Title
Long Term Disability Program Clinical Consulting Services - RFP BEN 18-07- Amendment (Ordinance S-51257)
Description
Request to authorize the City Manager, or his designee, to execute amendment to Contract 151253 with Managed Medical Review Organization (MMRO), Inc. to extend contract term. Further request to authorize the City Controller to disburse all funds related to this item. No additional funds are needed, request to continue using Ordinance S-46041.
Report
Summary
This contract provides clinical consulting services to assist in determining medical and/or psychological eligibility for newly submitted and ongoing long term disability (LTD) claims. Initial and ongoing LTD eligibility is determined through regular certification from the employee's medical and/or mental health provider specialized in the diagnosis and treatment of the injury or illness. The nature of these contracted services is to provide a clinical opinion of the submitted documentation, when needed. A credentialed clinical, vocational, and/or behavioral health independent expert may conduct an in-person examination and would review medical documents and records, reach out to treating physicians on a peer-to-peer basis, and provide clinical insight about an employee's ability to continue working, to return to work, or to perform other types of work. Some of these services are currently performed on a case-by-case basis by independent medical doctors charging a range of fees for their services. MMRO offers a well coordinated and consistent approach to this need at an overall lower cost.
Contract Term
Upon approval the contract will be extended through September 30, 2025.
Financial Impact
The aggregate value of the contract will not exceed $106,763.75 and no additional funds are needed.
Concurrence/Previous Council Action
The Sustainability, Housing, Efficiency and Neighborhoods Subcommittee:
- Recommended approval of this item on May 26, 2017.
The City Council previously reviewed this request:
- Long Term Disability Program Clinical Consulting Services RFP Issuance on June 21, 2017; and,
- Long Term Disability Program Clinical Consulting Services Contract 151253 (Ordinance S-46041) on September 18, 2019.
Department
Responsible Department
This item is submitted by Assistant City Manager Lori Bays and the Human Resources Department.