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...
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