Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Interim Director, Behavioral Health, and Recovery Services
Subject: Amendment to the Agreement with Health Plan of San Mateo for Pharmacy Benefits Administration
RECOMMENDATION:
title
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, 2023, and increasing the amount by $800,000 to an amount not to exceed $7,850,000.
body
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., clients not covered by the Medi-Cal funding structure and for whom BHRS is financially responsible.
On December 15, 2015, this 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 an amount not to exceed $2,700,000.
The agreement has since been amended multiple times to extend the term and increase the amount. The most recent amendment took place on January 2022 to extend the term through December 31, 2022 and increase the amount by $1,000,000, to an amount not to exceed $7,050,000.
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 through December 31, 2023 and increase the maximum amount by $800,000 for HPSM to continue to provide the services described above.
The amendment and resolution have been re...
Click here for full text