LA County Board

46.\nApproval to Delegate Authority to Enter Into Agreements for Provision of\nCertain Services to County Patients\nRecommendation: Authorize the Director of Health Services, to negotiate and\nexecute agreements with qualified outside health care providers including, but\nnot limited to, clinics, physicians or physician practice groups, pharmacies, or\nother licensed health care facilities. Under such agreements, the County will\npay for care not offered by the Department of Health Services (DHS), and\nrelated services to ensure continuity of care, which will be provided to County\nreferred patients, with modifications to, or waivers of, County's contracting\nrequirements for insurance, standard indemnification and other standard\nCounty contract terms not mandated by County ordinance, on a case-by-case\nbasis, and effective upon execution following the Board's adoption of this letter,\nfor a term of up to one year, with two one-year extension options, at the\ndiscretion of the Director, subject to the following conditions: payments are only\nmade for patients who have previously been treated at a DHS facility and are, at\nthe time of referral, under the care of a DHS physician; the patient is seeking\nservices which DHS does not offer, and other related services to ensure\ncontinuity of care; DHS shall not influence treatment decisions of the outside\nhealth care provider; and the total annual payment across all such agreements\nshall not exceed $1,000,000 in aggregate for each fiscal year. Authorize the\nDirector to take the following actions: (Department of Health Services)\nAPPROVE\nNegotiate and execute amendments to such agreements to extend the\nterm for up to two additional one-year periods; add, delete, and/or\nchange non-substantive terms and conditions in the agreements; add or\ndelete facilities and approve necessary changes to scope of services,\nand; delegate certain administrative responsibilities to other County\nDepartments upon the Departments' mutual agreement as determined to\nbe in the best interest of the County.\nMake a finding pursuant to County Code Section 2.121.420 that\ncontracting for physician services, as described herein, can be\nperformed more feasibly by an independent contractor. (26-1476)\nBoard Letter