Explanation
BACKGROUND: This ordinance authorizes the Public Safety Director to modify and increase the contract with CareWorks USA Ltd. for the third year of the prisoner medical claims service contract. CareWorks USA Ltd. provides prisoner medical claims services as needed for the Division of Police. The scope of services includes: the creation and maintenance of an electronic medical claims database, coordination of billing with local medical providers, medical review of claims for appropriateness of charges and the utilization of Preferred Provider Networks.
The Division of Police is obligated to enforce the criminal and traffic ordinances of the City of Columbus and laws of the State of Ohio necessitating the apprehension and incarceration of violators. The Columbus City Attorney, through memorandum to the Division of Police, has determined that the Division of Police is liable for the medical care of those injured or sick individuals who are under arrest or lawfully detained. The services provided by CareWorks USA Ltd. provide greater scrutiny of medical claims submitted to the Division as well as the added benefit of cost reductions available through Preferred Provider Networks.
Bid Information: This is the third year of the original contract that was bid on July 14, 2009, SA003281.
This company is not debarred according to the Federal excluded parties listing or prohibited from being awarded a contract according to the Auditor of State unresolved findings for recovery certified search.
Contract Compliance - 31-1775640 (MAJ) expires on 8/31/2012
Emergency Designation: Emergency legislation is requested so the Division of Police can modify this contract with CareWorks USA Ltd. to continue the prisoner medical claims service without interruption.
FISCAL IMPACT: This ordinance authorizes an expenditure of $70,000.00 from the General Fund with CareWorks USA Ltd. for services related to prisoner medical claims. The Division of Police has budgeted these funds in the 2011 Operating Budget. The Division spent $70,000.00 for these services in 2010.
Title
To authorize and direct the Public Safety Director to modify and increase the contract with CareWorks USA Ltd. for prisoner medical claim services and access to Preferred Provider Networks for the Division of Police; to authorize the expenditure of $70,000.00 from the General Fund; and to declare an emergency. ($70,000.00)
Body
WHEREAS, the Division of Police is obligated to enforce the criminal and traffic ordinances of the City of Columbus and laws of the State of Ohio and in doing so, will continue to apprehend and incarcerate violators; and
WHEREAS, the Division of Police is liable for the medical care of injured and/or sick individuals who are under arrest or lawfully detained; and
WHEREAS, it is in the City's best interest to procure professional services to assist the Division of Police with the administration, review and payment of prisoner medical claims in the most efficient and cost-effective manner; and
WHEREAS, the Division of Police needs to modify and extend the contract with CareWorks, USA Ltd. for the third year of the contract for professional prisoner medical claims services; and
WHEREAS, an emergency exists in the usual daily operation of the Division of Police, Department of Public Safety, in that it is immediately necessary to modify the contract with CareWorks, USA Ltd. to gain access to Preferred Provider Networks which will reduce prisoner medical claims costs, thereby preserving the public health, peace, property, safety and welfare; now, therefore
BE IT ORDAINED BY THE COUNCIL OF THE CITY OF COLUMBUS:
SECTION 1. That the Public Safety Director be and is hereby authorized and directed to modify and increase funding for the third year of the contract with CareWorks USA Ltd. for prisoner medical claims services.
SECTION 2. That the expenditure of $70,000.00, or so much thereof as may be needed, be and the same is hereby authorized as follows:
|DIV 30-03 | FUND 010 | OBJ LEVEL ONE 03 | OBJ LEVEL THREE 3336 | OCA 301382|
SECTION 3. That for the reasons stated in the preamble hereto, which is hereby made a part hereof, this ordinance is hereby declared to be an emergency measure and shall take effect and be in force from and after its passage and approval by the Mayor, or ten days after passage if the Mayor neither approves nor vetoes the same.