the State of California effective January 1, 2022, however, due to the retrospective nature of the claims reporting process, Clinic Services and CaptureRX must continue their reporting arrangement in 2022 until all remaining activity from claims through December 31, 2021, has been completed. Approval of this Renewal and Amendment No. 2 will allow for continued processing of any remaining claims reporting and payments through June 30, 2022.
While this work is not directly in support of a Health Department strategic initiative, it is in support of one or more of the ten essential public health services, specifically: 4. Mobilize community partnerships and action to identify and solve health problems; and 6. Enforce laws and regulations that protect health and ensure safety.
OTHER AGENCY INVOLVEMENT:
The Health Department Clinic Services Bureau (Clinic Services) operates ten community clinic sites designated as Federally Qualified Health Centers (FQHCs) which provide preventive, primary, and specialty medical care services which are all mandated by Health Resources and Services Administration (HRSA) to provide primary health services to all patients regardless of ability to pay.
CaptureRX is a technology company providing 340B pharmacy claims identification and reporting services for 340B-eligible healthcare entities to maximize 340B savings from eligible Medicaid pharmacy claims. Managed Care Medicaid claims have transitioned to the State of California effective January 1, 2022, however, due to the retrospective nature of the claims reporting process, Clinic Services and CaptureRX must continue their reporting arrangement in 2022 until all remaining activity from claims through December 31, 2021, has been completed. Approval of this Renewal and Amendment No. 2 will allow for continued processing of any remaining claims reporting and payments through June 30, 2022.
While this work is not directly in support of a Health Department strategic initiative, it is in support of one or more of the ten essential public health services, specifically: 4. Mobilize community partnerships and action to identify and solve health problems; and 6. Enforce laws and regulations that protect health and ensure safety.
FINANCING:
Sufficient appropriations are available in the FY2021-22 Health Department Clinic Services Adopted Budget (4000-HEA007). The Agreement will be funded by revenues from Medi-Cal and Medicare. There is no financial impact to the General Fund resulting from approval of this Renewal and Amendment.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Prisca Segovia, Management Analyst II, 755-4939
Approved by:
______________________________Date:_____________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachments:
Renewal and Amendment No 2
Amendment No 1
Agreement