HomeMy WebLinkAbout20140367.tiff RESOLUTION
RE: APPROVE AMENDMENT #1 TO PROFESSIONAL PROVIDER AGREEMENT FOR
ACCOUNTABLE CARE COLLABORATIVE PROGRAM AND AUTHORIZE CHAIR TO
SIGN - COLORADO ACCESS
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Amendment #1 to the Professional
Provider Agreement for the Accountable Care Collaborative Program between the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,
on behalf of the Weld County Department of Public Health and Environment, and Colorado
Access, for the delegation of care management to North Colorado Health Alliance, commencing
upon full execution, with terms and conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that Amendment #1 to the Professional Provider Agreement for the
Accountable Care Collaborative Program between the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, on behalf of the Weld County
Department of Public Health and Environment, and Colorado Access be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
0 '34 2014-0367
HL0044
RE: AMENDMENT #1 TO PROFESSIONAL PROVIDER AGREEMENT FOR ACCOUNTABLE
CARE COLLABORATIVE PROGRAM - COLORADO ACCESS
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 5th day of February, A.D., 2014.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: CdderAvy
Weld County Clerk to the Bo J+ `` d La u gla RaRadema er, hair r ,tlVy .
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Depu Clerk to the Soar.`
can P. Conway
AP {9V AS T 1z a �,
Mike Fce`fnan
ountyitorney C
illiam F. Garcia
Date of signature: d l'{ /y/
2014-0367
HL0044
1861 Memorandum
TO: Douglas Rademacher, Chair
Vi
co N 7 Y Board of County Commissioners
UFROM: Mark E. Wallace, MD, MPH,
Executive Director
Department of Public Health & Environment
DATE: January 31, 2014
SUBJECT: First Amendment Professional Provider
Agreement for Accountable Care
Collaborative Program
Enclosed for Board review and approval is a contract between the Weld County Department of
Public Health and Environment and Colorado Access.
The Weld County Department of Public Health and Environment participates in the Medicaid
Accountable Care Collaborative in Region 2 through Colorado Access. The Department receives
a per member per month payment to provide health care home services and agrees through a
contract with Colorado Access to have local care management provided through a sub-
agreement with the North Colorado Health Alliance. Colorado Access prefers that care
management be delivered locally rather than remotely from Denver. This amendment
authorizes Colorado Access to delegate care management to the North Colorado Health
Alliance. This local relationship has worked well and the Department desires to maintain this
local relationship through this delegation agreement amendment.
The relationship between the Department and the Region 2 accountable care collaborative has
been enhanced through this local care management delegation agreement with Colorado
Access. The Department has a close working relationship with the North Colorado Health
Alliance care managers. Keeping care management local is important to the Department and
the patients we serve. There is no financial obligation to the Department to delegate care
management to the North Colorado Health Alliance. It is the Departments preference to
continue with the agreement.
I recommend approval of this First Amendment to the Professional Provider Agreement for
Accountable Care Collaborative Program with Colorado Access.
2014-0367
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW/WORK SESSION REQUEST
RE: Amendment to the Professional Provider Agreement For Accountable Care Collaborative Program
DEPARTMENT: PUBLIC HEALTH&ENVIRONMENT DATE: August 5, 2013
PERSON REQUESTING: Mark E. Wallace,MD, MPH, Executive Director
Brief description of the problem/issue:
Enclosed for Board review and approval is an amendment to the Professional Provider Agreement for
Accountable Care Collaborative Program dated February 20,2013. The Weld County Department of Public
Health&Environment participates in the Medicaid Accountable Care Collaborative in Region 2 through
Colorado Access. The Department receives a per member per month payment to provide health care home
services and agrees through a contract with Colorado Access to have local care management provided through a
sub-agreement with the North Colorado Health Alliance. Colorado Access prefers that care management be
delivered locally rather than remotely from Denver. This amendment authorizes Colorado Access to delegate
care management to the North Colorado Health Alliance. This local relationship has worked well and the
Department desires to maintain this local relationship through this delegation agreement amendment. The
amendment has been reviewed by the County Attorney's Office and support advancing the Agreement to the
Board.
What options exist for the Board? (Include consequences,impacts, costs, etc. of options)
The relationship between the Department and the Region 2 accountable care collaborative has been enhanced
through this local care management delegation agreement with Colorado Access. The Department has a close
working relationship with the North Colorado Health Alliance care managers. Keeping care management local
is important to the Department and the patients we serve. There is no financial obligation to the Department to
delegate care management to the North Colorado Health Alliance. It is the Department's preference to continue
with the agreement.
Should the Board elect not to support the amendment the Department would then have care management
services provided directly by Colorado Access from Denver to our enrolled Medicaid beneficiaries. This would
be a less effective and less desirable manner in which to deliver these services to patients. The Department
would have to establish new relationships with the care management team located in Denver.
Recommendation: I recommend approval of this Amendment.
Approve Schedule
Recommendation.. Work Session Other/Comments:
William F. Garcia,Chair
Douglas Rademacher
Sean P.Conway
Mike Freeman A/N,
Barb Kirkmeyer
• •
FIRST AMENDMENT PROFESSIONAL PROVIDER AGREEMENT
FOR ACCOUNTABLE CARE COLLABORATIVE PROGRAM
This First Amendment to the Professional Provider Agr eme For Accountable Care
Collaborative Program("First Amendment")is entered into on o reinnt ,28 ,by and between,
Colorado Access("Colorado Access"),and Weld County Government D/B/A Weld County Department o
Public Health and Environment("Provider") (collectively,the"Parties").
WHEREAS,Colorado Access and the State of Colorado have entered into an agreement for the Regional
Collaborative Care Organization;
WHEREAS,Colorado Access and Provider previously entered into that certain Professional Provider
Agreement For Accountable Care Collaborative Program(the"Agreement"),dated February 20,2013;
WHEREAS,Provider has entered into a Primary Care Medical Provider("PCMP")agreement with the
State of Colorado;
WHEREAS,Section 4 of Exhibit A of the PCMP agreement requires Provider to work with the RCCO
for care coordination;
WHEREAS,Colorado Access has previously entered into a Regional Collaborated Care Organization
Subcontractor Agreement for Care Management with the North Colorado Health Alliance on February 1,
2012;
WHEREAS,Colorado Access and Provider now wish to amend the Agreement as set forth below.
NOW,THEREFORE, in consideration of the foregoing,the parties hereby agree as follows:
Care Management(also referred to as case management and care coordination):
1. Provider and Colorado Access Agree that North Colorado Health Alliance will provide care
management services to the Provider's Colorado Access RCCO Member patients.
Termination
1. Either party may terminate this Amendment upon ninety(90)days prior written notice.
Termination of this Amendment does not terminate the Agreement.
IN WITNESS WEREOF,each party has caused this First Amendment to the Professional Provider
Agreement For Accountable Care Collaborative Program to be signed by a duly authorized representative
with an Effective Date stated in the first paragraph above.
(Signatures on following page)
, 011.1-0 31,07
•
COLORADO ACCESS WELD COUNTY GOVERNMENT D/B/A
WELD COUNTY DEPARTMENT OF PUBLIC
HEAL AND ENVIRONMENT
By: By: i—
Name: Gretchen McGinnis Name: Douglas Rademacher
Title: Senior Vice President Public Policy& Title:
Performance Improvement Chair. Board of Weld County Commissioners
Date: g,q a01 C'l Date: FEB 0 5 2014
,41-1-6 34O
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