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HomeMy WebLinkAboutMINUTES - 01191993 - 1.21 21 TO: BOARD OF SUPERVISORS Mr (� } FROM: Mark Finucane, Health Services Director � v�lra By: Elizabeth A. Spooner, Contracts Administra Costa DATE: January 7, 1993 County SUBJECT: Approve Standard Agreement (Amendment) #29-202-52 with the State Department of Health Services for Family Planning Services SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, Standard Agreement (Amendment) #29-202-52 (State #91-12416-A3) effective July 1, 1992 with the State Department of Health Services to amend Standard Agreement #29-202- 48 (effective July 1, 1991 through June 30, 1994) for the County's Family Planning Services. This amendment increases the payment limit for FY 92-93 by $56, 330 from a payment limit of $70,900 to a new fiscal year contract total of $127,230. II. FINANCIAL IMPACT: Approval of this amendment will result in $56, 330 of increased State funding for FY 1992-93 for the County's Family Planning Services, and increase the maximum reimbursable amount of State funding for the three year term of the agreement to a new total of $316, 130: No additional County funding is required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For many years the County has provided family planning services to citizens of child-bearing age who would otherwise be unable to obtain these services. Family planning services funded through -. this contract are for persons who request such services through County facilities. The County must bill any other possible payment source, such as Medi-Cal, before seeking reimbursement from the State for services provided. This contract is a method for reimbursement rather than a straight reimbursement contract. The Board Chair should sign nine copies of the agreement, eight of which should then be returned to the Contracts and Grants Unit for submission to the State Department of Health Services. CONTINUED ON ATTACHMENT: YES SIGNATURE• aQse¢.r� RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENON OF BOARD COfAMITTEE APPROVE OTHER SIGNATURES) ACTION OF BOARD ON APPROVED AS RECOMMENDED 2< OTHER 1 VOTE OF SUPERVISORS X ( � UNANIMOUS (ABSENT ) 1 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: Wendel Brunner, M.D. (313-6712) OF 'SUPERVISORS N THE DATE SHOWN. Cc: Health Services (Contracts) ATTESTED Iq Auditor-Controller (Claims) Phil Batchelor, Clerk of the Board of State Dept. of Health Services i M3132/7-83 BY DEPUTY STATE Ov ALIFORNIA 1 c 2 h.• a 1 T.APi�ARD AGREEMENT- APPROVED BY THE CONTRACT NUMBER AM.NO. ATTORNEY GENERAL ST6.2(REV.591) 91-12416 A-03 TAXPAYERS FEDERAL EMPLOYER IDENTIFICATION NUMBER THIS AGREEMENT,made and entered into this 1 St . day of July ,19 92 94-6000507 in the State of California,by and between State of California,through its duly elected or appointed,qualified and acting TITLE OF OFFICER ACTING FOR STATE AGENCY 20^ 2 — 5 2 Chief, Program Support Branch Department Of Health Servicias hereafter called the State,and CONTRACTOR'S NAME County of Contra Costa Health Services/Public Health hereafter called the Contractor. WITNESSETH: That the Contractor for and in consideration of the covenants,conditions,agreements,and stipulations of the State hereinafter expressed, does hereby agree to furnish to the State services and materials as follows: (Set forth service to be rendered by Contractor,amount to be paid Contractor, time for performance or completion,and attach plans and specifications,if any.) 1. In that certain agreement between this Department and County of Contra Costa Health Services/Public Health dated July 1, 1991 and amended on December 1, 1991 and on January 1, 1992: A. Paragraph 3.A. (2) is amended to read: e(2) The maximum amount payable under this contract for services rendered during the fiscal year 1992-93 (July 1., 1992-June 30, 1993) shall not exceed $127,230. " B. Paragraph 3.A. (4) is amended to read: N(4) The maximum amount payable under this contract shall not exceed $316,130." CONTINUED ON 1 SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER. The provisions on the reverse side hereof constitute a part of this agreement. IN WITNESS WHEREOF,this agreement has been executed by the parties hereto,upon the date first above written. STATE OF CALIFORNIA CONTRACTOR AGENCY CONTRACTOR(it other than an individual,state Whether' avpniaticn.Pannershj0.etc.) Department of Health Services County of Contra Costa r ;1. :=_;�: BY(AUTHORIZED SIGNATURE) (AUTHOR ZF�6{GNA ) I 0M PRINTED NAME OF PERSON SIGNING PRINTED NAME AND TITLE OF PERSON SIGNING Edward E. Stahlberg Chair, ,Board-of,Supervisors,' -. ' - TITLE upervisors,' 'TITLE ADDRESS =1tti JY y�r r.. Chief, Program Support Branch 651 Pine Stree�,, Tfartine7,���A= 94553 AMOUNT ENCUMBERED BY THIS PROGRAMlCATEGORY(CODE AND TITLE) FUND TITLE Department Of General Services DOCUMENT $ 56,330 Local Assistance Geral Use Only (OPTIONAL USE) PRIOR AMOUNT ENCUMBERED FOR THIS CONTRACT $ ITEM CHAPTER STATUTE FISCAL YEAR TOTAL AMOUNT ENCUMBERED TO I 900 4260-111-001 587 1992 1992-93 DATE OBJECT OF EXPENDITURE(CODE AND TITLE) $ 245,230 92-52423-4945-701-03 I hereby certify upon my own personal knowledge that budgeted funds T.B.A.NO. B.R.NO, are available for the period and purpose of the expenditure stated above. SIGNATURE OF ACCOUNTING OFFICER DATE V El CONTR Mty c© Q N(Qosta ffp�W.ioFfta-tomes/Pelt&*kith 91-12416 A-03 .f ,r County of Contra Costa Health Services/Public Health 91-12416 A-03 C. Paragraph 5.A.2. , on page 5, is hereby amended to read: 12. Exhibit C-1, for fiscal year 7-1-92 to 6-30-93; Upon the effective date of this amendment, all references to Exhibit C for fiscal year 1992/93 in the body of this agreement, and in any exhibits thereto, shall hereinafter be deemed to read Exhibit C-1 for fiscal year 1992/93." 2. The effective date of this amendment is July 1, 1992. 3. All other terms and provisions of said agreement shall remain in full force and effect. PAGE 2 OF 2 County of Contra Costa Health Services/Public Health 91-12416 A-03 July 1, 1992 EXHIBIT C-1 PAYMENT PROVISIONS OFFICE OF FAMILY PLANNING JULY 1, 1992-JUNE 30, 1993 A. The contractor shall have general spending authority at rates not to exceed those published in the Guidebook for Family Planning Services, Part 3, entitled "Schedule of Maximum Allowances". These payment provisions shall further be governed by the appropriate "Standards" in the Guidebook, Division A. B. The maximum amount payable under Exhibit C-1 shall be allocated as follows: 1. The Contractor shall have spending authority for providing contraceptive and pregnancy testing services. The maximum amount shall not exceed $127,230. There are no further subdivisions of this paragraph. B. Page 1 of 1