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HomeMy WebLinkAboutMINUTES - 09281999 - C55-C59 fc w TO: BOARD OF SUPERVISORS a { Will-Lam,, Waiter, M.D , Health Serv_-'. cel Director FROM. By. Ginger Marieiro, Contracts Administrator ;f Contra Costa DATE- Sep-enbe_ 15, 1999 County SUBJECT. Approval of N-on-Physician Services Contract 27-229- 1 t h Sandra Lessenden, M,F.C.C. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)#BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION Approve and authorize the Health Services Director or his designee (Milt Cam,hi) to execute on behalf of the County, Non-Physician Services Contract #27-229-3 with Sandra, Lessender, M.F.C,C. , for the period from. September 1, 1999 through August 31, 2,10-10, .fcr the provision cf professional outpatient psychotherapy services, to he paid as Follows . j.L0 .00 per individual therapy session (Licensed Therapist) ; 30a00 per Lndividual therapy session F*ZSCAL IMPAC` This Contract is funded by Contra Costa. Health Plan me:mher premiums Costs depend upon utili BOARD �F SUP �g TO. IS ORS iC II : T �liamalWalker, .D, , He ah Services D-L rect^r f i . By: Ginger Mareiro, Contracts Administrator � Contra .' Costa DATE- September 15, 1999 County SUBJECT: Approval of Contract #27-232-2 with Lawrence Teplin, M.D. SPEMFIC REQUEST(S)OR ECOM ENDATION($)&BACKGROUND AND JUSTIFICATION REC0bMND:-:D ACTION: Approve and authorize he Health Services Director, or his designee (Milt Carnhi) , to execute on behalf of the County, Contract #27-232-2 with Lawrence Teplin, M.D. , for the period from September 1, 1999 through august 3K. 2000, for the provision of professional podiatry services for the Contra Costa Health -Plan, to be paid as follows .- a. ollows :a. For XedmmOsl and Con=erci,ams Ife ers County shalyl,� ay Contractor those rates August forth !�in❑ the :fedi-Cal ski.�`e.1�}.'YG�h:.+.' VL S'ia�S.�.a65i.�fi4 A�lowarces i effect O1"j A6� i.t:d S. 1, � `..�G3 1 3 the eve1�.v rate increases are subsequently approved by the State of Cali ornia and are included in the County's Health Play capitated payment, County wil1 thereafter increase the bates County pays to Contractor accordingly. h. For Medicare members Services for members who are Medicare recipients will he re'n.'bursed at the Medicare rate of payment. Physician will bill Medicare as primary payor and County will pay Medicare-required copayments and deductibles for Medicare approves. services. FISQA' IMPACT 'This Contract is funded by Contra Costa ��ealth Plan (a'.ealth Plan) member premiums. Costs depend upon utilization . As appropriate, patients and/or third party payers will be billed for services BACXGR0 d' LE-A 0 ( ) FOR DECO ATI she Health plan has an obligation to provide certain specialized nrofessoval health care services for its members under the terms of their indivi. d--Ual. and Group Health Plan meTMinershi p contracts with the County. Under Contract-, #27-232-2 the Contractor will provide professional podiatry services for Health plan members, througIftl August- 31, 2000 s CNTi3IE �#A TAC€ PaE�€T; SEOI`4AT3F2 t . -4=— RECOMM-E€ DAT#ON OF COUNTY ADMiNIS`BATOR RECOMMENDATION OF BOARD COMMIT TEE APPROVE ®OTHER �/ r ACT ION OF BOARD ON °,��� ✓% � Y � f��1 � APPROVED AS RECOMMENDED O®I-I ER 'COTE OF SUPERVISORS 5 HEREBY CERTIFY THAT THIS IS A TRUE f 3NAM0 }} (ASSEN10. AND CORRECT COPY OF AN ACT!O*€TAKEN AYES: NOES: _ -. _ AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN:__ OF SUPER ISORS ON THE DATE SHOWN. ATTESTED r /-r,r' Milt Camhi (3-13-6004) PHIL BATCHELOR,CLERK OF TH BOAR OF SUPERVISORS AND COUNTY ADV NISTRATOR Contact Person: CC: Health Servi0es(Contracts) Risk Management Aud or Cont oiW BY ' ' , � �� � DEPUTY TO: BOARD OF SUPERVISORS FROG€• W-4 1 G .ams Walker, M.D. , :health Services D eo vor f By: Ginger Marieiro, Contracts Administrator � Contra Costa DATE: Septer- r 1-5, 1999 County SUBJECT- Approval of Contract #27-375-1 with Rona Silkiss, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (:hilt Camhi) , to execute on behalf of the County, Contract #27-378-1 With bona S�lkl.ss, M.D., for the period from October 1., 1-999 through Septemoer 30 , 20000 , for the provision of professional ophthalmology services for the Contra Costa Health Plan, to be raid as follows : a. For meth-Cal and Commercials Miers County shad pay Contractor those rates set forth _n the Medi-Cal Schedule of Maximum A!!owances in e�fect on August 1, 1998. in the event rate increases are st;i sequently approved by the State of Cali=or ria 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 m .berm Services -for members who are Medicare recipients will he reimbursed at the Medicare rate of payment. Physician will bill Medicare as primary payor and County will pay Medicare-required copayments and deductibles dor Medicare approved services. FISCAL IMPACT This Contract is funded by Contra Costa. Health Plan (Health Plan) me:moer -oremiu-:s . C-os -s depend uponuti i zation. As a—=roorla�.e, patients and/or third partl. y payors will billed for services . BACXQ-R0 -DZREA 0X t FOR RECOYUMENDAT The -.Health Plan has an obligation �o provide certain specialized professional health care services for its members -ender the terms of their Individual and Group Ilealtb Plan membership contracts with the County. Under Contract #27-378-1 the Contractor will, provide professional ophtha!mology services for Health Plan members, through September 30, 2 0 101 0 E CONTINUED ON ATTACHMENT: s €ECOMMENDATION OF COUNTY ADMINISTRATOR a REECoMMENDATI N OF BOARD COMMITTEE APPROVE �OTHER ACTION OF BOARS o tin ;, r� y^' �` APPROVED AS€ECCM1v ENDED _ ✓�_ OTHER �. VOTE OF SUPERMSBRS #HEREBY CERTIFY THAT TH;S'sS A TRUE Ia skl�lllt€C':S (ABSENT AND CORRECT COPY OF AN'ACTION TAKEN�AKE AYES:__ NOES: – AND ENTERED ON THE iNUTES OF THE BOAR- ASSENT: ASSTA€I OF SUPERVISORS cid THE DATE SHOWN, ATTESTED 3 'y PHIL BATCHELOR,CLERK OF THE BOARD OF- i�li t Ca hi (313-60004) SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: CC: Health Serbs€chs(C-ontracts) Risk Management � Auditor Controii'er BY�'� Contractor TO, BOARD OF SUPERVISORS FROM, William Walker, M.D. , :wealth Services Director Ey; Ginger Marieiro, Contracts Administrator Contra Costa DATE, September 15, 1999 County SUBJECT: Approval of Contract #27-289-2 with Wen-Hsiung Tsai, M.D. SPECIFIC REQUEST(S)OR COMMIENDAT€{ (a)&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 427-289-2 with Wen- Hsiung Tsai, M.D. , for the period from September 11 , 1999 through August 81, 20100, for the provision of professional OB/GYN services for the Contra Costa Health Plan, to be paid as follows : a. For Med--Cal and Commercials Members County shah pay Contractor those rates set forth in the Meds-Cal Schedule of Maximum Allowances in effect on August 1, 1998. .gin 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 raves County pays to Contractor accordingly. h. For Medicare meur hers 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. FISCAT, IMPAI m', 'This contract is funded by Contra Costa Health Plan (Health Plan) mern..Y_.`er prem-ums . Costs depend u-con uti11iza.tion. As appropriate, patien-s and./or third party payors wi r1 be biped for services . BACKGROL /REASON( ) FOR RECOMMEN A t ION( ) , The Health Plan has an obligation to provide certain special =zed rofessio nal health Care services for its members under t he terms of their Tr.dividual and Group Health Plan membership con�racts with t"e Under contract 427-289-2 the Contractor will provide professional. OB/GYN services for Health Plan me-bers, through -August 31, 2000 f ,6— RECOMMENDAT�ON OF COUNTY ADMINISTRATOR RECONAWENDATION OF BOARD COMMITTEE APPROVE: OTHER ACTION OF BOARD ON �'� 4r}�°?�s' �e^<'; ? � APPROVED AS RECOMMENDED OTHER MOTE OF SUPERVISORS HEREBY CERTIFY THAT TH!S sS A TRUE UNAMMOjS ABSENT_ ! AND CORRECT COPY OF AAS A TION TAKE{ AYES. ---- NOES: AND ENTERED ON THE MINUTES of THE BOARD ASSENT — - ABSTAIN: --- OF SUPEWSORS ON_rwE DATE SHOWN. ATTESTED Mi.It Camp 4 ;313-6 0 } ) P�€1b BATCHELOR,CLERK OF THE BOARD OF Coontact Person: SUPERVISORS AND COUNTY ADMINISTRATOR GC; Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY TOS BOARD OF SUPERVISORS a $Al t,;t FROM: Wliae"C's Walker, 'M.D. . Hea1t^_ Sery .ced Director r Contra By. Ginger Marieiro, Contracts Administrator r�� Costa DATE. September 13, 1399 County SUBJECT. .Approval of Contract x#.'27-243-2 with W. Syron. Smith, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION R.ECOWIEN'DED ACTIOIN Approve and authorize the Health Services Director, or his designee (M2: It Cam: 7I , to execwte on behalf of the County, �.,on',-racv #27-243-2 With W. Byron Smith, M.D. , for the period from September 1, 1099 through August 31, 2000 , for the provision of professional pediatric oncology/4emato.logy services for the Contra costa rsea?th Plan, to he paid as follows a. For Nadi-Cal and Ca eroials Members; County shall pay Contractor those rates set forty the ;fedi-Cal Schedule of Maximum Allowances in effect on August _,998 . the event rate increases are subsequently approved by the State of California and are included in,. the County's Wealth Plan capitated payment, county will thereafter increase the rates County pays to contractor accordingly. b. For Medicare .ba ss Services for members who are Medicare recipients will be reimbursed at the Medicare rate of payr:ent. Physician will bill Medicare as pr wary payor and County will pay Medicare-required copayments and deductibles =or Medicare approved services. FISCAL, IMPACT This Contract is funded by Contra Costa Dealt h Plan. (Hea .t h Plan) member -orem;uts , Costs depend Upon utilization. As approprla-e, patients anc/or Third party payors will be billed for services `the aeayth Plan has an obligation to provide certain specialized orof2ssioe?a.l he alt h care serve ces for its members under the terms 04-7 t weir Individual and Group Health Pian mem-bership contracts with the o�_.oun ty. Under Contract 27-243-2 the Contractor wi .i provide professWonall Pediatric one©logy/hematology services for Health Plan rner-bers, through A'aust 31, 2000 . CONTINUED D,'ATT CPME &GNA,TQR5: RErOM E-NDA T ICN OF COON-rY AE Mi.!� STATOR RECONWENDAT$ON of BOARD COMMITTEE APPROVE —OTHER ACTION of BOARD�3 � f r r �'� Y ;'�? APPROVED AS RECOMMENDED OTHER �« VOTE OF SLIPERMSCRS I HEREBY CERTIFY THAT THIS M A TRUE UNANIMOUS (ABSEN AND CORRECT C'OPY CF AN ACTION TAKEN AYES; _ NOES:-- AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: a�e���Rlt�:�..a�®�aa OF SUPE tV1WRS ON THE DATE:r#1O1,NN. ATTESTEDLy? s ' j Milt Camhi (313-6004) PHIL BATCHELOR,CLERK OF THE BOARD OF SUFEWSCRS AND COUNTY h"DWNISTRATO;R Contact Person: 1 ea" Services(Contracts) Risk Management _ Auditor Controller _.,DEPUTY