Consent 11.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 10/28/2014
- Title:
- Ancillary Services Provider Agreement, Bridgeway Health Solutions
- Submitted By:
- Jennifer Steiger, Health & Social Services
- Department:
- Health & Social Services
Presentation:
Recommendation:
Document Signatures:
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
2
NAME
of PRESENTER:
of PRESENTER:
TITLE
of PRESENTER:
of PRESENTER:
Mandated Function?:
Source of Mandate
or Basis for Support?:
or Basis for Support?:
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Information
Agenda Item Text:
Approve an Ancillary Services Provider Agreement between Bridgeway Health Solutions and the Cochise Health and Social Services (CHSS) Department for the period of October 28, 2014 through October 28, 2017. 10/28/14 for three years.
Background:
This is agreement will allow CHSS staff to provide services for Bridgeway members. The specific intent of this agreement is so that CHSS can administer influenza vaccinations to the ALTCS clients and bill Bridgeway and/or the clients’ primary insurance for these services.
Department's Next Steps (if approved):
Your approvals are respectfully requested.
Impact of NOT Approving/Alternatives:
Not approving this amendment would result in CHSS staff not being able to provide and bill for direct services to Bridgeway clients and a loss of this revenue stream.
To BOS Staff: Document Disposition/Follow-Up:
A fully executed original will be sent to the Clerk of the Board.
Fiscal Impact
- Fiscal Year:
- 2014-2015
- One-time Fixed Costs? ($$$):
- Ongoing Costs? ($$$):
- County Match Required? ($$$):
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- 0
- Source of Funding?:
- n/a
Fiscal Impact & Funding Sources (if known):
This agreement will generate revenue, or at least cover costs, for administration of these vaccines. Bridgeway and/or the clients’ primary insurance will pay CHSS for these services at the then current Medicare or AHCCCS fee schedule. This agreement can be expanded to cover other direct services CHSS provides to Bridgeway members in the future with the same reimbursement methodology. cost reimbursement program through the Arizona Department of Health Services in the amount of $331,050. The ADHS allowable indirect rate for this program is 15% versus the county A-87 rate of 46.98%. The result in a net County subsidy of $81,842:
Personnel / EREs: No Additional
A-87 OH Rate @ 46.98%: No Additional
Authorized OH @ 15%: No Additional
Net County Subsidy: $ 0