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Approve a first amendment to an Engagement Letter with Wipfli LLP for $163,000 for a total contract amount of $237,999 to prepare Medi-Cal Change in Scope of Services Requests, a Medi-Cal Home Office Report and related services for the Health and Social Services, Family Health Services primary care and dental clinics for the fiscal year ending June 30, 2025; and Delegate authority to the County Administrator to sign the amendment, with County Counsel concurrence, once signed by the vendor
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Published Notice Required? Yes ____ No _X _
Public Hearing Required? Yes ____ No _X _
DEPARTMENTAL RECOMMENDATION:
The County Administrator's Office recommends that the Board of Supervisors approve a first amendment to an Engagement Letter with Wipfli LLP for $163,000 for a total contract amount of $237,999 to prepare Medi-Cal Change in Scope of Services Requests, a Medi-Cal Home Office Report and related services for the Health and Social Services, Family Health Services primary care and dental clinics for the fiscal year ending June 30, 2025; and Delegate authority to the County Administrator to sign the amendment, with County Counsel concurrence, once signed by the vendor.
SUMMARY/DISCUSSION:
The Health and Social Services, Family Health Services primary care and dental clinics in Vallejo, Fairfield and Vacaville operate as Federally Qualified Health Centers through the Healthcare for the Homeless grant administered by the Health Resources and Services Administration (HRSA). The clinics are primarily reimbursed by the Prospective Payment System (PPS) which is a predetermined, fixed rate per patient per visit. The payment structure is designed to cover the reasonable costs for providing services as defined by federal regulations. The California Department of Health Care Services (DHCS) has established permanent rates for all FHS sites. These rates were established at each clinic between FY2010/11 and FY2016/17 with only minimal annual incr...
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