REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
December 17, 2019
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Approve Hospital Services Agreement with Molina Healthcare of California, Inc.
End
RECOMMENDATION(S)
Recommendation
1. Approve Hospital Services Agreement with Molina Healthcare of California, Inc. to provide reimbursed healthcare services for Medi-Cal Managed Care recipients, Molina Medicare Options Plus recipients, Dual recipients, Molina Health Benefit Exchange Product recipients, and other Molina product recipients from December 17, 2019, through December 16, 2024.
2. Direct the Clerk of the Board to maintain confidentiality of the Agreement pursuant to Health and Safety Code section 1457(c)(1).
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of these recommendations will not result in the use of Discretionary General Funding (Net County Cost). Expenditures for medical services provided under this contract by Arrowhead Regional Medical Center (ARMC) are reimbursed by Molina Healthcare of California, Inc. (Molina) based on the agreed upon rates. Sufficient appropriation and revenue is included in the ARMC 2019-20 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
The County of San Bernardino (County) on behalf of ARMC has contracted with Molina since 2000 for the provision of healthcare services to eligible Molina participants. The last Hospital Services Agreement, Agreement No. 13-160, between the County and Molina was approved by the Board of Supervisors (Board) on April 23, 2013 (Item No. 12). On October 8, 2019 (Item No. 10), the Board approved Amendment No. 16 that extended this agreement through December 17, 2019.
The recommended agreement will supersede Agreement No. 13-160. Approval of this agreement will allow ARMC to provide for the safety, health and social service needs of those County residents who are recipients of Molina healthcare products, and be reimbursed at the contract rates for services provided.
This agreement remains in effect for five years through December 16, 2024. Each party has the right to terminate the agreement without cause with at least 120 days written notice to the other party. Because this agreement is a revenue agreement, it was prepared by Molina and contains non-standard terms, including non-standard indemnity and insurance provisions.
Pursuant to Health and Safety Code section 1457(c)(1), specific terms related to the rates of payment for health care services are not immediately subject to laws related to public records; therefore, the Clerk of the Board is directed to maintain confidentiality of this agreement.
PROCUREMENT
Not Applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Scott Runyan, Deputy County Counsel, 387-5455) on November 20, 2019; Finance (Amanda Trussell, Principal Administrative Analyst, 387-4773) on December 2, 2019; and County Finance and Administration (Katrina Turturro, Deputy Executive Officer, 387-5423) on December 2, 2019.