REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
July 28, 2020
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Toyon Associates, Inc. for the provision of Medicare Cost Report Preparation and Consulting Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Agreement No. 18-158 with Toyon Associates, Inc. to increase the total not to exceed amount by $918,750, from $2,346,294 to $3,265,044, and extend the contract term for an additional two years for a total contract period of April 20, 2018 through April 19, 2023, for Medicare cost report preparation and consulting services.
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The additional cost of $918,750 is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Sufficient appropriation and revenue are included in Arrowhead Regional Medical Center (ARMC) 2020-21 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Approval of this recommendation with Toyon Associates, Inc. (Toyon) will allow for the continuation of Medicare and Medi-Cal cost report preparation, Paragraph14 (P14) Workbook preparation, and reimbursement of consulting services performed for ARMC. These are time sensitive statistical reports regarding Medicare and Medi-Cal patients seen at ARMC. The P14 Workbook determines the amount of Federal and State reimbursemen...
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