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File #: 0846-2023    Version: 1
Type: Ordinance Status: Passed
File created: 3/10/2023 In control: Administration Committee
On agenda: 4/17/2023 Final action: 4/20/2023
Title: To authorize the appropriation and expenditure authority of $82,190.70 from the Employee Benefits Fund to provide funding for prior period OptumRx pharmacy claims; and to authorize and direct the Human Resources Director to make this payment to OptumRx from the Employee Benefits Fund. ($82,190.70)
Attachments: 1. 0846-2023 OptumRx Attachment

Explanation

 

BACKGROUND:

 

The Human Resources Department requests appropriation and expenditure authority for OptumRx. This ordinance authorizes the appropriation and expenditure of $82,190.70 from the unappropriated balance of the Employee Benefits Fund. 

 

OptumRx was the prior vendor for pharmacy benefit management services for the time period of July 1, 2015 to January 31, 2020. On February 16, 2023 OptumRx sent Human Resources an invoice in the amount of $82,190.70 for claims that represented reprocessing due to the Center for Medicare and Medicaid services performing recovery efforts during the period of 2018, 2019 and January 2020.                                                               .

Previous appropriations for OptumRx contract expenses were granted under Ordinance 0016-2019, but due to the time lapse, those funds are no longer available and additional appropriations of $82,190.70, along with expenditure authority, are being requested.

FISCAL IMPACT:  Funding is available in the 2023 Employee Benefits Fund for this request.

 

Title

 

To authorize the appropriation and expenditure authority of $82,190.70 from the Employee Benefits Fund to provide funding for prior period OptumRx pharmacy claims; and to authorize and direct the Human Resources Director to make this payment to OptumRx from the Employee Benefits Fund. ($82,190.70)

 

Body

 

WHEREAS, appropriation and expenditure authority is needed to provide funds to cover costs associated with a payment for delayed Optum Rx pharmacy claims; and

 

WHEREAS, funds for this appropriation are available in the Employee Benefits Fund.

 

Now, Therefore,

 

BE IT ORDAINED BY THE COUNCIL OF THE CITY OF COLUMBUS:

 

Section 1:  That the Director of Human Resources is authorized to make payment to Optum Rx for the invoice related to Medicare/Medicaid reprocessing for the time period of 2018, 2019 and January 2020.

 

Section 2. That from the unappropriated monies in the Employee Benefit Fund 5502, and from all monies estimated to come into said fund from any and all sources and unappropriated for any other purpose during the fiscal year ending December 31, 2023, the sum of $82,190.70 is appropriated in Fund 5502, Employee Benefits Fund in the Department of Human Resources, in Object Class 03 Contractual Services, per the accounting codes in the attachment to this ordinance.

 

Section 3. That the funds necessary to carry out the purpose of this ordinance are hereby deemed appropriated, and the City Auditor shall establish such accounting codes as necessary.

 

Section 4. That this Ordinance shall take effect and be in force from and after the earliest period allowed by law.