HomeMy WebLinkAboutMINUTES - 08161988 - 1.38 -038
TO: BOARD OF SUPERVISORS
Mark Finucane , Health Services Director `v-
FROM ' By : Elizabeth A. Spooner , Contracts Administrator Contra
Costa
DATE: August 4, 1988
County
Approval of Veterans Administration Amendment
SUBJECT: Agreement 4126-023-39
SPECIFIC, REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Chairman to execute on behalf of the
County, Veterans Administration Amendment Agreement #26-023-39
with the Martinez Veterans Administration Medical Center to
amend Contract #26-023-37 , as amended by Amendment Agreement
#26-023-38 , to modify the payment terms of the agreement and to
add a procedure to the Contractor ' s available services with no
change in the contract payment limit .
II . FINANCIAL IMPACT:
This Contract is funded in the Health Services Department ' s
Enterprise I Budget for FY 1988-89 . There is no increase in the
twelve-month payment limit of the Contract .
Cost of the services depends upon utilization, and the services
provided under this Contract are billable to patients and third
party payors .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND:
For many years , the County has maintained a contractual rela-
tionship with the Martinez Veterans Administration Medical
Center which has made available to the County specialized medi-
cal services not available at Merrithew Memorial Hospital and
Clinics due to lack of resources , equipment , and personnel .
At the present time the Veterans administration is providing
nuclear medicine studies , specialized laboratory tests , and
dermatology services .
On April 26 , 1988 , the Board approved Veterans , Administration
Contract 4426-023-37 and Veterans Administration Amendment
Agreement 4426-023-38 for the period April 1 ,; 1988 through
May 31 , 1989 . The contract documents have always been prepared
by the Veterans Administration .
CONTINUED ON ATTACHMENT: X - YES SIGNATURE;
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAT O OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON 6 1988 APPROVED AS RECOMMENDED �C OTHER _-
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES:_ NOES: AND ENTERED ON THE'MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
AUG 16 1988
cc: Health Services (Contracts) ATTESTED
Risk Management PHIL BATCHELOR, CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
Contractor
M BY DEPUTY
BOARD ORDER
Martinez Veterans Administration
Amendment Agreement 426-023-39
Page 2
S
Under the County ' s contracts with the Veterans Administration,
the Department has always paid a fee-for-service , in arrears .
Recently, the Department received a letter from the Director of
the Veterans Administration Medical Center , explaining that
their accounting procedures have changed in such a way that ,
under the new procedures , the benefit of this sharing agreement
to the Medical Center would decrease substantially because the
Veterans Administration would be unable to claim reimbursement
for its fourth quarter• (July, August , and September in the
Federal Fiscal Year) .
The Department wishes to continue its contractual relationship
with the Veterans Administration Medical Center . Therefore ,
upon consideration of several alternatives , thejDepar• tment has
agreed to provide the Medical Center with an advance payment for
the months of July, August , and September , while continuing to
pay in arrears the rest of the year . Following the advance
payment , the next billing would be for actual services rendered
and would reflect a credit for any overpayment or a billing for
any underpayment on the part of the County.
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