5563840 Resolution 21-149, Modification No. M016 to Contract No. DHCF-2013-C-0003-A02 with AmeriHealth District of Columbia, Inc., Approval and Payment Authorization Emergency Declaration Resolution of 2015

A RESOLUTION

                                                        

21-149

 

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. M016 to Contract No. DHCF-2013-C-0003-A02 with AmeriHealth District of Columbia, Inc., for managed care organization healthcare services 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. M016 to Contract No. DHCF-2013-C-0003-A02 with AmeriHealth 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. M016 to Contract No. DHCF-2013-C-0003-A02 with AmeriHealth District of Columbia, Inc., (AmeriHealth) to continue providing managed care organization healthcare 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 April 30, 2013, the District awarded to AmeriHealth Contract No. DHCF-2013-C-0003-A02 in the not-to-exceed (NTE) amount of $542,535,279 for the period of May 1, 2013, through April 30, 2014, to provide 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.   

(c)  On April 28, 2014, the District Office of Contracting and Procurement (OCP) issued Modification No. M007 to Contract No. DHCF-2013-C-0003-A02 with AmeriHealth 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.

(d)  OCP issued Modification No. M016 to Contract No. DHCF-2013-C-0003-A02 with AmeriHealth on April 30, 2015, to exercise Option Year Two for the period from May 1, 2015, through September 30, 2015, in the NTE amount $338,670,442 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.

(e)  OCP seeks retroactive Council approval of Modification No. M016 to Contract No. DHCF-2013-C-0003-A02 in the total NTE amount of $338,670,442 for the period May 1, 2015, through September 30, 2015.

(f)  Approval is necessary to allow the continuation of these vital goods and services for District Medicaid beneficiaries. Without this approval, AmeriHealth 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. M016 to Contract No. DHCF-2013-C-0003-A02 with AmeriHealth 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.