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TO: BOARD OF SUPERVISORS = Contra
FROM: William Walker.M.D..Health Services Director Costa
r_a
By: Jacqueline Pigg. Contracts Adminis
4J }r County
DATE: August 2. 2006
SUBJECT: Retroactive Payment to Nightingale of Contra Costa.LLC �
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S'YECIS_REQUESTS S CR rir v=' =_YC-ICR" '-a :JS`1F1_AT'-_.'
RECOMME\DATION(S):
Ratifi purchase of services from Nightingale of Contra Costa. LLC., and authorize the Count
Auditor-Controller to pay S9.500 outstanding balance for provision of in-home Healthcare for AIDS f
patients.
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FISCAL IMPACT: I
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This Contract is 100% Federally funded, through the State Office of AIDS. by Alameda County.
as grantee of Federal Funds for the Ryan White CARE Act. No Count- funds required. i
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BACKGRQU° D/REASO\(S) FOR RECOMMENDATION(S):
On June 7. 2005. the Board of Supervisors approved Contract =22-874-2 (as amended by
Contract Amendment Agreement =22-874-3 and =22-874-4) with Nightingale of Contra Costa.
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LLC. for the period from July 1. 2005 through June 30. 2006. for the provision of temporary in- i
home health care for County-referred MDS patients including intermittent skilled nursing care. I
attendant care. homemaker services. nutritional and psychosocial counseling. physical and I
occupational therapy. and medical adherence services. !
Services were both requested by Count-staff and provided by the Contractor in good faith. Because
of administrative oversight by both the Count- and Contractor. use of the Contractor's services
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exceeded in the authorized limits i
Services were requested and provided beyond the payment limit and by the end of June 30. 2006,
charges of S124.5,00 had been incurred. of which S115'.000 has been paid. and S9.500 remains I
outstanding.
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The Department is requesting that the amount due the Contractor be paid. This can be i
accomplished by the Board of Supervisors ratiA-ing the actions of the County employees in
obtaining prdyision of services of a value in excess of the contract payment limit. This will create
a valid obligation on the part of the Count- retroactively authorizing all payments made by the i
Auditor-Controller up to now. and authorizing payment of the balance.
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CONTINUED ON ATTACHMENT: YES SIGNATURE:
_lam RECOMMENDATION OF COUNTY ADMINISTRATOR ✓ RECOMMENDATION OF BOARD COMMITTEE I
APPROVE OTHER
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SIGNATURES
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ACTION OF BOARD N APPROVED AS-RECOMMENDED X OTHER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
XAND CORRECT COPY OF AN ACTION TAKEN
UNANIMOUS (ABSENT YjAr-ie AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN:
tvst 15�
ATTESTED )DOW �
Contact Person: Wendel Brunner.M.D. 313-6'1'- JOHN CULLEN, LERK OF TH BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services Department (Contracts)
Auditor Controller
Risk Management BY C� DEPUTY
Contractor
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