HomeMy WebLinkAboutMINUTES - 07281998 - C82-C86 TO BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director f ,
By: Ginger Marieiro, Contracts Administrator `: Contra
DATE: July 14, 1998 Costa
County
SUBJECT:
Approval of Contract Amendment Agreement #23-228-2 with the
Moraga-grinch Fire Protection District
SPECIFIC REQUEST(S)OR RECOMMENDATIOU(S)&SAtCKOROUMD AND JUSTIFICATION
RECObIRMSP ACTION•
Approve and authorize the Health Services Director, or his
designee (Art Lathrop) , to execute on behalf of the County, '
Contract Amendment Agreement #23-228-2, effective December 1,
1997, to amend Ambulance Service Agreement #23-228-1 with the
Moraga-Orinda Fire Protection District. In accordance with the
terms of this Amendment, each party agrees to indemnify and hold'
harmless the , other party, for any and all claims wholly or
partially arising from or in conjunction with its 'own operations '
or services under the Ambulance Service Agreement .
F'If 'C2AL IMPACT:
None.
Rg&goNS F'OR 1. ECt}MMENDATIONS IBACKGRO=s
On December 2, 1.997, the Board of Supervisors approved Ambulance
Service Agreement #23-228-1 with the newly formedMoraga-Orinda
Fire Protection District, effective December 1, 1997 through
November 30, 1998 and automatically renewed each year until '
terminated, for provision of emergency ambulance services in
Counter's Emergency Response Area (ERA) 3 and those portions of ERA
1 -which are contained within. the Moraga-Orinda Faire Protection
District.
The Contractor has requested a reciprocal indemnification clause, '
as a matter of equity, to cover reimbursement for damages and
injuries arising from the County' s negligence. A similar
reciprocal indemnification clause is contained it other County '
contracts related to emergency medical services, ' but was
inadvertently omitted from the Moraga-Orinda contract .
Approval of Contract Amendment Agreement #23-228.2 with the
Moraga-Orihda Fire Protection District will allow vital emergency
ambulance services to continue uninterrupted.
CONTINULD T N ' s N U
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE __OTHER
ACTION OF BOARD ON �'�� � 91?, ,di3._ APPROVED AS RECOMMENDED
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: ES: AND ENTERED ON THE MINUTES OF THE BOARD
ASSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
PHI TCH Rt CLE 1=THE BOARD OF
SUP VISORS AND COUNTY ADMINISTRATOR
Contact Person: Art Lathrop (646-4690)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY DEPUTY
Contractor
................................ . ......... ._..... .._....... ......... ........ ........ ............ .........._.......__._. ...._...... ....._.._......._..
ro: BOARD OF SUPERVISORS
FROM: William Walker', M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator
CC?StR
DATE: July 16, 1998 County
SUBJECT:
Approval of Contract #24-949-37 with Frank Varela, Ph.D.
SPECIFIC REQUEST{S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
I . RECOMMENDED AC'T'ION:
Approve and authorize the Health Services Director, or his designee
(Donna Wigand) , to execute on behalf of the County, Contract
#24-949-37 with Frank Varela, Ph.D. , for the period from June 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 IXPACT:
This Contract is funded by State and Federal FFP Medi-Cal Funds.
III . REASONS FOR RECOMMENDA'T IONS/BACRGROLTk 7:
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 serviced.
Approval. of Contract #24-949-37 will allow the Contractor to provide
mental health specialty services through June 30, 1999 .
CONTINUED T' SiG ATUR w ,e�
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON APPROVED AS RECOMMENDED �--r
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ASSENT= AND CORRECT COPY OF AN ACTION TAKEN
AYES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERV! RS ON THE DATE SHOWN.
ATTESTERfo
P ATC R,CLEKK OF THE BOARD OF
ERVIS S ARID COUNTY ADMINISTRATOR
Contactperson: Milt Camhi :(.313-6004)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY DEPUTY
Contractor
Board Order
page two (2)
CCMHP F)UTPATIENT BPECtALTY MENTAL AEALTH SERVICES FEE seHEDuLF-Revised 1219197.
CPT CODE PROCEDURE M.D Ph.D L.C.S.w. M. C.C.
Level 4Codes 90830 'Test Administration- 1 hour tnax 6 $30
90887"Gest Scoring- 1hour max 2 $30
90843 individual Psychotherapy- 112 hour $30
9tltt+t4 Individual Ps cl�othera 1 hour $60 $30 $30 $30
90846 Family'Thera withoutpatient $30 $30 $30
90847 Family Therapy-conjoint $30 $30 $30
90853 Group,Theraper person-per visit-1 1I2hr max $12 $12 $12
90862 Pharmacological management $30
90870 ECT-Single Seizure $60
X9544 Case Conference- 1/2 hour $30 $15 $15 $15
_ X9546 Case Conferet)ce- 1 hour $60 $30 $30 $30>
Nospitat lnpt.Service 99221 Hospital Care Visit-Initial-30 minutes $30
99222 Hospital Gare Visit-Initial-50 minutes $60
_ 99232 Hospital Care Visit-Subsequent-30 minutes $30
out atient Consults 95243 Office Consultation New Patient-30 minutes $30
99244 Clfltce consultation New Patient-60 minutes $60
impatient Consul#s 99251 inpatient Consultation New Patient-30 minutes $30
99253 Inpatient Consultation New Patient-60 rninutes $60
Nursing Fac.Assess ' 59301 Evaivation and manavemeot-30 minutes $31)
89303 Evaluation and Management-60 minutes $60
99311 Subsequent Nursing Facility Care-15 minutes $15
99313 Subsequent Nursing Facility Care-30 minutes $30
Rest Home et At Svc. 99323 Evaluation of New Patient $60
99333Evaluation of Established Patient $30
Howie Services 99141 Evaluation of New Patient $60
99353 Evatuation of Established Patient $30
«'*Tttese are the only outpatient services which CCMHP will authorize and the only
Codes for which providers will be reimbursed.
Catra Costa County Number 24�-949 -37
Starea2-ud.Form 3/98 STANDARD CONTRACT Fund/Org # 5983
(Purchase of Services) Account # 2310
1. Contract Identification. e-
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: FRANK VARELA, Phd
Capacity: Self-employed Individual Taxpayer ID # 563-72-5722
Address: 688 Quinan St. , #100, Pinole, California 94564
3. 191M_ The effective date of this Contract is June 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 Aoolicable.
S. 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 Conditions. This Contract is subject to the General Conditions and
Special Conditions (if any) attached hereto, which are incorporated herein by reference.
8. Proiect. 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 COgMA COSTA, CALIFORNIA
ATTEST: Phil Batchelor, Clerk of the Board
BOARD OF SUPERVISORS of Supervisors and County Administrator
By By
Chair `an/Design Deputy
CO�CTOR
By ByXXXXXXXXXXXXXXXXXX%XXXXXXXXXXXXXXXXXX
Self-Employed individual XXXXXXX2XXXXXXXXXXXXXXXXXXXXX3;XXXXXXXXX
(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 5 1190 and Corporations Code 5 313) . All
signatures must be acknowledged as set forth on page two.
F
TO: BOARD OF SUPERVISORS � €�15 ec 7D
FROM: William Walker, M.D. , Health Services Director
By: Ginger Marieiro, Contracts AdministratorContra
Costa
DATE: July 22, 1:998 County
SUBJECT:
Approval of Contract #26-838 with American Red Cross Blood Services
SPECIFIC REQUESTS)OR REGI'MMENDATION{'S)&BACKGROUND AND JUSTIFICATION
RECOMMEN E—D ACTION:
Approve and authorize the Health Services Director,; or his designee
(Frank Puglisi, Jr. ) , to execute on behalf of the County, Contract
#26-338 with American Red Cross Blood Services, effective September
1, 1998 through August 31, 2001, to be paid in accordance with the
rates set forth in the agreement, for the provision of blood
bank/products and services. In accordance with the terms of the
agreement, the 'County agrees to indemnify and hold harmless American
Red Crass Blood Services from claims arising from the County's
negligence, in. exchange for a similar indemnification and hold
harmless inuring to the benefit of the County.
FINANCI�L XMPACT
Funding for this contract is included in the Health Services
Department Enterprise I budget . Cost to the County depends upon
utilization. As appropriate, patients and/or third-party payors
will be billed 'for services .
REASONS FOR RECOMMENDATIONSlBAQXg�R UND:
Under Contract #26-338, American Red Cross Blood: Services will;
provide total ?Mood and blood component products and associated
services as needed for patients at the Contra Costa Regional Medical.
Center.
American Red Cross Blood .Services has requested to be held harmless
and indemnified as part of their standard for approval of the
contract with the County. County Risk Management has reviewed and
approved the indemnification and hold harmless language, and the
Health Services Department desires to expedite approval of the
contract as written.
NT! ON ES SI NATUft 1E e�' 13
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEt)THER
ACTION OF BOARD ON APPROVED AS RECOMMENDED -z", QT44ER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENI� Z 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 ,• ` ✓/
BATq OR,CLE K OF THE BOARD OF
PERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Frank PuqliSi (370-°5100)
CC: Health Services(Contracts) ,
Risk Management F'
Auditor Controller BY - " E •r"" • --"xIEPUTY
Contractor
To: BOARD OF SUPERVISORS
FROM: William Waller, M.D., Health Services Director ' _. Contra
By: Ginger Marieiro, Contracts Administrator CC3Str1
DATE: July 1.6, 1998 County
SUBJECT:
Approve. of Contract #24-681-20 (1) with
I -q Rnard and rAria TI)
SPECIFIC REQUEST(S)OR RECOMMENDATION(s)&BACKGROUND AND JUSTIFICATION
RECOMMENDATXON(S) «
Approve and authorize the Health Services Director, or his designee
(Donna. Wigand) , to execute on behalf of the County, Contract #24-681-
20 (1) with Fred Williams (dba William' s Board and. Care II) , in the
amount of $28, 800, for the period from July 1, 1998 through June 30,
1999, for provision of augmented beard and care services for County--
referred mentally disordered clients.
FISCAL IMPACT:
Funding for this Contract is included in the Department ' s Fiscal Year
1998-99 Budget and is funded by County/Realignment funding 1000.
BACK QV=/REASON(S) FOR RECOMMENPATION(S) :
In December 1997, the County Administrator approved and the Purchasing
Services Manager executed Contract #24-681-20 with Fred Williams (dba
William' s Board' and Care !I) , for the period from October 1, 1997
through June 30, 1998, for Augmented Board and Care Services for
mentally disordered adults, as part of the Department ' s strategy to
reduce the County' s patient census in Institutions for the Mentally
Diseased (IMD' s) and at Napa State Hospital .
Fred Williams (dba William' s Board and Care II) is one of the few
board and care facilities in the County that are 'large enough to
accommodate the number of beds and the level of care necessary for
this protect.
Approval of Contract #24-681-20 (l) will allow the contractor to
continue providing services through June 30, 1999 .
CONTINUED QN ATTACHMENY SIG
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BEARD C3R !,r,,�,� „ ,
—Z4 1-&P APPROVED AS RECOMMENDED
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS {ASSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: OES: AND ENTERER ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE BATE SHOWN.
ATTESTED
PHI HI
,CLERK F THE BOARD OF
Contact Person: Donna Wi
S P RVISOR AND COUNTY ADMINISTRATOR
gand {313-6411)
CC: Health Services(Con-tracts)
Risk Management
Auditor Controller BY ° DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William. Walker, M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator Costa
DATE: County
July 1.6` 1998
SUBJECT: Approval of Contract #24-838-4 with
Contra Costa Association for Retarded Citizens, Inc,
SPECIFIC REQUEST(S)OR RECOMMENDATIONJS)&BACKGROUND AND JUSTIFICATION
RSCO04M#)ATION t S)
Approve and authorize the Health Services Director or his designee (Donna Wigand) , to
execute on behalf of the County, Contract #24-838-4 with contra Costa Association for
Retarded Citizens, Inc. In the amount of $130,000, for the period from July 1, 1998
through June 30, 1999, to provide in-home, transition, and outpatient services for
Medi-Cal eligible children and families enrolled in Lynn Center's Early and Periodic
Screening, Diagnosis, and Treatment (EPSDT) Program.
FISCAL.IMPACT-
This Contract is funded as follows:
$ 66,599 Federal FFP Medi-Cal Funds
63,Aqj State EPSDT Funds
$130,000 Total
01ILI3>CE I5 IMPACT 3'TAT 1T
This EPSDT Mental Health Services Contract will support the following Board of
Supervisors` community outcomes: "Children Ready For and Succeeding in School"
"Families that are Safe, Stable, and Nurturing"; and "Communitiesthat are Safe and
Provide a High Quality of Life for Children and Families". Expected program outcomes
are: Increase and maintain school attendance as measured by school records; Increase
in positive social and emotional development as measured by the Child and Adolescent
Functional Assessment Scale (CAFAS) ; Increase in family satisfaction as measured by the
Parent Satisfaction Survey; and Decrease in out-of-home placements as measured by mental
health and social services statistics.
BACRCiRbUNt lR C7N(S) FOR RFCONHMMATION(S)
On September 9, 1997, the Board. of Supervisors approved Contract #24-838-2 (as amended
by Contract Amendment Agreement #24-838-3) with Contra Costa Association for Retarded
Citizens, Inc. for provision of in-home, transition, and outpatient services for
Medi-Cal eligible children and families enrolled in Lynn Center's Early and Periodic
Screening, Diagnosis, and Treatment (EPSDT) Program.
Approval of Contract #24-838-4 will allow the Contractor to continue providing services`
through June 30, 1999.
l
regNIINUED ON ATTACHMENT: SIONA UR11
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION Of BOARD ON 4�,_;�!r,� ~-. d x ' ,r APPROVED AS RECOMMENDED £A'E'I -
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ASSENT� � AND CORRECT CONY OF AN ACTION TAKEN
AYES: OES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
pp
P ATCH R,CLE OF THE BOARD OF
S ERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand (313--6411)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY..�'f DEPUTY
Contractor