Item:
Title
Public Health: Approval of Contract Amendment between Durham County and Correct Care Solutions (CCS) to Provide Medical to the Detainees of the Durham County Detention Center and Durham Youth Home
Body
Date Of BOCC Meeting: June 25, 2018
Request For Board Action:
Agenda Text
The Board is requested to approve a one-year renewal contract between Durham County and Correct Care Solutions (CCS), to be administered by Durham County Department of Public Health (DCoDPH) and authorize the Manager to execute the contract. The total amount of the contract is $3,108,240.43 to be applied as follows:
• Base amount - $3,034,950.93 (divided into 11 payments of $252,912.58 and 1 payment of $252,912.55)
• Contingency for excess medical fees* - $25,000 budgeted
• Contingency for excess population* - $48,289.50
*Explanation of contingency amounts:
• Excess medical fees: CCS will have full financial responsibility for the first $400,000 related to the cost of off-site care. If costs exceed $400,000, Durham County will be responsible for 100 percent the cost of care not to exceed $150,000. Any amount for excess medical fees in excess of $25,000 will be subject to a budget amendment approved by the Board of County Commissioner not to exceed an additional $125,000. In the event that medical fees do not reach the $400,000 amount, 100 percent of the savings will be returned to the County. CCS will purchase a reinsurance policy to help mitigate the cost of off-site medical care.
• Excess population: Medical care for 460 inmates is included in the base charge. For any month that the Average Daily Population is greater than 460, the county will pay CCS $1.89 per day per additional inmate. The budgeted amount of $48,289.50 allows for fluctuations in the average daily population of up to an additional 70 inmates per day
Durham County Department of Public Health (DCoDPH) will continue to provide medications for the Detention Center through the DCoDPH Pharmacy. County funds in the amount of $400,000 are allocated within the Department’s budget to support this service. The terms and conditions of the contract for services will otherwise remain the same as FY17 (original contract period).
Alignment With Strategic Plan: This item aligns with Goal 2: Health and Well-being for All.
Resource Persons: Joanne Pierce, Deputy Public Health Director
County Manager’s Recommendation: The County Manager recommends that the Board approve the annual renewal contract between Durham County and Correct Care Solutions (CCS) for an amount not to exceed $3,108,240.43 and authorize the Manager to execute the contract.
Signature
County Manager: ____________________________