HomeMy WebLinkAboutMINUTES - 01261993 - 1.47 TO: BOARD OF SUPERVISORS
FROM. Mark Finucane, Health Services Director Contra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: January 7, 1993 County
SUBJECT: Approval of Contract Amendment Agreement #24-469-9 with
Bay Area Addiction Research and Treatment; Inc.
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, Contract Amendment Agreement #24-469-9 with Bay
Area Addiction Research and Treatment, Inc. (BAART) , effective
December 1, 1992, to amend Standard Agreement (Novation) Contract #24-
469-7 (as amended by Administrative Amendment Agreement #24-469-8) ,
effective July 1, 1991 through June 30, 1993 , for methadone
maintenance services, to increase the Contract Payment Limit by
$71, 000, from $920,735 to a new two-year total payment limit of
$991,735. This Contract Amendment Agreement includes an increase in
the six-month automatic extension payment limit from $264,200 to a new
total payment limit of $299,700.
II. FINANCIAL IMPACT:
This contract is included in the Health Services Department Budget and
is financed over the two-year period by Federal Medi-Cal, State Drug
Program Allocation and County funding, as follows:
Funding Sources FY 91-92 FY 92-93 Total
Federal Medi-Cal $165,207 $299,700 $464,907
State Drug Program 186,597 299,700 486,297
County Funds 40,531 -0 40, 531
Payment Limits $392, 335 $599,400 $991,735
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
This contractor has been providing methadone maintenance treatment
services to 222 Medi-Cal eligible clients, including the provision of
treatment services for intravenous drug users who are at risk of
contracting or spreading HIV infection through IV drug use.
Approval of this Contract Amendment Agreement will allow the
Contractor to provide services to an additional 43 Medi-Cal eligible
clients who were displaced by cessation of funding from the Federal
Waiting Period Reduction Grant Award.
CONTINUED ON ATTACHMENT: YES SIGNATURE• oL
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEAT ON OF BOARD CO MITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON =773 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) 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
OF SUPERVISOR ON THE DATE SHOWN.
Contact: Chuck Deutschman (313-6350) j
CC: Health Services (Contracts) ATTESTED
Risk Management Phil BeAhelor,Clerk of the4loard of
Auditor—Controller Supervisors and County Administrator
Contractor
M382/7-83 BY DEPUTY
„Contza Costa County 1 StW147d Form 1/87
CONTRACT AMENDMENT AGREEMENT
Number 24-469-9
Fund/Org # 5936
Account # 2320
Other #
1.Identification of Contract to be Amended.
Number: 24-469-7 (as amended by Administrative Amendment Agreement #24-
469-8)
Effective Date: July 1, 1991
Department: Health Services - Substance Abuse Division
Subject: Methadone Maintenance Clinic Program (Medi-Cal Drug Abuse
Treatment Services)
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: BAY AREA ADDICTION RESEARCH AND TREATMENT, INC.
Capacity: Nonprofit California corporation Taxpayer ID #Not Applicable
Address: 45 Franklin Street, Third Floor, San Francisco, CA 94102
3. Amendment Date. The effective date of this Contract Amendment Agreement
is December 1. 1992 .
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
DY✓I 4nll .' By
Chairman/Designee Deputy
CONTRACTOR
C
By By
(Designate business capacity A) (Designate business capacity B)
Note to Contractor: For corporations (profit or nonprofit) , the contract must be signed by
two officers. Signature A must be that of the president or vice-president and Signature B
must be that of the secretary or assistant secretary (Civil Code Section 1190 and
Corporations Code Section 313) . All signatures must be acknowledged as set forth on page
two.
Contra Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 24-469-9
APPROVALS
ED �I�LPEf
'�.-. ,TM/ENT FORM APPROVED
aE fib (//�/-CC B
Designee
APPROVED: COUNTY ADMINISTRATOR
BY \ "� `�. ,! Yom---�
ACKNOWLEDGEMENT
State of California ACKNOWLEDGEMENT (By Corporation,
Partnership, or Individual)
County of 1.7e+n-}, nm
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 representatives) 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: ?a 19' 9 3
[Notarial Seal] n
Elizabeth A. Spooner /Depu County Clerk
Deputy County Clerk
Contra Costa County, CA
-2-
AMENDMENT SPECIFICATIONS
Number: 24-469-9
2enar In consideration of Contractor's agreement to expand its methadone mce services to
accomodate clients displaced by the cessation of the Federal WaitingReduction Grant
Program , County agrees to increase the Contract Payment Limit. County and Contractor agree,
therefore, to modify the Contract identified herein as specified below, while all other parts
of said Contract, remain unchanged and in full force and effect.
1. Payment Limit Increase. The Payment Limit set forth in Standard Contract (Novation)
#24-469-7 (as amended by Administrative Amendment Agreement #24-469-8) , Paragraph 4.
(Payment Limit) is hereby increased by $71.000, from $930.735 to a new total Payment Limit
of $991.735.
2. Modification to Service Plan. Paragraph 8. (Service Specifications) of the Service
Plan is hereby modified to increase the number of Medi-Cal eligible clients served by
Contractor, from 222 to a new minimum of 265 clients.
3. Budget Modification. The Budget of Estimated Program Expenditures, Paragraph I.
(Medi-Cal Programs) is hereby deleted and replaced with a new, substitute Budget of Estimated
Program Expenditures, Paragraph I. (#24-469-9) , which is attached hereto and incorporated
herein by reference.
4. Other Budget Modifications. Paragraph II. (Other Budget Provisions) , subparagraphs B.
1. , (Medi-Cal Programs, County Reimbursement) , B.2. (Total Contract Fiscal Year Payment
Limit) , D. (Total Program Service Summary) , and E. (Two-Year Contract Conditions) are hereby
modified to read as follows:
"B1. MEDI-CAL PROGRAMS (County Reimbursement)
Richmond Clinic Pittsburg Clinic
Treatment Proz. Treatment Prog.
a. Max. Supplemental Reimburs. (MSR) $149,850 $149,850
b. Base Fed. Medi-Cal Reimburs.
(Fed. Financial Participation:
50% Share) 149.850 148.850
c. TOTAL FISCAL YEAR PAYMENT LIMIT $299,700 $299,700
B2. TOTAL CONTRACT FISCAL YEAR PAYMENT LIMIT: $599,400
D. TOTAL PROGRAM SERVICE SUMMARY. 12-MONTH FISCAL YEAR PERIOD
Prop-ram Name
TOTAL GROSS PROGRAM TOTAL NET PROGRAM
Richmond Clinic Allow. Costs Service Units Pymt, Limit Service Units
Treatment Prog. $670,889 75,636 $299,700 33,788
Pittsburg Clinic
Treatment Prog. $512,987 57,834 $299,700 33,788
TOTALS $1.1® 13� $599,400 67,576
Initials:
1 Contractor County Dept.
AMENDMENT SPECIFICATIONS
Number: 24-469-9
E. TWO-YEAR CONTRACT CONDITIONS.
1. This Contract covers two fiscal year periods as follows:
FISCAL YEAR
FISCAL YEAR PERIOD PAYMENT LIMITS
a. FY 1991-92 $392,335
(July 1, 1991 - June 30, 1992)
b. FY 1992-93599,400
(July 1, 1992 - June 30, 1993)
TOTAL CONTRACT PAYMENT LIMIT $99�"
5. Automatic Contract Extension Payment Limit. The six-month automatic contract extension
payment limit specified in Special Conditions Paragraph 4. (Automatic Contract Extension) ,
subparagraph a. , is hereby increased from $264,200 to a new six-month automatic contract
extension payment limit of $299.700.
Initials:
2 Contractor County Dept.
v - BUDGET OF ESTIMATED PROGRAM EXPENDITURES
(Medi-Cal Drug Abuse Programs)
Number 24-469-9
I. MEDI-CAL PROGRAMS
TWELVE-MONTH FISCAL YEAR PERIOD
A. GROSS OPERATIONAL BUDGET
1. COST REIMBURSEMENT CATEGORIES RICHMOND CLINIC PITTSBURG CLINIC
TREATMENT PROGRAM TREATMENT PROGRAM
a. PERSONNEL SALARIES & BENEFIT (Direct Costs) :
(1) Direct Service Staff Salaries $369,774 $303,352
(2) Administrative Staff Salaries* -0- -0-
(3) Unemployment Insurance 1,938 1,608
(4) FICA 28,288 23,206
(5) Health and Life Insurance 31,928 18,513
(6) Workers Compensation Insurance 6.989 5.733
(7) SUBTOTAL AMOUNT $438,917 $352,412
b. OPERATIONAL COSTS (Direct Costs)
(1) Clinic Space (Rent/Lease) $ 14,974 $ 18,360
(2) Utilities (Water and Electricity) 3,965 -0-
(3) Phone 4,190 3,819
(4) Office Supplies** 7,693 4,020
(5) Equipment Lease and Maintenance** 3,613 2,727
(6) Security 4,280 1,152
(7) Insurance 3,818 2,793
(8) Travel/Auto 2,233 2,379
(9) Dues and License Fees 6,630 5,430
(10) Facility Maintenance & Supply 5,445 1,317
(11 Advertising/Printing 3,054 1,285
(12) Electronic Data Processing 4,299 3,685
(13) Janitorial and Maintenance 7,167 1,200
(14) Urinalysis and Lab Work 23,442 .14,756
(15) Audit and Legal Expenses 4,250 3,214
(16) Medical Supplies 9,268 4,537
(17) Methadone 44,974 30,890
(18) Staff & Patient Coffee 3.076 1.167
(19) SUBTOTAL AMOUNT $156,371 $102,767
C. INDIRECT COSTS (SUBTOTAL AMOUNT) 75.601 57.808
2. TOTAL GROSS ALLOWABLE PROGRAM COST $670,889 $512,987
B. LESS PROJECTED NON-COUNTY PROGRAM REVENUE
(To be collected and provided by Contractor)
1. Client Fees and Insurance $139,802 $139,803
2. Grants and Subventions 194,262 68,759
3. Donations -0- -0-
4. TOTAL PROJECTED NON-COUNTY PROGRAM REVENUE $334.064 $208.562
C. NET ALLOWABLE FISCAL YEAR COST $299,700 $299,700
(Fiscal Year Payment Limits)
Initials:
Contractor County Dept.
1
a
BUDGET OF ESTIMATED PROGRAM EXPENDITURES
(Medi-Cal Drug Abuse Programs)
Number 24-469-9
* Second 'line supervisors and above and administrative staff who have no direct client service
responsibilities, administrative staff who also have direct service responsibilities are to
have their salaries split in proportion to the estimated time spent on direct service and
on administrative activities.
** Subject to State limits (see Service Plan Paragraph 2.)
Initials:
Contractor County Dept.
2