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HomeMy WebLinkAboutMINUTES - 09192000 - C44-C53 { TO: BOARD OF SUPERVISORS �.�.�� �• FROM: William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator f ` l Contra DATE: September 5' 2000 Costa SUBJECT: County Approval of Contract #27-485 with Patricia Austin, M.D. , Inc (dba Pacific Eye Care) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMMIDRD ACTION: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract #27-485 with Patricia Austin, M.D. , Inc. , '(aba Pacific Eye Care) for the period from September 1, 2000 through August 31, 2001, in an amount not to exceed $50, 000, for the provision of professional Ophthalmology services for the Contra Costa Health Plan. FISCAL IMPART: This 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 . BACRGROLND f RH SON(S) FCR RHCQ ]]ATIQN(S) : The Health Plan has an obligation to provide certain specialized professional health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Approval of Contract #27-485 will allow the Contractor to provide professional Ophthalmology services to Contra Costa Health Plan members, through August 31, 2001. ol RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE ,OTHER ACTION OF BOARD ON@Yh ✓ �'J or!�C1(,� APPROVED AS RECOMMENDED 2 OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT- I I HEREBY CERTIFY THAT THIS IS A TRUE AYES: AND CORRECT COPY OF AN ACTION TAKEN NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: _ABSTAIN:ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED PHIL BATCHELOR,CLERK OF THE BOARD OF Contact Person: Atilt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller Contractor DEPUTY TO: BOARD OF SUPERVISORS FROM: William Waller, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator Contra August 31, 2000 COSta DATE: County SUBJECT: Approval Of Contract #27-263-3 with Optima. Ophthalmic Medical Association, Inc. SPECIFIC REQUEST(S)OR RECOMMENDATX"S)8 BACKGROUND AND JUSTIFICATION RBCOM EPATI NtS1 Approve and authorize the Health Services Director, or his designee (Milt Camhi) to execute on behalf of the County, Contract #27-263-3 with Optima Ophthalmic Medical Association, Inc. , for the period from May 1, 2000 through April 30, 2001, for the provision of professional health care services for the Contra Costa Health Plan, to be paid as follows: a. For Medi-Gal and Commercial 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 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 memberaa 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 IMPACT: This 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. CKG OU R ASON 8 OR R COMMENDAT ON >3 On June 22, 1999, the Board of Supervisors approved Contract #27-263-2 with Optima Ophthalmic Medical Association, Inc. , for the period from May 1, 1999 through April 30, 2000, for the provision of professional health care services for the Contra Costa Health Plan. The Health Plan has an obligation to provide certain specialized professional health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Approval of Contract #27-263-3 will allow the Contractor to continue providing professional health care services through April 30, 2001. n 6- CONTINUED ON ATTACHMENT. X19-- Lr " i'' RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEND ION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD O APPROVED AS RECOMMENDED .%' OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT I 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•J f� % ,� Y` f LfiJ PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Milt Camhi (313-6004) CC: Health Services(Contract) Auditor-Controller Risk Management BY�. � fC.G�t�' +-- DEPUTY Contractor TO: BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator ' '� ��� Contra Costa DATE: September 6, 2000 County SUBJECT: Approval. of Contract #26- 968-2 with Thomas N. Paige, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOI�J�,TIgN�� Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Contract #26-968-2 with Thomas N. Paige, M.D. , (Specialty: Dermatology) for the period from October 1, 2000 through September 30, 2001, to be paid as follows: $8,333 .39 per month, for the provision of Dermatology services including consultation, clinic coverage, training, and medical and/or surgical procedures, NOT TO EXCEED $100, 000 . FISCAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services. SAC KGROUNDIREASON(S) FOR RBCOHMBNDATIONS For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. On September 21, 1999, the Board of Supervisors approved Contract #26-968 (as amended by Administrative Amendment Agreement #26-968- 1) , with Thomas N. Paige, M.D. , for the period from October 1, 1999 through September 30, 2000, for the provision of Dermatology services for Contra Costa Regional Medical. Center and Contra Costa Health Centers . Approval. of Contract #26-968-2, will. allow Contractor to continue providing services through September 30, 2001. COUTINUF.DSIGNATURE '---RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE LI—A'PPROVE OTHER SIGN QBE(S ACTION OF BOARD O C?© APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT _2Z:: 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 � 1'r r t f cT CJ PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Prank Puglisi (370-5100) CC: Health Services(Contracts) Risk Management Auditor Controller EY�• �c DEPUTY Contractor TO: BOARD OF SUPERVISORS ''/• * . /"� t William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator ` ' = Contras Costa DATE: September 6 2000 County SUBJECT: Approval of Contract #26-971-3 with Raman Berguer, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Contract #26-971-3 with Ramon Berguer, M.D. , (Specialty: General Surgery) for the period from September 1, 2000 through August 31, 2002, to be paid in accordance with the attached fee schedule. FISCAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services. BACKGROUND/REASON(S)JASON(S) FQR RECOb==ATIONS: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. On October 5, 1999, the Board of Supervisors approved Contract #26- 971 (as amended by subsequent amendments #26-971-1 and #26-971-2) with Ramon Berguer, M.D. , to provide General Surgery services for Contra Costa Regional Medical Center and Contra Costa Health Centers. Approval of Contract #26-971-3 will allow Contractor to continue providing services through August 31, 2002 . CONTINUE12 ON ATT C YES SIG AT L, RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE 4,1" APPROVE OTHER SIGNATUREM ACTION OF BOARD O J-,, -e APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSENT I 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",t 7 7 X t- I ?d o7ea 0 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR ContactPerson: Frank Puglisi, Jr. (370--5100) CC: Health Services(Contracts) Risk Management Auditor Controller BY -� � ,DEPUTY Contractor Page Two Board Order #26-971-3 Fee Schedule A. For General Surgery services, including consultation, training, medical and/or surgical procedures as follows: (1) $6.438.00 per month, for the period from September 1, 2000 through August 31, 2001; and (2) $6631.00 per month, for the period from September 1, 2001 through August 31, 2002 ; and B. (1) $1, 500 per month, for regularly scheduled on--call coverage services, defined as one (1) 24 hour day out of every four (4) days and one (1) weekend a month, not to exceed an annual total of $13, 000; and (2) 1125 per weekday, when requested by County to provide weekday on-call coverage services, in addition to the regularly scheduled on--call coverage services set forth in subparagraph b. (1) , above; and (3) 1390 per weekend, when requested by County to provide weekend on-call coverage services, in addition to the on- call coverage services set forth in subparagraphs b. (1) , above. C. In the event that Contractor works less than a full month at Contra Costa Regional Medical Center and Contra Costa Health Centers, County shall prorate payments to Contractor for that month. D. $ 450 .00 per occurrence when Contractor is required to come to the Hospital during on--call hours for a surgical procedure. E. Automatic Payment System. In the event that Contractor is paid a monthly base rate for services, County may, at its sole discretion, elect to pay the monthly base rate due to Contractor through the County' s Automated Payment System. In the event of that election, the Auditor-Controller will make periodic payments to Contractor, upon approval by the Health Services Director or his designee, in lieu of Contractor' s submission of a written Demand Form (D-15) . For payment of all other services and expenses, Contractor shall submit a written demand (Demand Form D-15) . O. BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts AdministratorQO Centra Costa DATE: September 6, 2000 County SUBJECT: Approval of Contract #26-969-2 with Gupta Etwaru, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Contract #26-969-2 with Gupta Etwaru, M.D. , (Specialty: Ophthalmology) for the period from September 1, 2000 through August 31, 2003 , to be paid in accordance with the attached fee schedule . FISCAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services . BACKGROUNWREASON(S) FOR RECOMMENDATIONS : For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics . On September 21, 1999, the Board of Supervisors approved Contract ##26-969 (as amended by Administrative Amendment Agreement #26-969-1) with Gupta Etwaru, M.D. , for the period from August 16, 1999 through August 31, 2000, to provide Ophthalmology services for Contra Costa Regional Medical Center and Contra Costa Health Centers . Approval of Contract #26969-2 will allow Contractor to continue providing services through August 31, 2003 . CO I U D QN A A H Y S SIGN U +' RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM ATION OF BOARD COMMITTEE '- APPROVE OTHER Ae ACTION OF BOARD ON APPROVED AS RECOMMENDED J` OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE X 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= {' 1 � f' ! 7, C) PHIL 6ATCHELOR,CLERK OF THE BOARD OF Contact[person: Frank pLi lisi, Jr. (370-5100) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY -,DEPUTY Contractor Page Two Board Order #26-969-2 Fee Schdule A. For the provision of Ophthalmology services, including consultation, clinic coverage, training, on-call services, and medical and/or surgical procedures, as follows : (1) $17, 083 .33 per month, for the period from September 1, 2000 through August 31, 2001, not to exceed a total of $205,000; and (2) $17,595.83 per month, for the period from September 1, 2001 through August 31, 2002, not to exceed a total of $211,150; and (3) $16,299.166 per month, for the period from September 1, 2002 through August 31, 2003, not to exceed a total of $219,596; and (4) In the event that Contractor works less than a full month at Contra Costa. Regional Medical Center and Contra Costa Health Centers, County shall prorate payments to Contractor for that month. B . Automatic Payment System. In the event that Contractor is paid a monthly base rate for services, County may, at its sole discretion, elect to pay the monthly base rate due to Contractor through the County' s Automated Payment System. In the event of that election, the Auditor-Controller will make periodic payments to Contractor, upon approval by the Health Services Director or his designee, in lieu of Contractor's submission of a written Demand Form (D-15) . For payment of all other services and expenses, Contractor shall submit a written demand (Demand Form D-15) . " TO: BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator ` ' ,-l" Contra Costa DATE: August 24, 2004 County SUBJECT: Approval of Contract #24-939-39 (3) with Kiran Koka, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION R.ECOF MUMED AC'TIIdN Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-939- 39 (3) with Kiran Koka, M.D. , in the amount of $50, 000, for the period from August 1, 2000 through June 30, 2001, to provide Medi-Cal mental health specialty services . FISCAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . BACKGR0=/RHM0N(S) EER. RECOMMENDATIONS: On January 14, 1997, the Board of Supervisors adopted Resolution #97/17, authorizing the Health Services Department to contract with the State Department of Mental Health to assume responsibility for Medi-Cal mental health specialty services . Responsibility for outpatient mental health specialty services involves contracts with individual, group and organizational providers to deliver these services . Approval of Contract #24-939-39 (3) will allow the Contractor to continue providing services, through June 30, 2001 . O TINU D T LRCOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE 41"APPROVE OTHER 810 MEW: . Q;� ACTION OF BOARD O / APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 1 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 3.�42 17--tU l- / t'g rrJ()06) PHIL BATCHELOR,CLERK OF THE BOARD OF Donna Wigand (313-6411) SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: CC: Health Services(Contract) Auditor-Controller tai Risk Management BY t l Lit c._ DEPUTY {Contractor TO: BOARD OF SUPERVISORS 0.60 FROM: William Walker, M.D. , Health Services Director `r�, Contra By: Ginger Marieiro, Contracts Administrator COStB DATE: September 6, 2000 County SUBJECT: Approval of Contract #74-082 with S. Victor Montoya SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on behalf of the County, Contract #74-082 with S . Victor Montoya, for the period from September 1, 2000 through September 30, 2001, in the amount of $95, 500, to provide consultation and technical assistance to the Department with regard to Mental Health Services and Mental Health Systems of Care. FISCAL IMPACT: This Contract is funded by Mental Health Realignment . BACKGROUND/REASON(g) FOR RECOMMENDATION(S) : Under Contract #74-082, S. Victor Montoya shall provide consultation and technical assistance to the Department ' s Mental Health Director with regard to Mental Health Services and Mental Health Systems of Care, including, but not limited to, writing grant proposals and applications, and facilitating meetings and groups with regard to program planning activities, through September 30, 2001 . CONTINUED ON A SIGNATURE f�1 COMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE PROVE OTHER ACTION OF BOARD O D ti APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT • 1 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 'Yi? PHIL BATCHELOR,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 TO: BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator Q Contra COSta DATE: September 6, 2000 0County SUBJECT: Approval of Emergency Residential Care Placement Agreement -121(1) with Carolyn Bell (dba Yvonne's Home Care Services) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION REgORIMNDATION{S) : a. Approve and authorize the Health Services Director or his designee (Donna M. Wigand) to execute on behalf of the County Emergency Residential Care Placement Agreement #24--086- 121(1) with Carolyn Bell (dba Yvonne's Home Care Services) , for the period from September 1, 2000 through August 31, 2001, to provide emergency residential care to mentally disturbed adults who are potentially eligible for SSI/SSP, in an amount not to exceed $847 per client per month through December 31, 2000, and in an amount not to exceed $890 per client per month beginning January 1, 2001; and b. Authorize the Auditor-Controller to pay an amount not to exceed $174 per month through December 31, 2000, and an amount not to exceed $183 per month beginning January 1, 2001, to clients who are placed in the board and care facilities under said Emergency Residential Care Placement Agreements for incidental expenses and personal needs. FISCAL IMPACT: Under this program, the County pays the State-established rates for the residential care of mental health clients who are not -yet receiving SSI/SSP (but who are potentially eligible and have made formal application to the Social Security Administration for SSI/SSP) , contingent upon the client's signing an agreement with the County to reimburse the County from the SSI/SSP money, once it is finally granted by the federal government (usually 3 to 6 months retroactively back to the month of application) . For those mental health clients who are not granted SSI/SSP (i.e. , are found ineligi.ble) , the County covers the residential care payments to the facility operators through the County's established Mental Health Program Funding. initially, ten to twenty percent of the clients are found ineligible by the Federal Social Security Administration, depending on changes in Federal guidelines, and then some of these are ultimately found eligible through appeal processes. BACF.G4ROUM/RRASON(S) FOR RBCOMX DATION(S) : For several years, the County's Mental Health Adult Services Program has used these Agreements as an interim financing mechanism to facilitate the residential care of mentally disabled clients and movement of clients, who are deemed eligible for SSI/SSP, from State or local inpatient facilities to community-based facilities. This Program provides residential care for 40 to 50 clients per year. On October 5, 1999, the Board of Supervisors approved Contract #24-086-121 with Carolyn Bell (dba Yvonne's Home Care Services) , for the period from September 1, 1999, through August 31, 2000, to provide emergency residential care to mentally disturbed adults who are potentially eligible for SSI/SSP. Approval of Emergency Residential Care Placement Agreement #24-086-121(1) will allow Contractor to continue providing services through August 31, 2001. L CONTINUgp ON ATTACHMENT: Y SIG AT RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD O APPROVED AS RECOMMENDED OTHER 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 �tee -7 iC,1 1 ­?6V0 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna (Wigand (313--6411) CC: Health Services(Contracts) Risk Management �7--�, Auditor Controller BY , - -c_ DEPUTY Contractor TO: BOARD OF SUPERVISORS C,67..* William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator f :�£ Contra �t�5t� GATE: September 6, 2000 Costa ty SUBJECT. Approval of Emergency Residential Care Placement Agreement #24- 86-123 with Portia Bell Hume Behavioral Health & Training Center (dba Noack Family Home) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)1! BACKGROUND AND JUSTIFICATION RBCOI QUX1WAT ON(S) : a. Approve and authorize the Health Services Director or his designee (Donna M. Wigand) to execute on behalf of the County, Emergency Residential Care Placement Agreement #24-086--123 with Portia Bell Hume Behavioral Health & Training Center (dba Noack Family Home) , for the period from July 1, 2000 through June 30, 2001, to provide emergency residential care to mentally disturbed adults who are potentially eligible for SSI/SSP, in an amount not to exceed $847 per client per month through December 31, 2000, and in an amount not to exceed $890 per client per month beginning January 1, 2001; Ind b. Authorize the Auditor-Controller to pay an amount not to exceed $174 per month through December 31, 2000, and an amount not to exceed $183 per month beginning January 1, 2001, to clients who are placed in the board and care facilities under said Emergency Residential Care Placement Agreements for incidental expenses and personal needs. FISCAL I11e'tPACT: Under this program, the County pays the State-established rates for the residential care of mental health clients who are not vet receiving SSI/SSP (but who are potentially eligible and have made formal application to the Social Security Administration for SSI/SSP) , contingent upon the client's signing an agreement with the County to reimburse the County from the SSI/SSP money, once it is finally granted by the federal government (usually 3 to 6 months retroactively back to the month of application) . For those mental health clients who are not granted SSI/SSP (i.e. , are found ineligible) , the County covers the residential care payments to the facility operators through the County's established Mental Health Program Funding. Initially, ten to twenty percent of the clients are found ineligible by the Federal Social Security Administration, depending on changes in Federal guidelines, and then some of these are ultimately found eligible through appeal processes. BACK61R0i3 W jRZASQX(S) TOR RBCOXNDAT:rQX(S) For several years, the County's Mental Health Adult Services Program has used these Agreements as an interim financing mechanism to facilitate the residential care of mentally disabled clients and movement of clients, who are deemed eligible for SSI/SSP, from State or local inpatient facilities to community-based facilities. This Program provides residential care for 40 to 50 clients per year. Under Emergency Residential Care Placement Agreement #24-086-123 Contractor will provide emergency residential care to mentally disturbed adults who are potentially eligible for SSI/SSP, through June 30, 2001. CONTINUED ON ATTACHMENT' yfie, SIGNATURE - r� t? ✓ +� �A RCOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER S 4 ACTION OF BOARD O C1 APPROVED ASRECOMMENDED _X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSENT l 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 �?7egli'" lL7 PHIL BATCHELOR,CLERK OF THE BOARD OF Contact Person: Dartna Wigand (313--6411) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management v� Auditor Controller BDEPUTY Contractor TO: BOARD OF SUPERVISORS William Walker, Health Services Director FROM: By: Ginger Marieiro, Contracts Administratora Contra DATE: September 6, 2000 Costa County SUBJECT: Acknowledge Termination of Contract #24-795-7 with Christina C. Koch SPECIFIC REQUEST{S}OR RECOMMENDATION(S)&13ACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Acknowledge receipt of notice from Christina C. Koch requesting termination of Contract #24-795-7, effective at the end of the workday on August 14, 2000 . FINANCIAL IMPACT: None. This Contract was 100% funded by Dental Health Realignment funding. REASONS FOR RECOMMENDATIONSZBACKGROUND: On July 18, 2000, the Board of Supervisors approved Contract 424-795- 7 with Christina C. Koch, for the period from July 1, 2000 through June 30, 2001, for the provision of consultation and technical assistance to the Department with regard to coordination of Mental Health Vocational Services Programs. The purpose of this Board order is to advise the Board of Supervisors that the Department and the Contractor, have mutually agreed to terminate Contract #24-795-7, effective August 14, 2000 . CONTINUEDCONTINQED ON AIJACHMEN SIGNAT11RE R' COMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE - APPROVE -OTHER SIGNATURURV ACTION OF BOARD ON 2 Q APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS !HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSENT 1 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, 1/?-&0& PHIL IfATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (S1.3-641.1.) CC: Health Services(Contract) Auditor-Controller jr '�y Risk Management 13YZ � / . ! �__lC Z4te-*,, DEPUTY Contractor