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Home My WebLink AboutMINUTES - 07201999 - C90-C94 TO: BOARD OF SUPERVISORS FROM- Wi11-Lam Wal"Ker, r+`.D. , Health Services Director � j By. Cinger Marieiro, Contracts Administrator Contra Gaeta DATE, june 1-6, 1999 County SUBJECT, Approval of Contract #27-253-2 with California Eye Clinic SPECIFIC REQUEST(S)OR RECi3fU€MENDA` iON(S)&BACKGROUND AND JUSTIFICATION REC0101ENDED ACTION: Approve and authorize the Health Services Director, or his designee (hilt Camhi) , to execute on behalf of the County, Contract #27-253-2 with California Eye Clinic, for the period from May 1, i,.999 through April 30, 2000, for the provision of professional health care services Z or the Contra Costa. Health Plan, to be paid as follows a. For Medi-Cal and Co=ercials Members; County sham pay Contractor those rates set forth in the Med_-Cal Schedule of Maximum Allowances in effect on August 1, :.998. Tn the event rate increases are subsequently approved by the State of California and are included in the County's Health Plan capitated payment, County will thereafter increase the rates County pays to Contractor accordingly. b. For Medicare members: Services for members who are Medicare recipients will be reimbursed at the Medicare rate of payment. Physician will bill Medicare as primary payor and County will pay Medicare-required copayments and deductibles for Medicare approved services. FISCAL IMPAC' '!his Contract is funded by Contra Costa :Health Plan (Health Plan) member premiums . Costs depend upon utilization. As appropriate, patients and/or third party payors will be billed for services . BACKGRC)UNDdREASON(S) FOR RECOMMENDATION(S) : Th-e Health Plan has an obligation to provide certain specialized professional health care services for its me-Ibers under the terms of their Individual and Croup Health Plan membership contracts with the County. Approval of this Contract #27-253-2 will allow the Contractor to continue to provide professional health care services through April 30, 2000 . r CONT€HUED C1N Al ACHMIENT: SIONATUR e RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER �Y } (S):&,6F Ae 1 J } *dt m S ,46,�� ACTION OF BOARD ON J �. u. APPROVED AS RECOMMENDEDOTHER `COTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT T _F AND CORRECT CORY OF AN ACTION TAKEN AYES:- — NOES: _ AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: _-- ABSTAIN: OF SUPERMSORS ON THE DATE SHOWN. ATTESTED _ v �': P %v Milt Camhi (313-6004) PH;!L BATCHELOR,CLERK OFF THE BOARD OF Contact Person: SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY P, 1 ContractorDEPUTY BOARD OF SUPERVISORS P1. FROM. v��illyar^ Wafer, i�: . , fe It _ Servfb �irectcr `�� Contra 13y. Ginger Mari.eiro, Contracts Administrator Costa DATE. June 16, 1999 County SUBJECT Approval of Contract #27W-383-11 with Robert Wesman., M.D., Inc. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the. Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract #27-383 .1 with Robert Wesman, M.D. , Inc . , for the period. from May 1, "999 through April 30 , 2000, for the provision of professiona.l. pediatric otolaryngology services for the Centra Costa Health Plan, to be paid as follows : a. For Medi-Cal and Commercials Members: County shall. pay Contractor those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1-, 1998. in the evert rate increases are subsequently approved by the State of California and are included in the County's Health Plan capitated, payment, County wa=1 thereafter increase the rates County pays to Contractor accordingly. b. For Medicare members Services for members who are Medicare recipients will be reimbursed at the Medicare rate of payment. Physician will. bi`l Medicare as primary payor and County will pay Medicare-required copayments and deductibles for Medicare approved services. FISCALIMPACT: TI is :Contract is funded by Contra Costa :health Plan (-ealth Pian) rember premiums. Costs depend upon u.tili.zation. As appropriate, patients anal/or third party payers will be billed for services. BACKGRO ^n Wune 1-6, 1998, the Board cf Supervisors approved Contract 427-383 with Robert Wesman, M.D. , Inc. , for the period fror. May 1, 1998 through April 30, 1999, for the provision of professional, health care services to Health Plan me- ers. Under Contract #27-383- , the Contractor will provide professional redia-ric otolaryngology services to Contra Costa HIea-th Plan members, th`?`ot ^ Apr i.1 30, 200101 CONTINUED ON ATTACHMENT: SIGNATURE RECC+MMIENDAT€ON OF COUNTY ADWNISTRATOR RECOMMENDATION OF SOARD COMMIT TE ' APPROVE OTHER ACTION OF BOARD ON__j �#...�Y a�� 3 f�`f APPROVED AS RECOMMENDED �� OTHER - VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ASSENT- '°" AND CORRECT COPY OF AIS ACTION TAKEN AYES: _ - -- NCES: -- - AND ENTERED ON THE MINUTES OF THE BOARD ASSENT: ABSTAIN: - - OF SUPERVISORS ON THE DATE SHOWN. ATTESTED_-� ,'J, ) - PHIL BATCHELOR,CLERIC OF THE BOARD OF Milt Ca ihi (31-3-6004) SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: CC: Health cervices(Contracts) Risk Management Auditor Controller aY ��. � ��-� � � 'DEPUTY Contractor TO. BOARD OF SUPERVISORS FROM, William Walker, M.D. , Health Services Director P_y: Ginger Marieiro, Contracts Administrator " '�� Contra DATE. June 16, 1999 Costa County Approval of Contract 2¢7-414 with Sharon ,ones, M.D. SP ECIFM REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED 9 ACTION: Approve and autaorize the Health Services Director, or his designee ('hilt Camhi) , to execute on behalf of the County, Contract 427-414 with Sharon :hones, M.D. , for the period. from May 1999 through April 301, 2000, for the provision of professional health care services .for the Contra Costa Health Plan, to be paid as follows : a. For Medi-Cal and Commercials Members: County shall pay Contractor those rates set forth in the ':Fedi-Cal Schedule of Maximum Allowances in effect on .August 1., 1995. In the event rate increases are subsequently approved by the State of California and are included in the County's Health Plan capitated payment, County will hereafter increase the rates County pays to Contractor accordingly. b. For Medicare members Services for me-,hers who are medicare recipients will be reimbursed at the Medicare rate of payment. Physician will bill Medicare as primary payor and County wilm pay Medicare•-required copaymerts and deductibles for Medicare approved services. FICAIL IMPACT: This Contract is funded by Contra Costa Health Plan (Health Plan) member premLums . Costs depend upon utilization:. As appropriate, patie~ ts and/or third party payors will be billed for erv_ces . BACKGR0L /REASON s) FOR RECQMMENDA'i`ION j: The Health Plan has an obligation to provide certain special-zed professional heath care services for its rnembers under the terns of their. Individual and Group Health Plan membership contracts with the Count Y. Under Contract x#27--414 , Sharon Jones will will -provide nrofess.ional health care services to Contra Costa Health Pian members, through Aprrl 30, 20-1c . C �iT. :El C?#i-ATTAR AMEN:: SIGNATURE y(_ w IxRECOMMENDATION OF COUNTY ADMINI aT RA T OR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER TU# E( 0, ACTION of BOAR€?ON APRECOMMENDED —r �- A PROVED AS RECOMMENCED �u OTHER VOTE of SUPERMSORS €HERESY CERTIFY THAT THIS IS A TRIBE UNA €IMOUS (ABSENT __ ) AND CORRECT COPY OF AN ACTION TAKEN AYES: —NOES:-- – AND ENTERED ON THE MINUTES OF THE BOARD ASSENT: _ ABS rA+N _--- OF SUPERVISORS ON THE DATE SHOWN, A`rTESTED '�,1 Milt Camhi (313-6004) K'I'EL IdATC: ELA CLERK OF THE BOARD OF Contact Person: SUPERVISORS AND COUN Y AI:MiN!STRATO.R C: Health Services(Contracts) Risk Management Auditor Controller BY Contractor _ _ DEPUTY TO: BOARD OF SUPERVISORS FRLlW William Walker, M.D. , Health Services Director Contra By: Ginger Mar-elro, Contracts Administrator Costa DATE: u u"y� ��S r 1999 County SUBJECT: Approval of Contract #74-002 with Jeanette Logan, Pharm,.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMEN ATION(S) : Approve and authorize the health Services Di BOARD OF SUPEROSORS FROM, William Walker, M.D. , Health Services DirectorContra By: Ginger Marieiro, Contracts Administrator Costa DATE June 16, 1999 County SUNECM Approval of Contract #24-950-31 with Khalil R,ahmany, Ph.D, SPECIF I ✓bt LEarST(S R Pr Ole 4df�l4 t�5I I tN(S $ #�CICts6if l IPd1 S8N 3 JUSTIFICATION REC MME ED_AC C a Approve and authorize the -1.ealth Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract 424-950-31 with Khalil Rahrrany, Ph.D. , for the period from June !, 1999 through June 30, 2000, 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 . EA.CKGR,QUNDBRRASON ) FOR REcaNKMEND IONS On January 14 , 1997, the Board of Supervisors adopted. Resolution 497/17, 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 1997 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Appaoval of Contract X24-950-3� will allow the Contractor to provide mental health specialty services through June 30, 2000 . CON:ESD ON ATTACHt,AENT: YES _ SIG-NATUREy�'�� RECOMMENDATION OF COUNTY ADMINISTRATOR R,ECOIMMENDATION OF BOARD COMMITTEE r ' APPROVE OTHER ACTION OF BOARD ON c = tn _ ER 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 BOAR{ ABSENT:— -- -- ABSTAIN:— OF SUPERVISORS ON THE DATE SHOWN. ATTESTED A A - - — PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (313-6411) CC: Health Services(Contracts) Risk Management W Auditor Controller DEPUTY Contractor BOARD ORDER PAGE 2 m c 0 Q cn mm i i M D C cis cis � to x x �� m x CD w C � � co C3 0 0 0 0-) lbb. 0 co I co N) a CD "D _ CD CD � ' C 0 CL � 0 0 Z 0 ' ppm' =` CD tn ID CD CD z o '� 33 ` a) X s CL EDE�3 S33y ' 'Z 0 CD CD m co C€} I cn CD CD I ! 0 (J's 0 C) ; 0 01 0 0 0 0 C 4 3 3 S B B B 3 3 , . 5. • 54 i 'C 7 ter <D cn C> cn rQ 0 0 c� 0 C, 0 0 � t�