Review Agenda Item
Meeting Date: 6/25/2014 - 7:30 PM
Category: Consent Agenda
Type: Action
Subject: 14.9 (Item #11) Approve Increase to Contract between Mt. Diablo Unified School District (MDUSD) and Paradigm HealthCare Services, Inc. for the 2013-14 Fiscal Year
LCAP (Local Control Accountability Plan) Goal:
Policy:
Enclosure Paradigm Service Agreement
File Attachment:
Paradigm Service Agreement.pdf
Summary: MDUSD has contracted with Paradigm HealthCare Services, Inc. to prepare and submit Medi-Cal claims to the California Department of Health Care Services (DHCS) for the reimbursement of health care services provided by MDUSD as a Local Education Agency (LEA). The service agreement enables Paradigm to process LEA Medi-Cal claims from July 1, 2010 through June 30, 2013, regardless whether those activities are to be performed during or after the term of the agreement. The cost of their services is calculated monthly by taking the approved Medi-Cal reimbursements and multiplying the amount by 11% (for gross amounts paid to LEA, up to $400,000), 10% (for gross amounts paid to LEA, from $400,001 to $1 million), or 9% (for gross amounts paid to LEA, above $1 million). The monthly invoices are paid against the incoming revenue from Medi-Cal reimbursements; therefore, the costs of these services are cost neutral.
The Board approved the Service Agreement with Paradigm on October 26, 2010 for the amount of $122,000 for the period July 1, 2010 until June 30, 2013. The contract was increased by $50,000 in November 2012 and then increased by $46,000 in May 2013. Staff requests to increase the purchase order amount for the 2013-14 fiscal year by $10,000 to cover the cost of Paradigm completing claims for the 2011-12 fiscal year. This will bring the total PO amount from $24,500 to $34,500.
Funding: Program 3091 – Medi-Cal Administration
Fiscal Impact $10,000 from LEA Medi-Cal Reimbursement Revenue. There is no impact to the general fund.
Recommendation: Approve Increase of $10,000 to Contract between Mt. Diablo Unified School District and Paradigm HealthCare Services, Inc. for the 2013-14 fiscal year.
Approvals:
Recommended By:
Signed By:
Felicia Stuckey-Smith - Director Student Services
Signed By:
Kerri Mills - Assistant Superintendent
Signed By:
Nance Juner - Director of Fiscal Services
Signed By:
Larry Schoenke - Legal Counsel
Signed By:
Dr. Nellie Meyer - Superintendent
Vote Results:

Original Motion
Member Moved, Member seconded to approve the Original motion 'Approve all Consent Agenda items.'. Upon a Roll-Call Vote being taken, the vote was: Aye: 4 Nay: 0.
The motion Carried 4 - 0
   
Barbara Oaks     Yes
Linda Mayo     Yes
Lynne Dennler     Yes
Cheryl Hansen     Yes