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HomeMy WebLinkAboutContract 63599CSC No. 63599 This Amendment ("Amendment") is made to the Administrative Services Agreement ("Agreement") by and between UMR, Inc. and Metropolitan Area EMS Authority, DBA MedStar Mobile Healthcare, and is effective on July 1, 2025. 1. This Amendment shall be effective as of July 1, 2025 and all defined terms and definitions in the Agreement shall be the same in the Amendment except as specifically revised by the Amendment. 2. The Agreement is hereby assigned to City of Fort Worth as of the effective date of this Amendment. 3. City of Fort Worth hereby agrees to assume all of Metropolitan Area EMS Authority, DBA MedStar Mobile Healthcare's rights, obligations and liabilities under the Agreement as of the effective date of this Amendment. 4. Except as amended hereby, the Agreement, all Schedules and Exhibits thereto shall remain in full force and Effect. In the case of any conflict between the terms of this Amendment and the Agreement, the terms of this Amendment shall prevail. Nothing shown in this Amendment alters, varies or affects any of the terms, provisions or conditions of the Agreement other than as stated herein. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX ACCEPTED AND AGREED: CITY: City of Fort Worth 41LQ-� By: Dianna Giordano (Jul 2, 2025 19:10 CDT) Name: Dianna Giordano Title: Assistant City Manager Date: 07/02/2025 Approval Recommended: By; Name: Hollv Mover Title: Interim Human Resources Director Attest: �nq k`$,9d0 d F= C a°cbn�X9g4 By: Name: Jannette Goodall Title: City Secretary VENDOR: UMR, Inc. By: Name: Antonella Dicenso Title: Sr. Account Contract Administrator Date: 06126r2o25 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. By: Name: Tnanne. uinrnn Title: Assistant Hmmnn RPcnnre .s�tor Approved as to Form and Legality: By: Name: Jessika J. Williams Title: Assistant City -Attorney Contract Authorization: M&C: 25-0356 PA OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX M&C Review Page 1 of 2 A Official site of the City of Fort Worth, Texas CITY COUNCIL AGEND Fo Create New From This M&C DATE: 4/22/2025 REFERENCE **M&C 25- LOG NAME: 14EMSCLAIMSRUNOUT NO.: 0356 CODE: C TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: (ALL) Authorize Execution of Consent of Assignment Between the City of Fort Worth and United HealthCare Services, Inc. for Administration and Anticipated Costs of Emergency Medical Service Claims Run -Out in an Amount Up to $850,000.00 RECOMMENDATION: It is recommended that the City Council authorize the execution of consent of assignment between the City of Fort Worth and United HealthCare Services, Inc. for administration and anticipated costs of Emergency Medical Service claims run -out in an amount up to $850,000.00. DISCUSSION: Beginning July 1, 2025, Emergency Medical Service (EMS) employees will transition to the City of Fort Worth's Health Plan. EMS currently is a self -insured benefit plan who contracts with United HealthCare Services, Inc. to provide third -party claims administration. With the transition of EMS to the City effective July 1, 2025, the contract between United HealthCare Services, Inc. and EMS will end. However, in the state of Texas, medical providers have up to twelve (12) months to file claims with an insurer. This means that after July 1,2025, there potentially may be ongoing negotiations between the insurer and providers regarding claims, such as hospitalizations or surgeries, incurred prior to July 1, 2025. The City will need to assume responsibility for the claims run -out for remaining claims incurred prior to the transition. Since United HealthCare Services is the present claim administrator, all claims will need to continue to be processed through United HealthCare. In order to pay the claims and the claim administration costs the City will need to execute an assignment of the existing agreement with United HealthCare. The Human Resources Department requested a Chapter 252 sole -source exemption and was granted a exemption by Legal due to the nature of the contract. FUNDING: The maximum amount allowed under this Agreement will be $850,000.00. Funding is budgeted in the Group Health Insurance Fund and and will be reimbursed by EMS. BUSINESS EQUITY: This solicitation was reviewed by The Business Opportunity Division for available business equity prospects according to the City's Business Equity Ordinance. There were limited business equity opportunities available for the services/goods requested, therefore, no business equity goal was established. AGREEMENT TERMS: Upon City Council approval, the agreement will begin on July 1, 2025 and will end on June 30, 2026. RENEWAL OPTIONS: There are no renewal options for this agreement. ADMINISTRATIVE CHANGE ORDER: An administrative change order or increase may be made by the City Manager up to the amount allowed by relevant law and the Fort Worth City Code and does not require specific City Council approval as long as sufficient funds have been appropriated. http://apps.cfwnet.org/council_packet/mc review.asp?ID=33219&councildate=4/22/2025 6/27/2025 M&C Review Page 2 of 2 FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current operating budget, as previously appropriated, in the Group Health Insurance Fund to support approval of the recommendation and execution of consent of assignment. Prior to any expenditure being incurred, the Human Resources Department has the responsibility to validate the availability of funds. TO Fund Department Account I Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) Submitted for Citv Manager's Office bv: Dianna Giordano (7783) Oriciinatinci Department Head: Dianna Giordano () Additional Information Contact: ATTACHMENTS 14EMSCLAIMSRUNOUT funds availabilitv.gdf (CFW Internal) 25-TBD3172025 (SS EMS Claims Runout)waiver-NS.pdf (CFW Internal) EMS Claims Runout Calculation. odf (CFW Internal) UHC Claims Runout FID.xlsx (CFW Internal) http://apps.cfwnet.org/council_packet/mc review.asp?ID=33219&councildate=4/22/2025 6/27/2025