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Home My WebLink AboutMINUTES - 07281998 - C78-C81 O: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director i By: Ginger Marieiro, Contracts Administrator " Contra Cosh DATE: July 8, 1998 County SUBJECT: Approval of Contract #24-949-11 with Hector Rivera-Lopez, Ph.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)i BACKGROUND AND JUSTIFICATION ABC-00=3DAC„IZON: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-11 with Hector Rivera.--Lopez, Ph.D. , for the period from April 1, 1998 through June 30, 1999, to provide Medi.-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. FISCAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . BAC C#Rt tTND1 iBA,SON(S) FOR RZCQMMENDATION(SZ : On January 14, 1997, the Board of Supervisors adopted Resolution #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of July 1, 1997 . The implementation date has since been changed to April 1, 1998 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Approval of Contract #24-949-11 will allow the Contractor to provide mental health specialty services through June 30, 1999 . CONTINUED ON ATTACHMENT: YF.6- XXSIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE —OTHER ACTION OF BOARD ON APPROVED AS RECOMMENDED _J VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT 1 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, ATTESTED Zw-Ze --- P,AYBATQWLOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (313-6411) CC: Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor 4��'7 Z_ ..... .. Board order page two (2) CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 1219197. CPt 'ODE PROCEDURE M.D Ph.l) L.C.S.W. M.F.C.C. Level 1Codes 90830 Test Administration- i hour max 6 $30 $0387 Test Scorin - !hour max 2 $30 %0843 Individual Psychotherapy- 112 hour $30 90844 individual Psychotherapy- 3 hour $60 $30 $30 $30 $046 Familv Thera without patient $30 $30 $30 90847 Family Thera -conjoint $30 $30 $35- 90853 Group Therapy-per person-per visit-1 112hr max $12 $12 $17 90862 Pharmacological management $30 90870 ECT-Single Seizure $80 X9544 Case Conference- 112 hour $30 $15 $is $15 X9546 Case Conference- Ihour $60 $30 $30 $30 Hospital tnpt.Service 99221 Hospital Care Visit-Initial-30 minutes $30 99222 Hospital Care Visit-Initial-50 minutes $60 99232 Hospital Care visit-Subsequent-30 minutes $30 Outpatient Consults 99242 office Consultation New Patient-30 minutes $30 89244 Office Consultation New Patient-60 minutes $60 Inpatient Consults 99251 Inpatient CotMitation New Patient-30 minutes $30 99253 Inpatient Consultation New Patient-60 minutes $60 Nursing Fac Assess 99301 Evaluation and Management-30 minutes $30 99303 Evaluation and Management-60 minutes $60 99311 u sequentNufshig Facility Care-15 minutes $15 99313 Subsequent Nursing Facility Care-30 minutes $30 Rest Home et At Svc. 99323 Evaluation of New Patient $60 99333 Evaluation of Established Patient $30 Home Services 99341 Evaluation of New Patient $60 99333 Evaluation of Established Patient $30 ""•TI}ese are the only outpatient services which CCMHP wilt authorize and the only cotfes for which providers will be reimbursed. Con ra osta County Number 24-949-1I Standard Form 3/98 STANDARD CONTRACT Fund/Org # 5983 5 (Purchase of Services) Account # 2310 1. ,gontract Identification. Department: Health services - Mental Health Division Subject: Medi-Cal Specialty Mental Health Services (Individuals/Groups) 2. Parties. The County of Contra Costa, California (County) , for its Department named above, and the following named Contractor mutually agree and promise as follows: Contractor: SECTOR RIVERA-LOPEZ, PH.D. i Capacity: Self-employed individual Taxpayer ID # 581-98-8619 f Address: 1868 Clayton Road, #231, Concord, California 94520 j 3. T2rm. The effective date of this Contract is ril 1. 1998 and it terminates June 30. 7.999 unless sooner terminated as provided herein. 4. , ayMe„rnt Limit. County's total payments to Contractor under this Contract shall not exceed $Not AMlicable. 5. County's Obligations. County shall make to the Contractor those payments described in the Service Plan attached hereto which are incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 6. Contractor's obligations. Contractor shall provide those services and carry out that work described in the Service Plan attached hereto which is incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 7. General and Special Condit ns. This Contract is subject to the General Conditions and Special Conditions (if any) attached hereto, which are incorporated herein by reference. 8. Prolect. This Contract implements in whole or in part the following described Project, the application and approval documents of which are incorporated herein by reference: Implementation and administration of Managed Mental Health Care for Medi-Cal eligible residents of Contra Costa County. 9. Legal Authority. This Contract is entered into under and subject to the following legal authorities: welfare and Institutions Code, Division 5, Chapter 4, Part 2.5, § 5775 et seq. ; Welfare and Institutions Code, Division 9, Chapter 8.8, Article 5, § 14680-14685; California Code of Regulations (CCR) , Title 9, Chapter 11, § 181o.10o et seg, Code of Federal Regulations (CFR) , Title 42; United States Code, Title 42 and all other applicable laws and regulations. 10. Signatures. These signatures attest the parties' agreement hereto: COUNTYOF CONTRACOSTA. CALIFORNIA ATTEST: Phil Batchelor, Clerk of the Board BOARD OFSUPERVISOR of Supervisors and County Administrator By OF; z� tf BY 9fhairma Desi ee Deputy CONZ�tACi'OR By ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Self-Emrsloyed individual XXXXXXXXXXXXXXXJCXXXXXXXXXXXXXXXXXXXXXXX (Designate business capacity A) (Designate business capacity B) Note to Contractor- For corporations (profit or nonprofit) , the contract must be signed by two officers. Signature A must be that of the president or vice-president and Signature B must be that of the secretary or assistant secretary (Civil Code § 1190 and Corporations Code § 313) . All signatures must be acknowledged as set forth on page two. ...... ............................................................. .._...._... ..............__..........._........ ......... ......... ......... ......... ......... ......... BOARD OF SUPERVISORS j t� FROM: William Walker„Y. D. , Health Services Director ` �`: l Contra By: Ginger Marieiro, Contracts Administrator Costa DATE. County July 8, 1998 SUBJECT: Approval of Contract #24-939-86 with Michael Rubino, M. F.C.C. (d]aa Rubino C-olin�1 3 ng SerMi e .i SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I . RECOMMFMED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-939-86 with Michael Rubino, M.F.C.C. (dba Rubino Counseling Services) , for the period from April 1, 1998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. ' II . FINANCIAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . III . REASONS FOR RECOMMENDATIONS/BACKGROUND: On January 14, 1997, the Board of Supervisors adapted Resolution. #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty Mental health services as of July 1, 1997 . The implementation date has since been changed to April 1, 1998 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services'. Approval of Contract #24-939-86 will allow the Contractor to provide mental health specialty services through June 30, 1999 . CONTINLJED ON ATTACH NTY S XX SIGNATURE t RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER S_IGNATUR&$); ACTION OF BOARD ON it/t/ � i ' APPROVED AS RECOMMENDED VOTE OF SUPERVISORS �T I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT .' 7 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. ATTESTEC3 '�r' P BAT LOR,CL K OF THE BOARD OF S PR Contact Person: Donna Wigand (313-6411) ERM S AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY [DEPUTY Contractor Board order page two (2) CCMNP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 12/9197. OPT CODE PROCEDURE MM Ph.l3 L.C.S.W. M.F.C.C. Levet 1Cddes 911830 Test Administration- 1 hour tnax fi $30 90887 Test Scoring- thour fmax 2 $30 90843 Individual Psychotherapy- 112 hour $30 94844 Individual Psychotherapy- 1 hour $60 $30 $30 $30 90846 Family Theta -without patient $30 $30 $30 90847 Family Therapy-conjoint $30 $30 $30 90853 Group Thera -per person-per visit-1 112tsr max $12 $12 $12 90862 Pharmacoicgicat management $30 90870 ECT-Single Seizure $60 X9544 Case Conference- 112 hour $30 $15 $15 $15 X9546 Case Conference- Ihour $60 $30 $30 $30 Hospital€npt.Service 99221 Hospital Care Visit-Initial-30 minutes $30 99222 Hospital Care Visit-Initial-50 minutes $60 99232 Hospital Care Visit-Subsequent-30 minutes $30 Outpatient Consults 99242 Office Consultation New Patient-30 minutes $30 _ - 99244 Office Consultation New Patient-60 minutes $60 Inpatient Consults 99261 Inpatient Consultation New Patient-30 minutes $30 99253 lrnpaiiennt Consultation New Patient-60 minutes $6 Nursing Fac Assess 99301 Evaluation and Management-30 minutes $30 99303 Evaluation and Mana emennt-60 minutes $60 59311 Subsequent Nursing Facility Care-15 minutes $15 99313 Subsequent Nursing Facility Care-30 minutes $30 Rest Horne et Al Svc. 99323 Evaluation of New Patient $60 99333 Evaluation of Established Patient $30 Hoare Services 99341 Evaluation of New Patient $60 89353 Evatuation of Established Patient $30 These are the only outpatient services which CCMHP will authorize and the only codes for which providers will be reimbursed. Cor,�..ra Costa County Number 24-939-$6 •StandAr�m 3/98 STANDARD CONTRACT Fund/Org # 5983 (Purchase of Services) Account # 2310 1. Contract-Identification. ..%' Department: Health Services - Mental Health Division Subject: Medi-Cal Specialty Mental Health Services (Individuals/Groups) 2. Parties. The County of Contra Costa, California (County) , for its Department named above, and the following named Contractor mutually agree and promise as fellows: Contractor: MICHAEL RUBINO, M.F.C.C. (DBA RUBINO COUNSELING SERVICES) Capacity: Sole Proprietorship Taxpayer ID # 9 -1824013 Address: 101 Gregory Lane, #33, Pleasant Hill, California 94523 3. Term. The effective date of this Contract is April 1. 1998 and it terminates June 30. 1999 unless sooner terminated as provided herein. 4. Payment Limit. County's total payments to Contractor under this Contract shall not exceed $Not A=licable. 5. County's Obl cations. County shall make to the Contractor those payments described in the Service Plan attached hereto which are incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 6. Contractor's Obligations. Contractor shall provide those services and carry out that work described in the Service Plan attached hereto which is incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 7. General and Special Conditions. This Contract is subject to the General Conditions and Special Conditions (if any) attached hereto, which are incorporated herein by reference. 8. Proitct. This Contract implements in whole or in part the following described Project, the application and approval documents of which are incorporated herein by reference: Implementation and administration of Managed Mental Health Care for Medi-Cal eligible residents of Contra Costa County. 9. Legal Authority. This Contract is entered into under and subject to the following legal authorities: Welfare and. Institutions Code, Division 5, Chapter 4, Part 2.5, § 5775 et seq. ; Welfare and Institutions Code, Division 9, Chapter 8.8, Article 5, § 14680-14685; California Code of Regulations (CCR) , Title 9, Chapter 11, § 1810.100 et seq, Code of Federal Regulations (CFR) , Title 42; United States Code, Title 42 and all other applicable laws and regulations. 10. Signatures. These signatures attest the parties' agreement hereto: COUNTY OF CONTRA COS'T'A, CALIFORNIA ATTEST: Phil Batchelor, Clerk of the Board HOARD OF SUPERVISORS of Supervisors and County Administrator ` J By By Chaff an/Desi tee Deputy CONTRACTOR By. 4 ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Sole Pronrietorshii XXXXXXXXXXXXXX}€XXXXXXXXXXXXXXXXXXXXXXXX (Designate business capacity A) (Designate business capacity B) Note to Contractor: For corporations (profit or nonprofit) , the contract must be signed by two officers. Signature A must be that of the president or vice-president and Signature B must be that of the secretary or assistant secretary (Civil Code § 1190 and Corporations Code § 313) . All signatures must be acknowledged as set forth on page two. .... . .................................................................................................................................................................................................................. .._....._.. ......_.... . ......_.. ......... _._...... ..._..._... ..........._...._..... ......._. ......... ......... ......... TO BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director `=` Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: July 8, 1998 County SUBJECT: Approval of Contract #24-949--4 with Jon Whalen, M.D. SPECIFIC REQUEST#S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION: Approve and authorize the Health Services Director,; or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-4 with Jon Whalen, M.D. , for the period from April 1, 1998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. II . FINANCIAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds. III . REASONS FOR RECOMMENDATIONS/BACKGROUND: On January 14, 1997, the Board of Supervisors adapted Resolution #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of 'July 1, 1997 . The implementation date has since been changed to April 1, 1998 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Approval of Contract #24-949-4 will allow the Contractor to provide mental health specialty services through June 30, 1999 . CON' INUE ATTACH N Y S XX SIGNATUR ,&,,,2 RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE _ _OTHER SIGNATUREM: ACTION OF BOARD ON__--_. ell;f L1 1Y14S7 APPROVED AS RECOMMENDED 9"for+ VOTE OF SUPERVISORS I 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 SUPE ISORS ON THE DATE SHOWN. ATTESTED L AT LOR,CLERK-OF THE BOARD OF Contact Person: Donna Wigand (313-6411) UPER ORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY TY Contractor Board order page two (2) •CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 1219197. GPT C£3t3tr PROCEDURE M.0 Ph.D L,..C.S. . M.F.C.0 Level iCodes 90830 Test Administration- 1 hour max 6)__ $30 90887 Test Scoring- 1hour max 2 $30 90843Individual Psychotherapy- 112 hour $30 90844 Individual Psychotherapy- 1 hour $60 $30 $30 $30 90846 Family Thera' -without patient $30 $30 $30 90847 Familv Thera -cori oint $30 $30 $30 90853 Group Therapy-per person-per visit-1 112hr max $12 $12 $12 90862 Pharmacological management $30 90870 ECT-Single Seizure $60 X9544 Case Conference- 1f2 hour $30 $15 $1$ $15 X9546 Case Conference- !hour $60 $30 $30 $30 Hospital tnpt.Service 99221 Hospital Care Visit-Initial-30 minutes $30 99222 Hospital Care Visit-Initial-50 minutes $60 99232 Hospital Care Visit-Subsequent-30 minutes $30 Outpatient Consults 99242 office Consultation New Patient-30 minutes $30 99244 Office Consultation New Patient-60 minutes $60 1npatient Consults 99251 Inpatient Consultation New Patient-30 rninutes $30 99253 Inpatient Consultation New Patient-60 minutes $60 Nursing Fac Assess 99301 Evaluation and Management-30 minutes $30 99303 Evaluation and Management-60 minutes $60 99311 Subsequent Nursing Facility Care-15 minutes $15 99313 Subsequent Nursing f=acility Care-30 minutes $30 Rest Home et At Svc. 99323 Evaluation of New Patient $60 99333 Evaluation of Established Patient $30 Home Services 99343 Evaluation of New Patient $60 9!353 Evaluation of Established Patient $30 •" These are tate only outpatient services which CCMHP will authorize and the only codes for which providers will be reimbursed. Contra-tea County dumber 24-949-4. Standard Form 3/98 STANDARD CONTRACT Fund/Org # $983 (Purchase of Services) Account # 2310 I. Conrr,,act identification. Department: Health Services - Mental Health Division Subject. Medi-Cal Specialty Mental Health Services (Individuals/Croups) 2. Parties. The County of Contra Costa, California (County) , for its Department named above, and the following named Contractor mutually agree and promise as follows: Contractor: JON NBA, M.D. &as.40•o�f3 Capacity: Self-employed Individual Taxpayer ID # Address: 2333 San Ramon Valley Blvd, #140, San Ramon, California 94583 3 . Term. The effective date of this Contract is h2ril, 1,, 1998 and it terminates June 30, 91 99 unless sooner terminated as provided herein. 4. a n m't. County's total payments to Contractor under this Contract shall not exceed SN St A lac le. S. County's Obliges ions. County shall make to the Contractor those payments described in the Service Plan, attached hereto which are incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 6. Contractor's Obligations. Contractor shall provide those services and carry out that work described in the Service Plan attached hereto which is incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 7. General and Special Conditions. This Contract is subject to the General Conditions and Special Conditions (if any) attached hereto, which are incorporated herein by reference. 8. Pro-iect. This Contract implements in whole or in part the following described Project, the application and approval documents of which are incorporated herein by reference: Implementation and administration of Managed Mental Health Care for Medi-Cal eligible residents of Contra Costa County. 9. Legal Authority. This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code, Division 5, Chapter 4, Part 2.5, 5 5775 at seq. ; Welfare and institutions Code, Division 9, Chapter 8.8, Article 5, § 14680-14685, California Code of Regulations (CCR) , Title 9, Chapter 11, § 1810.100 at seq, Code of Federal Regulations (CFR) , 'Title 42; United States Code, Title 42 and all other applicable laws and regulations. 10. Signa,tiaXes. These signatures attest the parties' agreement hereto: CQI�t� `Y or ON= COSTA. ATTEST: Phil Batchelor, Clerk of the Board BOARD OF SUPERVISORS of Supervisors and County Administrator B By Chai an/Deist ee Deputy By Sy ,ry Yx w xxxx xX xxxx xxx S, 9-EMloyed ladlYidVA1 Xxx' (Designate business capacity A) (Designate business capacity B) Note to Contractor: For corporations (profit or nonprofit) , the contract roust be signed by two officers. Signature A rsust be that of the president or vice-president and Signature 8 must be that of the secretary or assistant secretary (Civil Code § 1190 and Corporations Code S 313) . All signatures must be acknowledged as set forth on page two. TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director Contra By: Ginger Mar,ieiro, Contracts Administrator Costa DATE: July 9, 1998 County SUBJECTt Approval of Contract #26-946 with Briones Medical Group SPECIFIC REQUESTIS) OR'RECOMMENDA"T'ION(S) & BACKGROUND AND JUSTIFICATION RECOMMENZZD ACTION: 1 . Approve and authorize the Health Services Director, or his designee (Frank Puglisi, Jr. ) , to execute on behalf of the Country, Contract #26-946 with Briones Medical Group, for the period from July 1, 1998 through June 30, 2001, with a payment limit of $2, 130, 000, for neuroscience services . 2 . Approve and authorize the Health Services Director, or his designee (Frank Puglisi, Jr. ) , to execute on behalf of the County, Cancellation Agreement #26-907-2 with Laszlo Tamas M.D. , effective at the close of business on June 30, 1998 . FINANCIAL IMPACT: Funding is included in the Health Services Department Enterprise I budget . As appropriate, patients and/or third-party payors will be billed for services . REASONS FOR RECOMMENDATIONS/BACKGROUND: Since 1986, neurology services have been provided under contract with the U.C. Davis School of Medicine (Contract #26-151) and, since 1992, neurosurgery services have been provided by Laszlo Tamas, M.D. (Contract #26-907) . The Department, through the Division of Hospital and Health Centers, decided to recruit two full-time neurologists. Dr. Tamas recently established a corporation (Briones Medical Group) and has agreed to continue to provide neurosurgery services and to add neurology services by recruiting two full-time neurologists through the Briones Medical Group. On May 12, 1998, the Board of Supervisors approved cancellation of Contract #26-151-10 with U.C. Davis effective June 30, 1998 . The Department and Dr. Tamas have mutually agreed to cancel Contract #26-907-1 effective June 30, 1998 . Under Contract #26-946, Briones Medical Group will provide neuroscience services including, but not limited to, neurosurgery and neurology services, for County' s patients at Contra Costa Regional Medical Center and Health Centers through: June 30, 2001 . CONTINUED ON ATTACHMENT: >e% SIGNATUR 3Xe „ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED VfOTE OF SUPERVISORS UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS I5 A TRUE AYESt NoESt AND CORRECT COPY OF AN ACTION TAKEN ABSENTi ABSTAINt AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISO ON THE DATE SHOWN. Contact: Frank Puglisi (370-5100) CC: Health Services (Contracts) ATTESTED Briones Medical Group Laszlo Tamas, M.D. htt t3at tot, Cutts of the Board of Auditor-Controller SupYiSl + h►AdsolaisUaC M3e2/7-83 BY DEPUTY