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File #: A 26-061    Name: Manifest MedEx
Type: BoS Agreement Status: Passed
File created: 2/19/2026 In control: Board of Supervisors
On agenda: 3/17/2026 Final action: 3/17/2026
Title: a. Approve and authorize the Director of Health Services or designee to execute a non-standard data sharing participation agreement with Manifest MedEx (MX), a California non-profit public benefit corporation, to participate in the Data Exchange Framework; Data Sharing - Electronic Health Information Exchange commencing upon execution and shall remain in effect until terminated as set forth in the Agreement, for a total Agreement amount of $800,000; b. Approve the recommendation of Director of Health Services to accept all non-standard risk terms and provisions; and c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future Amendments to this Agreement that in total do not exceed 10% ($80,000) of the Agreement amount, do not significantly change the scope of work, and do not exceed a revised maximum amount of $880,000.
Attachments: 1. Board Report, 2. Agreement
Title
a. Approve and authorize the Director of Health Services or designee to execute a non-standard data sharing participation agreement with Manifest MedEx (MX), a California non-profit public benefit corporation, to participate in the Data Exchange Framework; Data Sharing - Electronic Health Information Exchange commencing upon execution and shall remain in effect until terminated as set forth in the Agreement, for a total Agreement amount of $800,000;
b. Approve the recommendation of Director of Health Services to accept all non-standard risk terms and provisions; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future Amendments to this Agreement that in total do not exceed 10% ($80,000) of the Agreement amount, do not significantly change the scope of work, and do not exceed a revised maximum amount of $880,000.
Report
RECOMMENDATION:
It is recommended by the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute a non-standard data sharing participation agreement with Manifest MedEx (MX), a California non-profit public benefit corporation, to participate in the Data Exchange Framework; Data Sharing - Electronic Health Information Exchange commencing upon execution and shall remain in effect until terminated as set forth in the Agreement, for a total Agreement amount of $800,000;
b. Approve the recommendation of Director of Health Services to accept all non-standard risk terms and provisions; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future Amendments to this Agreement that in total do not exceed 10% ($80,000) of the Agreement amount, do not significantly change the scope of work, and do not exceed a revised maximum amount of $880,000.

SUMMARY:
In order to address current data exchange gaps previously identified by the County of Monterey Behavioral Health Bureau and comply with cur...

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