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Home My WebLink AboutMINUTES - 02231993 - 1.9 (2) q0 TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts Administrato19 Costa DATE: February 11, 1993 County SUBJECT: Approve Contract Amendment Agreement #23-024-10 with Regional Ambulance, Inc. (dba Regional Medical Systems) SPECIFIC REQUEST(S) OR RECOMMENDATION(S) 8c BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, Contract Amendment Agreement #23-024-10 with Regional Ambulance, Inc. (dba Regional Medical Systems) effective January 3, 1993, to amend Ambulance Service Agreement #23-024-9 to extend the term of the Agreement to July 2, 1993 and to provide an increase in payment of up to $1, 357,482 during the extension period, for provision of emergency ambulance services in County's Emergency Response Areas 1, 2, and 5. II. FINANCIAL IMPACT: There is no County General Fund impact. Subsidy payments are funded under CSA EM-1 (Measure H) . Under the terms of this Contract Amendment Agreement, there is no increase in the payment rate; the payment limit increase provides for payment to the Contractor during the extension period at the same rate. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On March 5, 1991, the Board of Supervisors authorized the Health Services Director to execute Ambulance Service Agreement #24-024-9 with Regional Ambulance, Inc. (dba Regional Medical Systems) to provide emergency ambulance services for the County in Emergency Response Areas 1, 2, and 5, for the period from January 3 , 1991 through January 2, 1993 . The Agreement includes provision for an automatic contract extension through May 2, 1993 . The purpose of Contract Amendment Agreement #23-024-10 is to extend the term of the Agreement to July 2 , 1993 , and to increase the subsidy payment so that the Contractor may continue providing emergency ambulance services for the County pending completion of negotiations for a new contract. CONTINUED ON ATTACHMENT: YES SIGNATURE: _ J RECOMMENDATION OF COUNTY ADMINISTRATOR REC MME A ION OF BOARD OMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS — X UNANIMOUS (ABSENT 2 ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD Contact: Art Lathrop (646-4690) OF SUPERVIS0 ON THE DATE ?�rd OWN..yC� CC: Health Services (Contracts) ATTESTED 7 risk Management Phl BatchelorCfek of t Bo Auditor-Controller Supervisors and County Administrator Contractor / M382/7-83 BY c� DEPUTY Contra Costa County Standard Form 1/87 CONTRACT AMENDMENT AGREEMENT (Purchase of Services) Number 23-024-10 Fund/Org # 7406 Account # as coded Other # 1. Identification of Contract to be Amended. Number: 23-024-9 Effective Date: January 3, 1991 Department: Health Services - Emergency Medical Services Subject: Emergency Ambulance Services (Emergency Response Areas 1, 2 and 5) 2. Parties. The County of Contra Costa, California (County) , for its Department named above, and the following named Contractor mutually agree and promise as follows: Contractor: REGIONAL AMBULANCE, INC. (dba REGIONAL MEDICAL SYSTEMS) Capacity: California corporation Address: 413 Christy Street, Fremont, California 94538 Mailing Address: P.O. Box 7780, Fremont, California 94537 3 . Amendment Date. The effective date of this Contract Amendment Agreement is January 3 , 1993 4. Amendment Specifications. The Contract identified above is hereby amended as set forth in the "Amendment Specifications" attached hereto which are incorporated herein by reference. 5. Signatures. These signatures attest the parties' agreement hereto: COUNTY OF CONTRA COSTA, CALIFORNIA ATTEST: Phil Batchelor, Clerk of BOARD OF SUPERVISORS the Board of Supervisors and County Administrator By ChairmaDesignee Deputy CONTRACTOR By ByC (Designate business capacity A) (Designate business capacity B) Note to Contractor: For corporations (profit or nonprofit), the contract mist be signed by two officers. Signature A mist be that of the president or vice-president and Signature B asst be that of the secretary or assistant secretary (Civil Code Section 1190 and Corporations Code Section 313). All signatures asst be acknowledged as set forth an page two. Jr ` dontra Costa County Standard Form 1/87 APPROVALS/ACKNOWLEDGEMENT Number 23-024-10 APPROVALS RECOMMENDED BY DEPARTMENT FORM APPROVED By B , —41 Des\c e APPROVED: COUNTY ADMINISTRATOR ACKNOWLEDGEMENT State of California ACKNOWLEDGEMENT (By Corporation, Partnership, or Individual) County of Alameda William Earl Riggs The person(s) signing above for Contractor,/ personally known to me in the individual or business capacity(ies) stated, or proved to me on the basis of satisfactory evidence to be the stated individual or the representative(s) of the partnership or corporation named above in the capacity(ies) stated, personally appeared before me today and acknowledged that he/she/they executed it, and acknowledged to me that the partnership named above executed it or acknowledged to me that the corporation named above executed it pursuant to its bylaws or a resolution of its board of directors. Dated: February 8, 1993 [Notarial Seal] Irr�eesneemeneen:mmnuneeeeueeenelnunm® ��U/4�'- Jf`y�1-.LG OFFICIAL SEAL NotaryvPublic/Deputy County Clerk NAOMI WALLACE NOTARY PUBLIC-CALIFORNIA My Comm.Expires June 20,.1995 -2- Y AMENDMENT SPECIFICATIONS Number 23-024-10 In consideration for Contractor's agreement to provide additional services under the Ambulance Service Agreement identified herein, County agrees to extend the term of the Agreement. County and Contractor agree, therefore, to modify said Agreement as specified below, while all other parts of the Agreement remain unchanged and in full force and effect. 1. Extension of Term. The term set forth in Special Conditions Paragraph 1. (Automatic Contract Extension) is hereby extended from May 2 , 1993 through July 2, 1993 . 2. Modification of Payment Provisions. Service Plan Section II. , Paragraph U. (Payment Provisions) is hereby modified to read as follows: "U. Payment Provisions. 1. County shall pay Contractor the amounts specified in Exhibit C, attached hereto and incorporated herein by this reference, for the performance of this Agreement, and Contractor agrees that the payment provisions contained herein include payment in full for all ambulance services for which Merrithew Memorial Hospital or Contra Costa Health Plan is financially responsible, including transport of prisoners. County will not pay Contractor for transporting Contra Costa Health Plan patients to an acute care hospital from a location which is not an acute care hospital. 2 . Contractor shall submit monthly invoices, performance reports, and statistical data to County. No payments shall be made to Contractor until County receives and accepts the monthly invoice and performance reports and statistical data. Penalties assessed during the previous calendar month shall be deducted by County prior to payment to Contractor. 3 . County shall pay Contractor the rates specified in Exhibit C as "First Responder Paramedic Unit" for County-authorized first responder, non-transport paramedic units. Except for disposable supplies expended at the scene, Contractor shall not bill any patient for services provided by a non-transport paramedic unit. 4. County reserves the right to reduce the payment rates for the second contract year (January 3, 1992 - January 2, 1993) if Contractor determines that the level of effort needed to meet the performance standards contained herein is less than sixteen (16) 24-hour per day/7-day per week paramedic units or the equivalent. 5. Payment provisions for the third and fourth years of this Agreement, if extended, shall be negotiated timely and shall be specified as a part of any new, amended, or extended agreement, except that during any period of automatic extension, Contractor shall be paid a prorated amount based upon the Year Two payment rates specified in Exhibit C. 6. In the event County and Contractor mutually agree, as a result of said negotiations, that a rate adjust is appropriate for the extension period set forth above, the adjusted rate sha b determined a follows: Initials. 1 Contractor C unty Dept. AMENDMENT SPECIFICATIONS .! Number 23-024-10 a. Any increase in payment rate shall become effective only following the date of approval by County. Contractor agrees to absorb any loss in subsidy during the extension period. b. Any decrease in payment rate during the extension period shall be deemed retroactive to January 2, 1993 . " 7. Notwithstanding any other provision of this Agreement, if Medi-Cal and/or Medicare increases their reimbursement rates to Contractor during the term of this Agreement, Contractor and County shall negotiate a commensurate reduction in the payments to Contractor set forth in Exhibit C; if Medi-Cal and/or Medicare decreases their reimbursement rates to Contractor during the term of this Agreement, Contractor and County shall negotiate reasonable increases in the patient charges set forth in Exhibit B. In this regard: a. Contractor shall provide County with its Medicare and Medi-Cal reimbursement rates in effect on the effective date of this Agreement. b. Contractor shall notify County of any change in the reported rates. " 3. Modification of Payment Schedule. Exhibit C. (Payment Schedule) is hereby amended to add a new Paragraph C. , to read as follows: "C. EXTENSION PERIOD - January 2, 1993 - July 2. 1993. 1. Monthly Payment. County shall pay Contractor $208,532 per month, not to exceed $1,251,192 for the six (6) month period of January 3, 1993 through July 2, 1993 ; and 2. First Responder Paramedic unit. County shall pay Contractor for first responder paramedic units authorized by County at the rate of $23.81 per hour not to exceed $17,715 per month. NOTE: This rate is not intended to cover the cost(s) of providing housing for first responder paramedic units. " Initials: 2 Contractor C61nty Dept.