HomeMy WebLinkAboutMINUTES - 02151994 - 1.51 TO: BOARD OF SUPERVISORS
'! P Contra
FROM:Mark Finucane, Health Services Director
By: Elizabeth A. Spooner, Contracts Administrator CASta
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DATE: January 28, 1994 County
SUBJECT: Approval of Contract Amendment Agreement #22-316-10 with STAT
Nursing' Services
SPECIFIC REQUEST(S) OR REI OMMENDATION(S) & BACKGROUND AND JUSTIFICATION
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I. RECOMMENDED ACTILON:
Approve and authorize the Chair, Board of Supervisors, to, execute on
behalf of the C;ounty, . Contract Amendment Agreement #22-316-10 with
STAT Nursing Services effective September 1, 1993, to amend Contract
#22-316-9 (effecdive July 1, 1993 through June 30, 1994) , to increase
the payment limi'`t by $35, 000, from $20, 000 to a new Contract payment
limit of $55, 0001. This Contractor provides in-home attendant care to
AIDS and ARC patients.
II. FINANCIAL IMPACT:
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This Contract isifunded by Federal Ryan White (Care Act, Title I) and
AIDS Medical Waiver funds. No County funds are required.
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III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
In May, 1993 , the County Administrator approved, and the Purchasing
Services Manager executed, Short Form Service Contract #22-316-9 with .
STAT Nursing Services, to provide in-home attendant care to County-
referred AIDS an'd ARC patients.
Approval of Contract Amendment Agreement #22-316-10 will allow the
Contractor to provide additional services, including twenty-four (24)
hour live-in attendant care, through June 30, 1994.
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CONTINUED ON ATTACHMENT: YES SIGNATURE:
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RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM A ION OF BOARD C&MITTEE
APPROVE OTHER
SIGNATURE(S)
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n
ACTION OF BOARD O APPROVED AS RECOMMENDED OTHER
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VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: AB STAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Wendel Brunner, M.D. (313-6712)
CC: Health Services (Contracts) ATTESTED q
Risk Management —
Auditor—Controller Phil Bathelor,emit oft Board o
{ Supervisors and County Administrator
Coptractpr
' DEPUTY
M382/7-83 BY _ OA-A
Contra Costa County _ Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 22-316-10
Fund/Org # 5836-38
Account # 2310
Other #
1. Identification of Contract to be Amended.
Number: 22-316-9
Effective Date: July 1, 1993
Department: Health Services - Public Health Divison
Subject: In-Home Health Care for AIDS or ARC Patients
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: STAT NURSING SERVICES
Capacity: Corporation Taxpayer ID # 94-2584584
Address: 1545 Broadway, San Francisco, California 94109
Mailing Address: 345 - 38th Street, Oakland, California 94609
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is September 1, 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 SUP ORS the Board of Supervisors and County
Administrator
By
Chairman/Designee f5eputy
CONTRACTOR
By 4 BY_. /v�'�t
NAD 4M,20,q
�►r,eS'i W- [ n i c c S�ry►� Ur ce, l�re�%��. ��� �
(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 act
forth on page two.
d 1
Centra Costa County St_ andar Form /67
> APPROVALS/ACKNOWLEDGEMENT
Number 22-316-10
APPROVALS
RECOMMEND BY DEPARTMENT FORM APPROVED
By B
Desig ee
APPROVED: COUNTY ADMINISTRATOR
By
_ t 14 Z
ACKNOWLEDGEMENT
State of California ACKNOWLEDGEMENT (By Corporation,
Partnership, or Individual)
County of
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: A
1 0" IT0 VAMN 't
rar swialwz�t yamu►
d 14OxymEx*"Sept .1907 Nota Pu is Deputy County Clerk-
-2-
AMENDMENT SPECIFICATIONS
" Number 22-316-10
In consideration for Contractor's willingness to provide additional services
under the Contract identified herein, County and Contractor agree to amend
said Contract as specified below while all other parts of the Contract remain
unchanged and in full force and effect.
1. Payment Limit Increase. The payment limit set forth in Paragraph 5.
(Payment Limit) Increase) is hereby increased by $35,000 from $20, 000 to a
new total Contract Payment Limit of $55, 000.
2 . Modification of Payment Provisions.
a. Payment Provisions Paragraph 1. (Payment Amounts) , subparagraph d.
is hereby modified to read as follows:
" [X] d. As set forth in Paragraph 1. (Payment) of the Additional
Provisions, but not to exceed the Contract Payment Limit of
$55, 000. "
b. Additional Provisions Paragraph 1. (Payment) of the Additional
Provisions is hereby deleted and replaced with the following new paragraph:
"1. Payment. Upon request received by Contractor from County's
AIDS Program Case Manager, or her designee (AIDS Program Coordinator) , and
subject to the payment limit of this Contract, Contractor shall provide its
employees, in the below listed job classifications and at the specified
billing rates, to do 'temporary work for County for specified peak loads,
temporary absenoes, or emergency situations. Personnel providing services
under this contract are not County employees.
Contractor agrees to exhaust all other sources of payment, including third-
party payors, as appropriate, before billing County for services. Contractor
will hold harmless both the State and County's clients in the event the
County cannot or will not pay for services performed for County's clients
pursuant to this Contract. Copies of all billings to patients and/or third-
party payors and (if applicable) copies of payments received from private pay
patients or third-party payors, specifying the number of hours by date and
the total charges, will be submitted to County. After all other sources of
payment are exhausted, County will pay Contractor the remaining fee amounts
which Contractor is unable to collect from such payment sources up to the
applicable fee per hour, per visit, or per day of temporary work, as follows:
Initials. Y1Nly�
Contractor County Dept.
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AMENDMENT ��SPECIFICATIONS
,D Number 22-316-10
NOT TO EXCEED THE BILLING RATE SPECIFIED BELOW FOR TEMPORARY WORK
JOB CLASSIFICATION Hourly Rate
Registered Nurse $ 28.55
Licensed Vocational Nurse $ 22 . 20
Home Health Aide (2 Hour Minimum) $ 12 . 59
Homemaker $ 7.45
Nutritional Counseling $ 33 .48
Psychosocial 'Counseling $ 33 .48
.County will also pay the following additional rates, as applicable:
a. Short notice reimbursement according to Paragraph 2 . (Short Notice
Reimbursement) , below;
b. Holiday compensation according to Paragraph 3 . (Holiday
Compensation) , below;
C. Overtime compensation according to Paragraph 4. (Overtime
Compensation) , below;
d. 754 per hour,, added to the applicable hourly fee rate specified
above, per visit or shift for actual travel, charting/documentation,
training and supervision time associated with providing skilled nursing care,
nutritional/psychosocial counseling, attendant care and homemaker services;
and
e. $195. 00 per shift for live-in attendant care that is provided in the
home of a County referred client by one of Contractor' s Home Health Aides, or
other classification approved in advance by County's Aids Program Case
Manager (or her designee) , for any uninterrupted twenty-four (24) hour
period.
Contractor' s Demand Form (billing statement) must include dates of service,
type of service, hours of service, amount received from third-party payors,
and total amount due from County. Demand Forms are to be mailed to: Contra
Costa County AIDS Program, Health Services Department, 597 Center Avenue,
Suite 200, Martinez, California 94553 . "
Initials:
Contractor County Dept.
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