HomeMy WebLinkAboutUnited Health Centers of the San Joaquin Valley-COVID-19 Testing Services_A-21-281 D-20-325.pdf COU Y Count of Fresno Hall of Records,Room 301
2281 Tulare Street
Fresno,California
b ' Board of Supervisors 93721-2198
O� �650 Telephone:(559)600-3529
FRE`' Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
June 21, 2022
Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes,
Chairman Brian Pacheco, and Vice Chairman Sal Quintero
Agenda No. 66. Public Health File ID:22-0501
Re: Approve and authorize the Chairman to execute Second Amendment to Agreement with United Health
Centers of the San Joaquin Valley for COVID-19 testing and to address testing needs in vulnerable
populations within rural and urban communities, effective upon execution with no change to the term of
August 20,2020 through June 30, 2022 and increasing the maximum by$436,460,to a total not to
exceed of$936,460
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No.22-281
County of Fresno Page 69
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1 Board Agenda Item 66
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FRE`'�
DATE: June 21, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Approve Second Amendment to Agreement with United Health Centers of the San
Joaquin Valley
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute Second Amendment to Agreement with United
Health Centers of the San Joaquin Valley for COVID-19 testing and to address testing needs in
vulnerable populations within rural and urban communities, effective upon execution with no
change to the term of August 20, 2020 through June 30, 2022 and increasing the maximum by
$436,460,to a total not to exceed of$936,460.
There is no Net County Cost associated with the recommended action.Approval of the recommended
action will execute a second amendment with United Health Centers of the San Joaquin Valley (UHC)to
increase the total compensation amount to pay for outstanding invoices for COVID-19 tests performed on
clients who were denied coverage by both the Human Resource &Services Administration (HRSA)and their
own health insurance for the administered tests. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, Fresno
County will not be able to reimburse UHC for outstanding invoices for COVID-19 tests administered to
clients who were denied coverage by HRSA and their health insurance provider for UHC's testing services.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended action. The agreement was funded by the
federal Coronavirus Aid, Relief, and Economic Security(CARES)Act funding through June 30, 2021. The
remaining term is funded by the Epidemiology and Laboratory Capacity for Prevention and Control of
Emerging Infection Disease (ELC) Enhancing Detection funding. The remaining balance available in UHC's
agreement is$39,120. The total amount of outstanding invoices is$475,580. The proposed maximum
payable under this contract will be$936,460, which represents a $436,460 increase. Sufficient appropriation
and estimated revenues are included in the Department's Org 5620 FY 2021-22 Adopted Budget.
DISCUSSION:
On March 15, 2020, pursuant to California Government Code Section 8630, and Fresno County Ordinance
Code Chapter 2.44, due to the imminent and proximate threat of COVID-19, a Local Emergency was
proclaimed by the County Administrative Officer serving as Emergency Services Director. Your Board
adopted a Resolution proclaiming and ratifying the Local Emergency on March 17, 2020. On April 13, 2021,
your Board terminated the proclamation of the local emergency and Fresno County continues to function
County of Fresno page 1 File Number:22-0501
File Number:22-0501
under the State proclaimed emergency.
On May 25, 2021, your Board ratified UHC's Agreement(No. D-20-325)and First Amendment to Agreement
(No. D-20-325-1), along with other Federally Qualified Health Centers (FQHCs)Agreements providing
COVID-19 testing services to Fresno County residents. UHC is one of many FQHCs that have assisted in
COVID-19 response efforts since the beginning of the pandemic and provided Fresno County residents with
access to COVID-19 tests. UHC is currently one of two FQHCs remaining contracted with Fresno County to
continue to provide COVID-19 testing services to residents. The original contract included a clause that
allowed UHC to invoice the County for services performed and not covered by insurance or another source
of funds. The multiple sites that UHC has in the County provide UHC and Department staff with the data to
help trace and investigate transmission data. As of March 31, 2022, UHC had tested over 310,031
individuals in Fresno County.
UHC currently has an outstanding invoice of$475,580 with only a balance of$39,120 remaining in the
agreement. The outstanding invoice is for 3,397 COVID-19 tests for clients who were denied coverage for
the tests through their health insurance provider and who did not qualify for reimbursement through HRSA's
COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and
Vaccine Administration for the Uninsured Program. HRSA's Uninsured Program provided claims
reimbursement to health care providers, generally at Medicare rates, for testing uninsured individuals for
COVID-19, treating uninsured individuals with a COVID-19 diagnosis, and administering COVID-19 vaccines
to uninsured individuals. The delay in submittal of the invoice is due to the processing time in billing for the
claims, sending the claims to the payer, waiting for the approval/denial, and printing each denial for each
account and sending the denied claims to Fresno County for payment. UHC's billing department completed
a special project in tabulating the unpaid invoices qualified under the agreement. Each COVID-19 test claim
expense includes sample collection, lab diagnostic, and patient follow-up for test results.
The Amendment will allow Fresno County to reimburse UHC for the COVID-19 tests that were denied by the
insurance and are not reimbursable through SB 510 signed by the Governor on October 8, 2021.
REFERENCE MATERIAL:
BAI #49, May 25, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Second Amendment to Agreement with United Health Centers
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number:22-0501
Agreement No. 22-281
1 SECOND AMENDMENT TO AGREEMENT
2 THIS SECOND AMENDMENT TO AGREEMENT (hereinafter"Amendment") is made and
3 entered into this 215t day of June 2022, by and between COUNTY OF FRESNO, a Political
4 Subdivision of the State of California, Fresno, California (hereinafter"COUNTY"), and United Health
5 Centers of the San Joaquin Valley, a designated Federally Qualified Health Center(FQHC) by both
6 the Federal and State Governments, whose address is 3875 W. Beechwood Avenue, Fresno, CA
7 93722 (hereinafter"CONTRACTOR"). COUNTY and CONTRACTOR are referred to collectively as
8 "Parties", or"Party" individually to this Agreement.
9 WITNESSETH:
10 WHEREAS, COUNTY and CONTRACTOR entered into Agreement No. D-20-325, dated
11 August 20, 2020 (hereinafter"Agreement"), pursuant to which CONTRACTOR agreed to expand
12 COVID-19 testing and address immediate testing needs in vulnerable population groups who need
13 additional supports accessing testing within both rural and urban communities to COUNTY; and
14 WHEREAS, COUNTY and CONTRACTOR entered into a First Amendment No. D-20-325-1,
15 dated December 1, 2020, to provide two additional fee options to allow for weekly larger scale COVID-
16 19 testing in West Fresno, on the campus of Central High School in order to close the health equity
17 gap in COVID-19 testing where high positivity rates and case counts exists (Agreement No. D-20-325
18 and First Amendment No. D-20-325-1, collectively, shall be referred to herein as "the Agreement');
19 and
20 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
21 increase the total compensation amount to reimburse CONTRACTOR for outstanding invoices of
22 COVID-19 tests denied by the insurance.
23 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
24 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
25 1. Section Five (5) of the Agreement, "COMPENSATION", Subsection B, located on Page
26 Three (3), beginning on line Four(4)with the word "In" and ending on line Five (5)with the word,
27 "Agreement', be deleted and replaced in its entirety with the following:
28 "In no event shall services performed under this Agreement be in excess of Nine
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1 Hundred Thirty-Six Thousand Four Hundred Sixty and No/100 Dollars ($936,460) during the full term
2 of this Agreement."
3 COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
4 Agreement and, that upon execution of this Amendment, the Agreement and this Amendment together
5 shall be considered the Agreement.
6 The parties agree that this Amendment may be executed by electronic signature as provided in
7 this section. An "electronic signature" means any symbol or process intended by an individual signing
8 this Amendment to represent their signature, including but not limited to (1) a digital signature; (2) a
9 faxed version of an original handwritten signature; or (3) an electronically scanned and transmitted (for
10 example by PDF document) of a handwritten signature. Each electronic signature affixed or attached
11 to this Amendment (1) is deemed equivalent to a valid original handwritten signature of the person
12 signing this Amendment for all purposes, including but not limited to evidentiary proof in any
13 administrative or judicial proceeding, and (2) has the same force and effect as the valid original
14 handwritten signature of that person. The provisions of this section satisfy the requirements of Civil
15 Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act(Civil Code, Division 3,
16 Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital signature represents that it
17 has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a),
18 paragraphs(1)through (5), and agrees that each other party may rely upon that representation. This
19 Amendment is not conditioned upon the parties conducting the transactions under it by electronic
20 means and either party may sign this Amendment with an original handwritten signature.
21 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
22 covenants, conditions and promises contained in the Agreement and not amended herein shall remain
23 in full force and effect.
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1 IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to
2 Agreement as of the day and year first hereinabove written.
3
4 CONTRACTOR COUNTY OFFRESNO
United Health Centers of the San
5 Joaquin Valley
6 L � .
7 (Authorized Signature) Brian Pacheco, Chairman of the Board of
Supervisors of the County of Fresno
8 cn EEN u I PR- i0 -j q CEO
Print Name&Title
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10 3$�s ,1. 13E C w D v'
11 �RE5�/0 A 1722
Mailing Address ATTEST:
12 Bernice E. Seidel
Clerk of the Board of Supervisors
13 County of Fresno, State of California
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17 By: �w G� � 2
18 Deputy
FOR ACCOUNTING USE ONLY:
19
20 Fund: 0001
21 Subclass: 10000
22 ORG:56201019
23 Account: 7295
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