Item Description:
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Amd 5 to Agmt A177032 with Availity LLC, to add Availity Platform Solutions Provider Portal, Claim Attachments and Prior Authorization Portal, ext end date through 12/31/31, incr NTE by $1,742,000 for a new total NTE of $2,000,000
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Resolution:
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BE IT RESOLVED, that Amendment 5 to Agreement A177032 with Availity LLC, Hennepin Health’s vendor of electronic data interchange (EDI) transactions services, allowing Hennepin Health to leverage Availity's platform solutions to support provider interactions and prior authorization processes and incorporate legal terms required for the additional services, extending the contract period through December 31, 2031 and increasing the contract amount by $1,742,000 to a new not to exceed total of $2,000,000, be approved; that the Chair of the Board be authorized to sign the Amendment on behalf of the County; and that the Controller be authorized to dispense funds as directed.
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Background:
Agreement A177032 with Availity LLC, which provides electronic data interchange (EDI) transaction services, is currently set to expire on July 31, 2029.
Following a competitive RFP process, Hennepin Health selected Availity LLC as the vendor for the Provider Portal and Prior Authorization Portal solutions. To support these new services, the parties wish to amend the existing agreement and incorporate the associated services and legal requirements.
Current Request. Approval of Amendment 5 will:
• Extend end date through December 31, 2031;
• Add Availity Platform Solutions Provider Portal, Claim Attachments and Prior Authorization Portal to the scope of the Agreement;
• Increase the NTE by $1,742,000;
• Incorporate legal terms required for the additional services.
This Amendment 5 increases the NTE by $1,742,000. The new NTE is $2,000,000.
This amendment will allow Hennepin Health to leverage Availity's platform solutions to support provider interactions and prior authorization processes while maintaining continuity of existing EDI transaction services.
This board action request aligns with Hennepin County disparity elimination efforts to improve access to culturally specific/sensitive health services and increase community well-being.
This request funds services that are: core services
recommendation
Recommendation from County Administrator: Recommend Approval