HomeMy WebLinkAboutMINUTES - 09112001 - C.148 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director '_'.
By: Ginger Marieiro, Contracts Administrator `-�_ 1� Contra
CX
Costa
August 15, 2001 ,�i � °�� COUrIt
DATE: �! °sTq cnuN v `�
SUBJECT: Approval of Amendment #26-398-1 (Modification #1/#V261S-0426) 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
#26-398-1 , (Modification #1/#V261S-0426) with the U. S. Department of
Veterans Affairs Northern California Health Care System (VANCHCS) ,
effective July 1, 2001, to amend Sharing Agreement #26-398, to make
technical adjustments .
FINANCIAL IMPACT:
None, no change in the original term of the agreement and no change in
the original payment limit of $80, 142 . The Agreement is funded in the
Health Services Department ' s Enterprise I Budget . Under the term of
the agreement, VANCHCS is 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 November. 14 , 2000, the Board of Supervisors approved Sharing
Agreement #26-398 #V261S-0426) with the VANCHCS, for the period from
November 1, 2000 through September 30, 2002 , to provide specialized
Dermatology services to County' s patients referred for treatment by
Contra Costa Regional Medical Center physicians .
Approval of this Amendment #26-398-1 (Modification #1/#V261S-0426) ,
will allow County and Contractor to make technical adjustments to the
Sharing Agreement for Dermatology services, allowing Contractor to
continue providing services through September 30, 2002 .
The Contract documents have always been prepared by the Veterans
Administration.
CONTINUED ON ATTACHMENT: X YES SIQNATURVdj�� )(W
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE _OTHER
r
SIGNATURE(S): .
ACTION OF BOARD APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
v I HEREBY CERTIFY THAT THIS IS A TRUE
1� UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN f
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
JOHN SW*TEN,TEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Frank Puglisi (370-5100)
CC: Health Services Dept. (Contracts)
Auditor-Controller 1
Risk Management Brr�k �/ DEPUTY
Contractor
Page 2
• ..
Contract #26-398
SECTION]II- FEE SCHEDULE
PERIOD: November 1,2000 through September 30,2001
PTS Rate A&G Price Per Pt Cost
1 96912 Psoralens and ultraviolet (PUVA) 480 $45.00 $3.38 $48.38 $23,224.00
2 97028 Ultraviolet(UVB) 480 $28.00 $2.10 $30.10 $14,450.00
3 99201 New patient,problem focused 12 $43.00 $3.23 $46.23 $ 555.00
4) 99241 New or Established patient,problern focused 12 $70.00 $5.26 $75.26 $ 903.00
Estimated Total $39,132.00
PERIOD: October 1,2001 through September 30,2002
PTS Rate A&G Price Per Pt Cost
1 96912 1 Psoralens and ultraviolet PUVA 480 $47.16 $3.55 $50.71 $24,338.00
2 97028 Ultraviolet(UVB) 480 $29.34 $2.21 $31.55 $ 15,144.00
3) 99201 New patient,problem focused 12 $45.06 $3.39 $48.45 $ 581.00
4 99241 New or Established patient problem focused 12 $73.36 $5.51 $78.87 $ 946.00
Estimated Total $41,010.00
PERIOD: October 1,2002 through Sep teniber 30,2003
PTS Rate A&G Price Per Pt Cost
1) 96912 Psoralens and ultraviolet A(PUVA) 480 $49.42 $3.72 $53.14 $25,507.00
2) 97028 Ultraviolet(UVB) 480 $30.75 $2.31 $33.06 $ 15,871.00
3 99201 New patient,probleLnfocused 12 $47.23 $3.55 $50.78 $ 609.00
4) 99241 New or Established patient,problem focused 12 $76.88 $5.78 $82.66 $ 992.00
Estimated Total $42,979.00
PERIOD: October],2003 through September30,2004
PTS Rate A&G Price Per Pt Cost
1) 96912 Psoralens and ultraviolet A(PUVA) 480 $51.80 $3.89 $ 55.69 $26,731.00
2) 97028 Ultraviolet(l_1VB) 480 $32.23 $2.42 $34.65 $ 16,663.00
3) 99201 New patient,problern focused 12 $49.49 $3.72 $53.21 $ 639.00
4 99241 New or Established patient,problem focused 12 $80.57 $6.06 $86.63 $ 1,040.00
Estimated Total $45,043.00
Indirect Rate is Direct Labor only,prorated as weighted cost. Tot- Estimated Value $ 1G8,1 G4.00
1)See Section 11,Paragraph I'(1),for additional information regarding reimbursement for services provided under this agreement.
2)CPT Codes 96912/97028 Includes the cost of goggles provided to patient for UVA and UVB therapy.
Dermatology.doc 09/28/00