San Bernardino header
File #: 8034   
Type: Consent Status: Passed
File created: 5/15/2023 Department: Public Health
On agenda: 5/23/2023 Final action: 5/23/2023
Subject: Amendment to Contract with California University of Science and Medicine for Primary Care Services
Attachments: 1. CON-DPH-05-23-23 AMD with CUSM for Primary Care, 2. Item #61 Executed BAI, 3. 19-398 A2 Executed Contract
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

May 23, 2023

FROM
JOSHUA DUGAS, Director, Department of Public Health

SUBJECT
Title
Amendment to Contract with California University of Science and Medicine for Primary Care Services
End

RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Contract No. 19-398 with California University of Science and Medicine to continue providing primary care services, psychiatry services and the Refugee Health Assessment Program, updating contract language, exercising the second option to extend for one additional year, and increasing the contract amount by $3,630,080, from $11,035,807 to $14,665,887, for the total contract period of July 1, 2019 through June 30, 2024.
(Presenter: Joshua Dugas, Director, 387-9146)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.

FINANCIAL IMPACT
This item will not impact Discretionary General Funding (Net County Cost). The not to exceed cost of $3,630,080 for the continuation of primary care is funded by fee-for-service, Medi-Cal, Managed Care Medi-Cal, private insurance, private pay clients, and 1991 Realignment funds. Adequate appropriation and revenue will be included in the Department of Public Health's (DPH) 2023-24 recommended budget.

BACKGROUND INFORMATION
DPH currently operates Federally Qualified Health Centers (FQHCs) in the cities of Adelanto, Hesperia, Ontario, and San Bernardino. Section 330 of the Public Health Services Act requires that FQHCs serve an underserved area or population, provide comprehensive primary care services and coverage for medical emergencies during and after business hours, ensure continuity of care and hospital admitting privileges, and have an ongoing quality assurance program. FQHCs qualify for enhanced reimbursement from Medicare and Medicaid under the Prospective Payment System (PPS...

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