REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
December 19, 2023
FROM
VICTOR TORDESILLAS, Director, Department of Risk Management
SUBJECT
Title
Amendment To Contract with Careworks Managed Care Services Inc for Workers' Compensation Bill Review Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Contract No. 19-206 with Careworks Managed Care Services, Inc. for workers' compensation medical bill review and utilization review services, extending the agreement by eight-months, for a total contract period of April 16, 2019, through December 31, 2024, with no change to the not-to-exceed amount of $2,500,000 or the fee schedule.
(Presenter: Victor Tordesillas, Director, 386-8623)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
FINANCIAL IMPACT
Approval of this item will not result in Additional Discretionary General Funding (Net County Cost). Fees for these services will be per the contracted fee schedules, Attachment A of the contract, and will be paid from Risk Management's workers' compensation insurance funds. These insurance funds are financed via rates charged to departments based on actual payroll cost. The estimated cost for the current year is approximately $383,000 and has been included in the 2023-24 budget. The estimated additional cost for 2024-25 of approximately $256,000 will not cause the total amount paid pursuant to the contract to exceed the original contract estimate of $2,500,000 and will be included in the 2024-25 Recommended Budget.
BACKGROUND INFORMATION
San Bernardino County's workers' compensation program has been self-insured and self-administered since 1978. The Department of Risk Management (DRM) has developed and used various cost containment programs, including a medical bill review that ensures compliance with the State's Medical Fee Schedule for Workers' Compen...
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