HomeMy WebLinkAboutMINUTES - 09121995 - C97 S)a4/y �, q 7
TO. BOARD OF SUPERVISORS
ContraFROM:` Mark Finucane, Health Services Director
Costa
DATE: County
August 31, 1995
SUBJECT: Approval of Contract Amendment Agreement #29-771-1 with the
Solano Partnership HealthPlan
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
i
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Milt Camhi) , to execute on behalf of the County, Contract Amendment
Agreement #29-771-1 with the Solano Partnership HealthPlan, effective
September 1, 1995, to amend the payment provisions and extend the term
of the agreement through December 31, 1997 .
II. FINANCIAL IMPACT:
The revenue generated by this Contract will be used to offset the cost
of Contra Costa Health Plan's Advice Nurse services.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
The Solano Partnership HealthPlan is the entity which oversees Solano
County's Medi-Cal Managed Care Program. For a monthly per member fee
and a minimum of 18, 000 members per month, Contra Costa Health Plan's
(CCHP) Advice Nurses provide Solano Partnership HealthPlan members
with telephone services which include medical advice and information
on how to access urgent care and emergency services.
This Contract Amendment Agreement #29-771-1 modifies the payment
provisions to determine a new monthly per member rate based upon the
incoming call volume and extends the term of the Agreement through
December 31, 1997 .
CONTINUED ON ATTACHMENT: YES SIGNATURE: r
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: Z ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
Contact: Milt Camhi (313-5604)
OF SUPERVISORS ON THE DATE SHOWN.
p
CC: Health Services (Contracts) ATTESTED Ig J /
Risk Management Phil Batch lar,Clerk of the Board o
Auditor-Controller Supervisors and CGunty Administrator
Contractor
M382/7-83 BY DEPUTY
of. 9,'
Contra Costa County Number-29-771-1
SHORT FORM SERVICE Fund/Org #
CONTRACT AMENDMENT AGREEMENT Account #
Other #
1. Identification of Contract to be Amended.
Number: 29-771
Effective Date: October 1, 1994
Department: Health Services - Contra Costa Health Plan
Subject: Advice Nurse Services
2 . Parties. The County of Contra Costa, California (County) , for its
Department named above, and the following named Contractor mutually
agree and promise as fo Aws:
Contractor: SOL ERSHIP HEALTH PLAN (Agency)
Capacity: Pub Corporation Taxpayer ID #Not Applicable
Address: 421 Executive Court North, Suite A
Suisun City, California 94585
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is September 1, 1995.
4. Amendment Specifications. The Contract identified above is hereby
amended as set forth in the Amendment Specifications attached hereto
which are incorporated herein by reference.
5. Signatures. These signatures attest the parties' agreement hereto:
COUNTY OF CONTRA COSTA, CALIFORNIA AGENCY
By By
Designee
Approved: County Administrator _ ignate official capacity)
By O
Designee
Recommended by Department
By
Designee
Form Approved:
By
Designee
AMENDMENT SPECIFICATIONS
Number 29-771-1
In consideration for Contractor's willingness to revise the call volume rates for County
under the Contract identified herein, County agrees to extend the Contract term. County and
Contractor agree therefore to amend said Contract as set forth below while all other parts
of the Contract remain unchanged and in full force and effect.
1. Extension of Contract Term. The term of the Contract set forth in Paragraph 3. (Term)
(Term) is hereby extended from September 30, 1996 through December 31, 1997.
2. Modification of County's Obligations.
a. Additional Provisions Paragraph 2. (County's Obligations) , subparagraph c.
(Telephone Access and Standards) is hereby amended to read as follows:
"c. Telephone Access and Standards.
(1) County shall provide a nationwide, toll-free dedicated telephone
number for Plan Members to call.
(2) County agrees to answer ninety percent (90%) of all incoming calls
to the toll-free number within three (3) minutes of the first ring,
however:
(a) Effective September 1, 1995, County agrees to answer ninety
percent (90%) of all incoming calls to the toll-free number
within ninety (90) seconds of the first ring; and
(b) Effective December 1, 1995, County agrees to answer ninety
percent (90%) of all incoming calls to the toll-free number
within sixty (60) seconds of the first ring. "
b. Additional Provisions Paragraph 2. (County's Obligations) ,Subparagraph d.
(Brochures) is hereby amended to read as follows:
"d. Brochures. County shall provide Agency with camera-ready artwork for one
Member brochure and one County provider brochure, the contents of which
will be mutually developed and agreed upon by County and Agency. In
addition, County shall produce and mail two (2) Advice Nurse Newsletters
to eligible Solano Partnership Health Plan members. "
Initials:
Contractor County Dept.
1
i
AMENDMENT SPECIFICATIONS
Number 29-771-1
3. Modification of Agency's Obligations. Additional Provisions Paragraph 3. (Agency's
Obligations) , subparagraph c. (Payment to County) , is hereby deleted and replaced with a new
subparagraph c. , to read as follows:
"c. Payment to County. Upon County's written submission of a quarterly invoice in
the time, form, and manner acceptable to Agency and County, Agency shall pay
County:
(1) For the period from October 1, 1994 through December 31, 1995, at the rate
of forty cents (40F) each month for each Plan Member who is included on Plan's
Eligible List, for a minimum of 18,000 members, regardless of the number of
telephone calls received by County from eligible Plan Members. In any event,
County shall be paid at least $7,200 monthly, or a quarterly payment of at least
$21,600;
(2) For the period from January 1, 1996 through December 31, 1996, at the rate
of twenty four cents (24C) each month for each Plan Member who is included on
Plan's Eligible List, for a minimum of 18,000 members, regardless of the number
of telephone calls received by County from eligible Plan Members. In any event,
County shall be paid at least $4,320 monthly, or a quarterly payment of at least
$12,960; and
(3) For the period from January 1, 1997 through December 31, 1997, at the rates
set forth below each month for each Plan Member who is included on Plan's
Eligible List, for a minimum of 18,000 members:
In the event the qualified call volume remains below 200 calls per month, the
rate will increase by the annualized inflation rate as determined by the Bay Area
Medical Consumer Price Index, otherwise, the rate per member per month will be
based on the qualified incoming call volume as follows:
201 to 225 calls - 26(,' per member per month (pmpm)
226 to 250 calls - 28C pmpm
251 to 275 calls - 30� pmpm
276 to 300 calls - 32�- pmpm
301 to 325 calls - 34G pmpm
326 or more calls - 36C pmpm
Qualified incoming call volume will be determined by calculating a rolling three
month average beginning with September, October, and November, 1996. Thereafter
each time the rolling three month average reaches the next call volume threshold,
the applicable rate will become effective the first day of the following month.
Qualified calls will include thirty percent (30%) of the outbound calls beginning
with call volume calculations for January, 1997, rates.
Initials:
Contractor County Dept.
2
AMENDMENT SPECIFICATIONS
Number 29-771-1
(4) Effective January 1, 1997, in the event the qualified incoming call volume
is below 150 for two consecutive months, this contract may be terminated by I
either party upon ninety (90) days advance written notice thereof to the other 1
party, or canceled immediately by written mutual consent.
County understands and agrees that in the event telephone calls are received from
individuals who are not included on Agency's Eligible List, Agency will not pay
County for any such calls. ,,
4. Termination. Paragraph 4. (Termination) of the Contract is hereby amended to read as
follows:
114. Termination. This contract may be terminated by either party, at their sole
discretion, upon one hundred and eighty (180) days advance written notice thereof to the
other, or canceled immediately by written mutual consent. ,,
Initials:
Contractor County Dept.
3