REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
November 17, 2020
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title v
Amendment to Agreement with Toyon Associates, Inc. for the Provision of Medicare Cost Report Audit Appeal and Cost Report Reopening Services
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RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3 to Agreement No. 18-158 with Toyon Associates, Inc. to expand the scope of services to include Medicare Cost Report Audit Appeal and Cost Report Reopening Services and to increase the total not to exceed amount by $150,000, from $3,265,044 to $3,415,044, with no changes to total contract period of April 20, 2018 through April 19, 2023.
(Presenter: William L. Gilbert, Director, 580-6150)
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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 $150,000 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 the Arrowhead Regional Medical Center (ARMC) 2020-21 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Approval of the recommendation will expand the scope of services provided under the current Agreement with Toyon Associates, Inc. (Toyon) to include Medicare Cost Report Audit Appeal and Cost Report Reopening Services (collectively "Audit Appeal Services") for the cost reporting periods of Fiscal Year 2013 through Fiscal Year 2021, and to increase the not-to-exceed contract amount by ...
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