Legislation Details

File #: A 26-262    Name: Toyon Associates, Inc. Amendment No. 2
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 6/5/2026 In control: Board of Supervisors
On agenda: 6/23/2026 Final action:
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
Related files: A 22-319, A 24-262
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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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