HomeMy WebLinkAboutMINUTES - 09112001 - C.147 ;0: -%;. BOARD OF SUPERVISORS
FROM:. William Walker, M.D. , Health Services Director
By: Contra
Ginger Marieiro, Contracts Administrator I'
DATE August 29, 2001 y �
" Costa
J County
SUBJECT: Approval of Amendment #26-345-6 (Modification #1/#V612S-0290) with
the U.S . Department of Veterans Affairs
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Frank Puglisi, Jr. ) , to execute on behalf of the County, Amendment
#26-345-6 (Modification #1/#V612S-0290) with the U.S . Department of
Veterans Affairs Northern California Health Care System (VANCHCS) ,
effective September 1, 2001, to extend the term of the agreement from
October 1, 2001 through September 30, 2003 .
FINANCIAL IMPACT:
This Contract is funded in the Health Services Department ' s Enterprise
I Budget . Under the terms of the agreement VANCHCS will be paid a fee
for service in accordance with the attached fee schedule which is
incorporated in the Contract . The services provided for the County' s
patients under this Contract are billable to patients and third party
payors .
REASONS FOR RECOMMENDATIONS/BACKGROUND:
On March 7, 2000, the Board of Supervisors approved Sharing Agreement
#26-345-4 (as amendment by Amendment Agreement #26-345-5) , with the
VANCHCS, for the period from January 1, 2000 through September 30,
2001, to provide neurology services to County' s patients referred for
treatment by Contra Costa Regional Medical Center (CCRMC) .
Approval of this Amendment #26-345-6 (Modification #1/#V612S-0290) ,
will allow Contractor to continue providing services at the rates
specified in the attached fee schedule, through September 30, 2003 .
The Contract documents have always been prepared by the Veterans
Administration.
CONTINUED ON ATTACHMENT: YES SIGNATUR
&,--RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
_PROVE _OTHER
SIGNATURE(S):
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
JOHN SWE�TEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Frank Puglisi, Jr. (370-5100)
CC: Health Services Dept. (Contracts)
Auditor-Controllerl
Risk Management BAIMP° DEPUTY
Contractor
Page 2
contract #26-345—
SECTION III - FEE SCHEDULE
A. BASE PERIOD: January 1,2000 through September 30,2000
CPT Description Est.Qty. Price per
de Procedure Total
1) 95950 - story EEG Monitoring(AMEEG) 45 $ 629.00 $ 28,305.00
2) 92507 Multiple Sleep Latency 5 $ 558.00 $ 2,790.00
3) N/A No Show for AMEEG N/A $ 315.00
4) N/A No Show for MSLT N/ 79.00
Base Period - Estimated Total
B. N YEAR 1: October 1,2000 through September 30,2001
I) 195950 24-Hour Ambttlato Monitoring(AMEEG) 60 $ 673.00 $ 40,380.00
2) 92507 Multiple Sleep Latency Testing 5 $ 597.00 $ 2,985.00
3) N/A No Show for AMEEG N/A $ 337.00
4) N/A No show for MSLT 99.00
Option Year I - Estimated Total $ 43, 0
C. OPTION YEAR 2: October 1,2001 through September 30,2002
1) 95950 24-Hour Ambulatory EEG Monitoring (AMEEG) 60 $ 720.00 .$ 43,200.00
2) 92507 Multiple Sleep Latency Testing(MSLT) 5 $ 639.00 $ 3,195.00
3) N/A No Show for AMEEG N/A $ 347. 0
4) N/A No show for MSLT N/A $ 308.00
Option Year 2 - Estimated Total $ 46,395.00
D. OPTION YEAR 3: October 1,2002 through September 30, 2003
1) 95950 24-Hour Ambulatory EEG Monitoring (AMEEG) 60 $ 770.00 $ 46,200.00
2) 92507 Multiple Sleep Latency Testing (MSLT) 5 $ 684.00 $ 3,420.00
3) N/A No Show for AMEEG N/A $ 364.00
4) N/A No show for MSLT N/A $ 323.00
Option Year 3 - Estimated Total $ 49,620.00
E. OPTION YEAR 4: October 1,2003 through September 30, 2004
1) 95950 24-Hour Ambulatory EEG Monitoring (AMEEG) 60 $ 824.00 $ 49,440.00
2) 92507 Multiple Sleep Latency Testing(MSLT) 5 $ 732.00 $ 3,660.00
3) N/A No Show for AMEEG N/A $ 382.00
4) N/A No show for MSLT N/A $ 339.00
Option Year 4 - Estimated Total $ 53,100.00
Grand Total (Including Base Period and Options) $223,575.00
*See Section II, Paragraph F(1), for additional information regarding reimbursement for services provided under this agreement.
Neurulogy.doc(kep) 2/3/00