|
|
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)
|
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.
|