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MINUTES - 09011998 - C91-C95
_.. ....... .....__..... . ..._. _......__. ....._. ... .... ... .. .. .. -_. ._..... �o. BOARD OF SUPERVISORS FROM: William Walser, M.D. , Health Services Director '`_ ,�:, Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: August 13, 1998 County SUBJECT: Approval of Contract #24-939-54 with Mae Bragen, MFCC SPECIFIC REQUESTS)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 #24-939-54 with Mae Bragen, MFCC, 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 Menta. Health to assume responsibility for Medi-Cal speciality 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 #24-939-54 will allow the Contractor to provide mental health specialty services through June 30, 1999 . CONTINUED ON ATTACHME T: YES SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER S19NATURE05): &da—we 461:1 S-�a'a4� ACTION OF BOARD ON §T_teTbEr 1,19% APPROVED AS RECOMMENDED _ VOTE OF SUPERVISORS I HERESY CERTIFY THAT THIS IS A TRUE �, UNANIMOUS (ABSENT t -,n ? 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 �' yc. '2.� /'.1 2Z PHIL B T ELOR,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 Board Order page two (2) CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 12/9197. CPT CODE PROCEDURE M.L7 Ph.L3 L.C.S.W. M.F.C.C. Level#Codes 908.30 Test Administration- 1 hour max 6 $30 90887 `Gest Scoria . #hour max 2 $30 90843 Individual Psychotherapy- 112 hour $30 90844 Individual Ps ehothera - i hour $60 $30 $30 $30 90846 Family Thera -without afient i $30 $30 $30 90847` Family Therapy-conjoint $30 $30 $30 90853 Group Theraper person r visit-1 112hr max $12 $12 $12 90862 Pharmacological Management $30 90870 ECT-SI! le Seizure $60 X9644 Case Conference- 112 hour $30 $15 $15 $15 X9546 Case Conference- !hour $60 $30 $30 $30 Nos ital Irs t.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 6 five Consultation New Patient-60 minutes $60 hy�atient Consults 99251 jnp2tient Consultation 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 Subsequent Nursing Facility Care-15 minutes $15 99313 Subsequent Nursing Facility Care-30 minutes $30 Rest Nome et At Svc. $9323 Evaluation of New Patient $60 99333 Evaluation of Established Patient $30 Nome Services 99341 Evaluation of New Patient $60 99353 Evaivation of Established Patient $30 •" These are the only outpatient services which CCMHP will authorize and the only lodes for which providers will be reimbursed. TO. BOARD OF SUPERVISORS ` + FROM: William Waller, M.D. , Health Services Director =� Contra By. Ginger Marieiro, Contracts Administrator Costa DATE: August 13, 1998 County SUBJECT: Approval of Contract #24-949--38 with Stephen Eastman, M.F.C.C. SPECIFIC REQUEST($)OR RECOMMENDATION(S)6 BACKGROUND AND JUSTIFICATION I . RECQ3MMNDZD ACTIt7N- Approve and authorize the Health Services Director,; or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-38 with Stephen Eastman, M.F.C.C. , 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 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 #24-949-38 will allow the Contractor to provide mental health specialty services through June 30, 1999 . CONTINUED ON ATT C T' X S SI NATU RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE 1)0 APPROVEOTHER 1 ACTION OF BOARD ON . 12 19% APPROVED AS RECOMMENDED] o VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE xUNANIMOUS (ABSENTAND 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 � '✓�' �% I.�`r., If PHIL BAT ELOR,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 Beard order page two (2) CCMI-IP OUTPATIENT SPECIALTY MENTAL IlEALTH SERVICES FEE SCHEDULE--Revised 1219197. CPT CODE PROCEDURE M.D Ph Db L.C.S.W. M.F.0 C. Level lCodes 90930 Test Administration- 1 hour inax 6 i $30 90887 Test Scoring- Itiour(max 2) $30 9-3843 Individual Ps cty iotlte€apy 112 hour $30 _ 90844 individual Psyeliothera - 1 hour $60 $30 $30 $30 90846 Family Tlierapy-without patient $30 $30 _ _ $30 90847 Family Therapy-conjoint $30 $30 $30 90853.9 rau Ttj2j�-per person er visit-1 1121tr max $12 $12 $12 90882Pharmacological iimana�etnenl $30 90870 ECT-Single Seizure $60 X13544 Case Conference- 1/2 hour $30 $15 $15 $15 X9546 Case Conference- ltiour $60 $30 $30 $30 #iospitat# t Service 99221 Hospital Care Visit-initial-30 minutes $30 99222 Hospital Care Visit trnitiai 50 n1ir1_utes_ _ $8_p 99232 1iospital Caie Visit-Subsequent-30 minutes $30 2utpatieW Consults 99242 office Consultation New Patient-30 niirgites $30 99244 office Consullatioti New Patient-60 minutes $60 111p.tielit Consults 99251 inpatient Consullatioti New Patient 30 mitniles $30 99253 inpatient Consultation New Patient-60 minutes $60 Nursinq Fac Assess 99301 Evaluation and Mar ernent-30 rninute_s $30 993133 Evaluation and Management-60 inintites $60 - 99311 Subsequent Nursing Facility Care-15 ininutes $15 _ 99313 Subsequent Nursing Facility Care-30 minutes $30 best Horne et At Svc. 99323 Evaluation of New Palienit $60 _ 99331 Evalitalion of Est abtistied Patient - $30 Howie Services 95341 Evaluation of New Patient _ $60 99353 Evaluation of Eslablisiied Patient $30 These are the only outpatient services which ccMHP will authorize Arid the ortty codes for which providers will be reimbursed. To. BOARD OF SUP RNNORS FROM: William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator ''`$ Contra Costa DATE: August 13, 1998 County SUBJECT: Approval Of Contract #24-949--20 with Portia Polner, Ph.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 ##24-949-20 with Portia Polner, Ph.D. , for the period from May 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 ECOMMENDA.TIONS/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 speciality 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-y949-20 will allow the Contractor to provide mental health specialty services through June 30, 1999. CONTINUED ON ATT CH T: X S RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARS)COMMITTEE APPROVE OTHER SIQ USE= ACTION OF BOARD ON �� 1, 19% APPROVED AS RECOMMENDED X ae& VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT� j 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 t I_1 PHIL BATC ELOR,CLERK OF THE 0ARID OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (313-6411) CC: Health Services(Contracts) Risk Management Auditor Controller BY � - �._x} ��'�" —,DEPUTY Contractor Beard Carder page two (2) CCMHP OUTPATIENT SPECIALTY MENTAL tfEALTH SERVICES FEE SCHEDULE--Revised 1219197. CPT CODE PROCEDURE M.D P1)D L.C.S.W. M.F.0 C. Level IlCodes 90830 Test Administration- 1 hour 6) $3t) 90887 Test Scoring- lhour trtax 2 $30 90843 individuet Ps cy itottteraa- 112 flour $30 90844 tr►drvicttra#Psychotherapy: # hour $fill $30 $30 $3p_ 90846 Eaiji##y T#ie�apt without laatient $3t} $30 $30 90847 Farnil T#cera f con'oint $30 $30 $30 90853 Group tieraf�y i>er person-per visit-1 1!2hr max $12 $12 $12 90862 Pharma coto ical mann ement $ail 90870 ECT-Single Seizure $60 X9544 Case Conterence- y2 tiour $30 $#S $15 $15 X1546 Case Conference- ltraru — $80 $30 $30 � $30 lion ital hrpt.Service 99221 Hospital Care Visit-Initial-30 minutes $30 99222 Hospital Cafe Visit-Initial-50 minutes _ � $60 98232 hiospitai Care Visit-Strlfserluen#-30 fninUt"es $30 Put}satiertt Consults - 99242 Office Consultation New_Patient-30 mirurtes $30 99244 Office Consultation New Patient-60 nmintates $60 fntsatient Consults 99_251 tr j)alienl Consultation New Patient-30 minutes _$3_0 _ 99253 t4ltaatieiit Cortsuttatiota New Patient-60 minutes $60 Nursing Fac Assess 39301 Evaluation and Management-30 rniruites $30 99303 Eva#rratinri arat Marragerner:!-6(l rnirtules $6t7 993#1 S set}uent guts"m Facilit Care-15 minutes $15 99313 Subsequent Nursing Facitily Care•30 minutes $30 Prest Horne et Al Svc. 99323 Evaluation of New Patient $60 9933 Evaliratian of EstabITshed Patient $30 ttc nr€* 66forwhich 99341 Evaluation of New Patient $6099353 Evluation of Established Patient $3p seafethe only outpatient services which CCMHP will authorize aid the only providers will be reimbursed. fo: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director f , By: Ginger Marieiro, Contracts Administrator µ 13 Contra DATE: August 13, 1998 ostia C©lJr1ty SUBJECT: Approval of Contract ##24-949-32 with Kathryn Econome, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I . RECOXNENDED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-32 with Kathryn Econome, M.D. , for the period from May 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 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 #24-949-32 will allow the Contractor to provide mental health specialty services through June 30, 1999 . CO TINUED ON-ATTACHMENT: YES SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNI.PI EtShlya- ,.''3 a' �• ACTION OF BOARD ON_ -kPtffdXT lr 1 APPROVED AS RECOMMENDED X 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 SUPERVISORS ON THE DATE SHOWN. ATTESTED_-� '�' c-U"� / P PHIL BATOt-IELOR,CLERK OF THE BOARD OF Contact Person: Donna Wigand (313-6411) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor Board Order page two (2) CCMHP OUTPATIENT SPECIALTY MENTAL HEAL7li SERVICES EEE SCHEDULE--Revised 12/9197. CPT CODE PROCEDURE M.D � Ph.D L.C.S.1N. M.F.0 C. Level 1Codes 90830 Test Administration- 1 Maur max 6 $34 90887 Test Scoring- lhour max 2 $30 90843 Individual�chatherapt 112 hour $30 90844 Individual Psychotherapy- 1 hour $60 $30 $34 $39 90946 Family Thers without anent $30 $30 $30 - 90847 1'amity Thera>y-car $30 �$30 $30 90853 Group Therapy-per person-per visit-f 1/21ir max $12 $12 $12 953862 Phafmacologgical management $30 90870 ECT-Single Seizure $60 X9544 case conference- 1/2 hour $30 $15 $15 $15 X9546 case Conference- 1Maur $60 $30 $30 $30 tial }tp of fript-5ervice 99221 Hospital Care Visit-I 10 W-30 minutes $30 _99222 Hospital Gare Visit-Initial-50 minutes_ $60 99232 Hospital Gate Visit-Subsequent-30�inimites $30 OuVatietit Consults 99242 Office Consultation New Patient-30 minutes $30 _ 9'3244 5ffice consultation New Patient-60 minutes $60 Inl3a#eat Cafistilts 99261 Inpatient Consultation New Patient-30 minutes � $30 99253 Inpatient Consultation New Patient-60 minutes $60 —� Nufsingq Fac Assess 99301 Evaluation and Mar�ement-30 minutes $30 99303 Evaluation and Matiagement-60 minutes $60 93311 Suhse uent Nursing Facility care-15 minutes $15 99313 Subsequent Nursing Facility Gare-30 minutes $30 Rest Home ek Al Svc. 99323 Evaluation of New Patient _ $60 99333 Evalualion of Established Patient $30 Hotne Services 99341 Evaluation of New Patient $60 99353 Evaluation of Established Patient $3t) 'These are the only outpatient services which CCMHP wilt authorize and the only codes for which providers will be reimbufsed. TO: BOARD OF SUPERVISORS L.•, . FROM: �6`i`lliam Walker, M D. , Health Services Director Contra By: Ginger Marieiro, Contracts Administrator - Costa DATE, August 13, 1998 County SUBJECT: Approval of Contract #27-393 with Jimmie Miller, D.C. (dba. Miller SPECIFIC REQUEST(s)OR RECOMMENDATION($)&BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract #27-393 with Jimmie Miller, D. C. (dba Miller Chiropractic) , for the period from June 1, 1998 through May 31, 1999, for the provision of chiropractic services for Centra Costa Health Plan members, to be paid as follows : 20 per member, per visit, not to exceed 10 visits per member, per year. II . FINANCIAL IMPACT: This Contract is funded by Contra Costa Health Plan member premiums . Costs depend upon utilization. As appropriate, patients and./or third party payors will be billed', for services . III . REASONS FOR RECCiMMENDATI0XS/BACKGRC3't7=: The Health Plan has an obligation to provide certain specialized professional health care services for its members lander the terms of their Individual and Group Health Plan membership contracts with the County. Under Contract #27-393 the Contractor will provide chiropractic services to Health Plan members through May 31, 1999 . C NT NI f D ON 6TTACHMENSIGNATUR s -- RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER SIGNMUREfSh- 'In- 41wl - ACTION OF BOARD ON. SeP4ADEX 1,_193$ . APPROVED As RECOMMENDED X Sam VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ASSENT_Ncre ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERER ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED 4t? PHIL BATC14ELOR,CLERIC OF THE 90ARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Milt Camhi (313-6004) CC: Health Services(Contracts) Risk Management Auditor Controller 8 a {�I DEPUTY Contractor