HomeMy WebLinkAboutMINUTES - 07271999 - C66 TO. BOARD OF SUPERVISORS
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FROM., W-11!am Walker, M.D. , Health Services Director Cont a
BY: Grocer Mari.e .ro, Contracts Administrator
DATE. July 13, 999 Costa
County
SUBJECT:
Approval of Contract 427-324-2 W-Lth Christopher Dickens, M.D.
SPECIFEC REQUEST(S)OR RECOMMENDATION(s)&BACKGROUND AND JUSTIFICATION-
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RECOMEED ACTION
Approve and authorize the Health Services Director, or h�s des cnee
(Milt Camhi) , to execute on behalf of the County, Contract 427-324-2
with Christopher Dickens, M.D. , for �.the period fro;. july I, 1999
through rune 30, 2000, for the provision of ophthalmo'ocy services for
the Contra Costa Health Plan, to be paid as follows
a. For Madi-Cal and. Co ercm is Mermbers:
County shall pay Contractor those rates set forth in the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, 1998. In the event
rate increases are subsegue qtly approved by the State of California and
are included in the County's Health Alar_ capitated payment, County will
thereafter increase the rates County pays to Contractor accordingly.
h. For Medicare -members:
Services for members who are Medicare recipients W4!-. be reimbursed at
the Medicare rate of payment. Physician will hill Medicare as primary
payor and County will pay Medicare-required copayments and deductibles
for Medicare approved services.
FISCAL IMPACT
This Contract is funded by Contra Cush Health Plan ( _earth plan)
memoer premiums . Costs depend upon ut-ilizat-on. As appropriate,
patients and/or third party payors will be billed for services .
BACK O4 ZREASO ( ) FOR RECO 8ATIO ( )
The Health Plan has an chlicgati on to provide certain spedalined
professional health care services for its members under the terms of
t,elr individual and Group Health Plan me-rLuership contracts wi th the
1.
County.
77he Health Plan is also required ander the teras of it's Local
Initiative contract with the State, to contract with community
physicians and other providers, called "Safety Net" and "Traditional
Providers, for the provision of medical care to Medi.-Cal recmpients .
Approval of this Contract 27-324--2 will allow the Conzractor to
continue to provide ophthalmology services, through Dare 30, 2000 .
axi a
SIG 4a:_uR s
RECOMMENDATION OF COUNTY ADMIIVISTRA C)R
RECOMMENDATION of BOARD C:o:vlluiTTEE
a
APPROVE �OTHER
AC I loN IAF BOARDAPPROVED AS RECOMMENDED � � OTHER
VOTE OF SUPERVISORS
I HERESY:ER`I•;FY THAT THIS IS A TRUE
UNANIMOUS (AS.SEN b AND CORRECT COPY o4 AN ACTION"OAKEN
AYES:_ -- NOES: AND ENTERED ON THE M�;NUTES OF HE BOARD
ASSENT: OF SUPERVISORS ON THE DATE SHOWN.
ATTEST-EDa : A d
sUPERVIS�"RS AND COUNTY L-N-MiNISTRA`OR
a ts�t rs nMilt Camhi- (313-6004)
Cd Healthe€"i!ces(Contrasts)
Risks Management
Auditor Controller #/2"liDEPUTY;��__