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To: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator
4 i° • Costa
K.-�� .
DATE: August 29, 2001 County
SUBJECT: Approval of Standard Agreement (Amendment) #29-772-7 with the
State Department of Health Services ^
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SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
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RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Milt Camhi) , to execute on behalf of the County, Standard Agreement
(Amendment) #29-772-7 (State 496-26103 , 08) with the State Department
of Health Services (DOHS) , to increase the Fiscal Year 2001-2002
Payment Limit by $10 , 000 , OQO to a new total of $295, 929, 540 , for the
Medi-Cal Local Initiative Health Plan.
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FISCAL IMPACT: j
This Amendment will increase the Fiscal Year 2001-2002 by 10 , 000, 000 to
a new total of $295, 929, 540, for the Medi-Cal Local Initiative . No
County funds .
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BACKGROUND/REASON(S) FOR RECOMMENDATION(S) :
On November 19, 1996, the Board of Supervisors approved Standard
Agreement 429-772 (as amended by subsequent Amendment Agreements #29-
772-1 through #29-772-6) with the State of California for the Medi-Cal
Local Initiative Health Plan, for the period from October 1 , 1996
through March 31, 2002 .
Approval of Standard Agreement (Amendment) #29-772-7 will increase the
amount of funding for the Medi-Cal Local Initiative and allow County to
continue providing services, through March 31, 2002 .
Four certified/sealed copieIs of this Board Order should be returned to
the Contracts and Grants Unit for submission to the State .
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CONTINUED ON ATTACHMENT: Y S SIGNATUR
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
_,,.0 APPROVE _OTHER
SIGNATURE(S): Ge"Z�
ACTION OF BOARD O APPROVED AS RECOMMENDED X OTHER
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VOTE OF SUPERVISORS
,I /l I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENi�jQ1M AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: I OF SUPERVISORS ON THE DATE SHOWN.
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ATTESTED Ulan.
JOHN SWE TEN,CLERK OF THE BOARD OF
Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: State Dept of Health Services
Health Services Dept (Contracts) B . ��) / /� p Ut'�-f> DEPUTY
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