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File #: 22-1854   
Status: Agenda Ready
File created: 12/14/2022 In control: Clark County Board of Commissioners
On agenda: 1/3/2023 Final action:
Title: Ratify and approve an Amendment to the Contract with Sierra Health-Care Options, Inc., for RFP No. 605220-19, for Utilization Review Services; and authorize the Chief Financial Officer or her designee to sign the Amendment; or take other action as appropriate. (For possible action)
Attachments: 1. Staff Report, 2. P605220-19 Disclosure, 3. P605220-19 Amendment

CLARK COUNTY BOARD OF COMMISSIONERS

AGENDA ITEM

 

Petitioner:

Les Lee Shell, Deputy County Manager    

Recommendation: 

title

Ratify and approve an Amendment to the Contract with Sierra Health-Care Options, Inc., for RFP No. 605220-19, for Utilization Review Services; and authorize the Chief Financial Officer or her designee to sign the Amendment; or take other action as appropriate.  (For possible action)

body

 

 

FISCAL IMPACT:

Fund #:

6520.000

Fund Name:

Self-Funded Group Insurance

Fund Center:

1020520000

Funded PGM/Grant:

N/A

Amount:

$2,130,000

Description:

Utilization Review Services

Additional Comments:

The initial Contract amount was $2,800,000.  Amendment No. 1 will increase the Contract amount by $2,130,000, for a new total Contract amount of $4,930,000, should all renewal options be exercised.  This amount is subject to change based on the number of eligible employees and retirees enrolled in the Clark County Self-Funded Group Medical and Dental Benefits Plan.

 

BACKGROUND: 

On November 5, 2019, the Board of County Commissioners (Board) approved the award of RFP No. 605220-19 to Sierra Health-Care Options, Inc. (NBE) in the amount of $2,800,000 for utilization review services for employees covered by the Clark County Self-Funded Group Medical and Dental Benefit Plan.

The following are the pertinent provisions of the Contract:
                     The term of the Contract was from January 1, 2020 through December 31, 2020 and included the option                      to renew for 3, one-year periods. There is 1 renewal option remaining.
                     Included the County’s option to terminate for cause, convenience or default and suspend the Contract                      with advanced written notice.

Approval of Amendment No. 1 will provide for 3 additional one-year renewal options and includes the fee schedules for the additional years.  The attached Amendment No. 1 document details the modifications and costs involved.

Sierra Health-Care Options, Inc. currently holds a Clark County Business License.