Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Health Plan of San Mateo for Pharmacy Benefits Administration
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with the Health Plan of San Mateo for pharmacy benefits administration, extending the term through December 31, 2020, and increasing the amount of the agreement by $1,000,000 to an amount not to exceed $5,050,000.
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BACKGROUND:
Since 2010, Behavioral Health and Recovery Services (BHRS) has utilized the Health Plan of San Mateo's (HPSM) pharmacy benefits administration services for BHRS clients requiring psychiatric medication. The services are provided to indigent adults and Medi-Cal members carrying a "share of cost," i.e. not covered by the Medi-Cal funding structure and for whom BHRS is financially responsible.
On December 15, 2015, the Board approved an agreement with HPSM for the term of July 1, 2015 through June 30, 2018, for BHRS to utilize HPSM's pharmacy benefits administration services for clients requiring psychiatric medication, in the amount of
$2,700,000.
On January 8, 2019, the Board approved an amendment to the agreement with HPSM to extend the term through December 31, 2019, increasing the amount by $1,350,000, to an amount not to exceed $4,050,000
DISCUSSION:
HPSM will continue to administer the pharmacy benefits provided to BHRS indigent adult clients and Medi-Cal members carrying a share of cost.
It is now necessary to extend the term for an additional year and increase the maximum amount for HPSM to continue to provide the services described above.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
It is anticipated that 85% of clients who receive services will be...
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