Item 8

Authorize to enter into a retroactive sole source amendment to an existing contract with Cognosante Consulting LLC, Falls Church, VA (originally approved by G&C on 12-1-04, late item E), for continuation of quality assurance services in compliance with the requirements of the Centers for Medicare and Medicaid Services, by increasing the price by $3,145,795 from $29,961,126 to a new amount not to exceed $33,106,921, and by extending the end date from September 30, 2018 to June 30, 2019. 75% Federal, 25% General Funds.