Legislation Details

File #: A 26-262    Name: Toyon Associates, Inc. Amendment No. 2
Type: BoS Agreement Status: Passed
File created: 6/5/2026 In control: Board of Supervisors
On agenda: 6/23/2026 Final action: 6/23/2026
Title: Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute Amendment No. 2 to the agreement (A-15874) with Toyon Associates, Inc. for Rural Floor Budget Neutrality Appeals Services, Medicare/Medicaid Crossover Bad Debt Recovery Services, Medicare/Medi-Cal Appeals Services, Health Care Access and Information Report Preparation Services, Medi-Cal Eligible Day Services (Point of Service/Historical), Medicare/Medi-Cal/Short Doyle Cost report Preparation Services and Consulting services, extending the agreement an additional two year period July 1, 2026 through June 30, 2028 for a revised full agreement term of July 1, 2022 through June 30, 2028 and adding $600,000 for a revised total agreement amount not to exceed $1,950,000.
Attachments: 1. Board Report, 2. Toyon Associates, Inc. Amendment No. 2, 3. Toyon Associates, Inc. Amendment No. 1, 4. Toyon Associates, Inc. Original Agreement, 5. Completed Board Order Item No. 42
Related files: A 22-319, A 24-262
Title
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute Amendment No. 2 to the agreement (A-15874) with Toyon Associates, Inc. for Rural Floor Budget Neutrality Appeals Services, Medicare/Medicaid Crossover Bad Debt Recovery Services, Medicare/Medi-Cal Appeals Services, Health Care Access and Information Report Preparation Services, Medi-Cal Eligible Day Services (Point of Service/Historical), Medicare/Medi-Cal/Short Doyle Cost report Preparation Services and Consulting services, extending the agreement an additional two year period July 1, 2026 through June 30, 2028 for a revised full agreement term of July 1, 2022 through June 30, 2028 and adding $600,000 for a revised total agreement amount not to exceed $1,950,000.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute Amendment No. 2 to the agreement (A-15874) with Toyon Associates, Inc. for Rural Floor Budget Neutrality Appeals Services, Medicare/Medicaid Crossover Bad Debt Recovery Services, Medicare/ Medi-Cal Appeals Services, Health Care Access and Information Report Preparation Services, Medi-Cal Eligible Day Services (Point of Service/Historical), Medicare/Medi-Cal/Short Doyle Cost report Preparation Services and Consulting services, extending the agreement an additional two year period July 1, 2026 through June 30, 2028 for a revised full agreement term of July 1, 2022 through June 30, 2028 and adding $600,000 for a revised total agreement amount not to exceed $1,950,000.

SUMMARY:

Toyon Associates Inc. (Toyon) provides expert services in areas of reimbursement from State and Federal Government. Their consulting services include preparation of State’s Medi-Cal cost reports, Federal Medicare cost report, special supplemental cost reports (P-14) to the State, State’s Short Doyle cost reports and annual State’s HCAI reports.

DISCUSSION

Toyon...

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