5563743 Resolution 21-148, Modification No. M015 to Contract No. DHCF-2013-C-0003-A01 with Trusted Health Plan (District of Columbia), Inc. Approval and Payment Authorization Emergency Declaration Resolution of 2015

A RESOLUTION

                                                        

21-148

 

IN THE COUNCIL OF THE DISTRICT OF COLUMBIA

 

June 30, 2015         

 

 

To declare the existence of an emergency with respect to the need to approve Modification No. M015 to Contract No. DHCF-2013-C-0003-A01 with Trusted Health Plan (District of Columbia), Inc. for managed care organization healthcare services for Medicaid beneficiaries for the Medicaid eligible population enrolled in the District of Columbia Healthy Families Program and the DC Health Care Alliance Program and to authorize payment for the goods and services received and to be received under the contract modification.

 

            RESOLVED, BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this resolution may be cited as the “Modification No. M015 to Contract No. DHCF-2013-C-0003-A01 with Trusted Health Plan (District of Columbia), Inc. Approval and Payment Authorization Emergency Declaration Resolution of 2015”.

 

Sec. 2. (a)  There exists an immediate need to approve Modification No. M015 to Contract No. DHCF-2013-C-0003-A01 with Trusted Health Plan (District of Columbia), Inc., (Trusted) for providing managed care organization services to the Medicaid eligible population enrolled in the District of Columbia Healthy Families Program and the DC Health Care Alliance Program and to authorize payment for the services received and to be received under the contract modification.

(b)  On May 1, 2013, the District awarded to Thrive Health Plan (District of Columbia), Inc., Contract No. DHCF-2013-C-0003-A01 in the not-to-exceed (NTE) amount of $542,535,279 for the period of May 1, 2013, through April 30, 2014, to provide manage care organization services to the Medicaid eligible population enrolled in the District of Columbia Healthy Families Program and the DC Health Care Alliance Program.    

(c)  On December 13, 2013, the District Office of Contracting and Procurement (OCP) issued Modification M005 to Contract No. DHCF-2013-C-0003-A01 changing the contractor’s name from “Thrive Health Plans, Inc.” to “Trusted Health Plan (District of Columbia), Inc.”

(d)  On April 30, 2014, OCP issued Modification No. M007 to Contract No. DHCF-2013-C-0003-A01 with Trusted exercising Option Year One in the NTE amount of $737,041,491, for the period May 1, 2014, through April 30, 2015, to continue providing managed care organization services to the Medicaid eligible population enrolled in the District of Columbia Healthy Families Program and the DC Health Care Alliance Program.

(e)  On April 30, 2015, OCP issued Modification No. M015 to Contract No. DHCF-2013-C-0003-A01 with Trusted exercising Option Year Two in the NTE amount of $338,670,442 for the period May 1, 2015, to September 30, 2015, to continue providing managed care organization services to the Medicaid eligible population enrolled in the District of Columbia Healthy Families Program and the DC Health Care Alliance Program without interruption. 

(f)  OCP seeks retroactive Council approval of Modification No. M015 to Contract No. DHCF-2013-C-0003-A01 in the total NTE amount of $338,670,442 for the period May 1, 2015, through September 30, 2015.

(g)  Approval is necessary to allow the continuation of these vital goods and services for District Medicaid beneficiaries. Without this approval, Trusted cannot be paid for goods and services provided in excess of $1 million pursuant to the contract modification.

 

Sec. 3.  The Council of the District of Columbia determines that the circumstances enumerated in section 2 constitute emergency circumstances making it necessary that the Modification No. M015 to Contract No. DHCF-2013-C-0003-A01 with Trusted Health Plan (District of Columbia), Inc., Approval and Payment Authorization Emergency Act of 2015 be adopted after a single reading.

 

Sec. 4.  This resolution shall take effect immediately.