ITEM TITLE:
Approval of Amendment #1 to the Care Management Service Agreement with Personify Health
SUBMITTED BY: Rhea Cragun, HR Director
FISCAL NOTES:
Expenditure Required: na
Unencumbered Balance: na
Funding Source: na
RECOMMENDATION:
Approve amendment #1.
SUMMARY STATEMENT:
This amendment, effective as of September 16, 2025, reflects updates to the scope of services and reporting expectations outlined in the original agreement dated April 1, 2025. Specifically, the amendment clarifies that Personify Health is not conducting any pharmaceutical management services for the Client. This distinction ensures alignment with the Client’s expectations and the services currently being delivered.
Additionally, the amendment introduces a new reporting provision under Appendix C. If utilization management services are selected in the fee table, Personify Health will provide semiannual electronic reports (with virtual review available upon request) detailing:
• Utilization review approvals and denials
• Turnaround times for utilization review
These updates are intended to enhance transparency and support oversight of case management and utilization review activities.