File #: A 17-287    Name: Agreement with Pacific Health Alliance for Third Party Administration services for Pilot Project for Remaining Uninsured
Type: BoS Agreement Status: Passed
File created: 6/16/2017 In control: Board of Supervisors
On agenda: 6/27/2017 Final action: 6/27/2017
Title: a. Approve and authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute an Agreement with Pacific Health Alliance (PHA) for Third Party Administrator (TPA) Services for the County of Monterey's Pilot Project for the Remaining Uninsured, in an amount up to $200,000, effective July 1, 2017 through June 30, 2018, subject to further review and approval of County Counsel, County Risk Manager, and County-Auditor Controller; b. Approve and authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) one-year amendments that do not exceed ten percent (10%) ($20,000) of the original Agreement amount and do not significantly alter the scope of services.
Attachments: 1. Board Report, 2. Completed Board Order
Title
a. Approve and authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute an Agreement with Pacific Health Alliance (PHA) for Third Party Administrator (TPA) Services for the County of Monterey's Pilot Project for the Remaining Uninsured, in an amount up to $200,000, effective July 1, 2017 through June 30, 2018, subject to further review and approval of County Counsel, County Risk Manager, and County-Auditor Controller;
b. Approve and authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) one-year amendments that do not exceed ten percent (10%) ($20,000) of the original Agreement amount and do not significantly alter the scope of services.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute an Agreement with Pacific Health Alliance (PHA) for Third Party Administrator (TPA) Services for the County of Monterey's Pilot Project for the Remaining Uninsured, in an amount up to $200,000, effective July 1, 2017 through June 30, 2018, subject to further review and approval of County Counsel, County Risk Manager, and County-Auditor Controller;
b. Approve and authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) one-year amendments that do not exceed ten percent (10%) ($20,000) of the original Agreement amount and do not significantly alter the scope of services.

SUMMARY/DISCUSSION:
The Affordable Care (ACA) was enacted to provide Medicaid (Medi-Cal) and other coverage options through the exchange to many low-income individuals with the goal of decreasing the number of uninsured individuals. However, many Monterey County residents remain uninsured and unable to pay for costly medical care, procedures and prescription medications. Of those uninsured, it is estimated that there are approximately 30,000 to 50,000 residents without a...

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