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TO: BOARD OF SUPERVISORS
Contra
FROM: William tCalker, S.D.. Health Services Director
- f= Costa
Bt: Jacqueline Pigg, Contracts administrator
County
DATE: AUdust 2. _U�-
)6 J�rA�r I
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SUBJECT: en
Approval of Cancellation Agree t _- S-- and Contract=2�-4S-S with Beterl-Jacobs.PH\
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RECO-IAIE\DATIO\(S):
Approve and authorize the Health Services Director. or his designee (Richard Harrison). to execute on
behalf of the Count_ as follows:
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1. Cancellation agreement =2'-458-7 with Bei erlt Jacobs. PH\. effective at the close of business I
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on August 14. '006: and
jContract -2-458-8 with Beterl- Jacobs. PH-\. a self-emplo}ed individual. in an amount not to I
exceed S94 S6. to protide consultation and technical assistance with regard to the Health Plan's '
network of medical providers. for the period from August 15, '1--106 through august =1. -2007. i
FISCAL IMPACT:
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This Contract is funded by Contra Costa Health Plan m mber premiums. Costs depend upon utilization. I
As appropriate,patients and or third-pant payors will be billed for services. I
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BACKGROUND/REASON(S) FOR RECOMME\DATIO\(S):
The Health Plan has an obligation to protide certain specialized professional health care services for its I
members under the terms of their Individual and Group Health Plan membership contracts with the County.
I On Februar° '8, -'_006. the Board of Supervisors approved Contract =27-45S-6 with Beverly Jacobs. PH\. !
for the period from Februart 1. 2006 through Januart =1, -2007, to protide consultation and technical
assistance to the Health Plan with regard to the Local Initiative and other Health Plan programs including
evaluation of the Local Initiative, attending meetings with the State Department of Health Services. and I
making presentations to Health Plan participating providers to maintain compliance with State regulations
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and requirements.
The Department and Contractor ha-e mutually agreed to renegotiate the Contract allowing the Contractor to
protide services as an independent Contractor instead of a Contractor subject to withholding. Therefore, in
accordance with General Conditions. Paragraph ; (Termination and Cancellation) of the Contract. the
Department and Contractor have agreed to a mutual cancellation of Contract -'7-45S-6. Approval of I
Cancellation_ffeement=2.-4SS will accomplish this termination.
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Lander Contract ='-7-4�,8-8. the Contractor will protide consultation and technical assistance to the Contra
Costa Health Plan, including liaison services for the Health Plan's Medical Providers, through AuQttst 31.
101_1
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CONTINUED Cil ATTACHMENT: YES SIGNATURE:
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_.y,�RECOMF1Ei:CATIOtJ OF COUNTY ADMINISTRATORFccCG�:I.1Ei:CATIO!m OF BOARD COF1:�iITTI EE I
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✓APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD O J JW APPROVED AS RECONME=DED X OTHER
j VOTE OF SUPERVISORS I HEREBY CERTIFY THAT ThIS IS A TRUE
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AND CORRECT COPY CF AN ACTION TAKEN I
U^:A".Ii10U5 (ABSENT YWe ) AhD ENTERED ON THE MHNUTES OF THE BOARD I
AYES: NOES: OF SUPERVISORS ON THE DATE SHOViN.
ABSENT: ABSTAIk: �
ATTESTED k4u5t
HarrisonOhr1 CULLE 1, CLERK OF THE BOARD CF
Contact Person: Richard HzI
('1=-6004) SUPERVISORS AND COUNTY ADM:::ISTRATOR
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CC: Health Services Department (Contracts)
Aud*or Cortrc!fer 1
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