HomeMy WebLinkAboutMINUTES - 01041994 - 1.39 TO: BOARD OF SUPERVISORS f
FROM: Mark Finucane, Health Services Director � Contra
By: Elizabeth A. Spooner, Contracts Administrat Costa
DATE: December 17, 1993 County
SUBJECT: Approve Standard Agreement (Amendment) #29-202-55
with the State Department of Health Services for
Family Planning Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
c
I. RECOMMENDED ACTION:
Approve and authorize the Chair, Board of Supervisors, to execute on
behalf of the County, Standard Agreement (Amendment) #29-202-55
(State #91-12416-A06) with the State Department of Health Services,
effective July 1, 1993 , to amend Standard Agreement #29-202-48
(effective July 1, 1991 through June 30, 1994) for County's Family
Planning Services. This Amendment increases the payment limit for
fiscal year 1993-94 by $56, 586, to a new fiscal-year total of
$130,486.
II. FINANCIAL IMPACT:
This amendment increases the maximum reimbursable amount of State
funding for FY 1993-94 by $56, 586, and increases the maximum of
State funding for the three year term of the agreement to a new
total of $379 , 386. No County match 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. The family planning services funded through
this Contract are available to 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.
The Board Chair should sign eight copies of the agreement. Seven
signed copies of the agreement and three sealed Board Orders should
be returned to the Contracts and Grants Unit for submission to the
State Department of Health Services.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATORRECOMMEN ATI NOF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON anuar_y 4, 1994 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
XX 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 ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED January 4, 1994
Auditor-Controller (Claims) Phil Batchelor, Clerk of the Board of
State Dept. of Health Services 7 $���(1111�D!`+8RdG4L111xyNdmirlisttalGOf
M382/7-83 BY 6•C • ��«L1�� DEPUTY
STATE OF CALIFORNIA 1 . 3 y
STR`ND RD AGREEMENT— APPROVED BY THE CONTRACT NUMBER AM.NO.
ATTORNEY GENERAL 91-12416 A-06
SM.2(REV.5.91) 7
TAXPAYERS FEDERAL EMPLOYER IDENTIFICATION NUMBER
THIS AGREEMENT,made and entered into this 1 St day of Jul93y- ,19 94-6000509
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
Chief, Program Support Brallth Department Of Health Services hereafter called the State,and
CONTRACTOR'S NAME
County of Contra Costa Health Services j 9 — 202 — 5 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 dated July 1, 1991 and amended on December 1, 1991 and on
January 1, 1992 and on July 1, 1992 and on January 1, 1993 and on
February 1, 1993:
A. Paragraph 3.A. (3) is amended to read as follows:
* (3) The maximum amount payable under this contract for services rendered
during the fiscal year 1993-94 (July 1, 1993 - June 30, 1994) shall not
exceed $130,486. "
B. Paragraph 3.A. (4) is amended to read as follows:
• (4) The maximum amount payable under this contract shall not .
exceed $379,386."
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 fust above written.
STATE OF CALIFORNIA CONTRACTOR
AGENCY CONTRACTOR(11 odw than on individual,stat)vhwdw a Tan,
County of Contra Costa = etc.)
of
t of Health Services (Local Gov't Entity)
BY(AUTHORIZED SIGNATURE) - B (AUTHORIZED SIGNATURE)^
PRINTED NAME OF PERSON SIGNING PRINTED NAME AND TITLE OF PERSON SIGNING
Edward E. Stahlberg Chair, Board of Supervisors
TITLE ADORES;
Chef, prog=,t Suimort Branch 651 Pine Street, Martinez, California 94553
AMOUNT ENCUMBERED BY THIS PROGRAWCATEGORY(CODE AND TITLE) FUND TITLE Department of General Services
DOCUMENT
59,586 Lel Assistance �xal Use Only
(OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED FOR
THIS CONTRACT
$ 319,800 ITEM CHAPTER STATUTE FISCAL YEAR
TOTAL AMOUNT ENCUMBERED TO 4260-111-001 55 1.993 1993-94
DATE OBJECT OF EXPENDITURE(CODE AND TITLE)
$ 379,386 93-52423-4945-702-03
I hereby certify upon my own personal knowledge that budgeted funds. I T.B.A.NO. B.R.NO.
are available for the period and purpose of the expenditure stated above.
SIG
NATURE OF ACCOUNTING OFFICER DATE
CONTRACTOR F� STATE AGENCY DEPT.OF GEN.SER. CONTROLLER
i
r F
County of Contra Costa Health Services 91-12416 A-06
C. Subparagraph 3 of Paragraph 5.A, on page 5, is hereby amended to read:
."3. Exhibit C-1, for fiscal year 7-1-93 to 6-30-94;
Upon the effective date of this amendment, all references to Exhibit C
for fiscal year 1993/94 in the body of this agreement, and in any
exhibits thereto, shall hereinafter be deemed to read Exhibit C-1 for
fiscal year 1993/94. "
D. The following is added as Paragraph 17 on page 9:
117. CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)
Contractor agrees that if any performance under this Contract or
under any subcontract includes any tests or examination on
materials derived from the human body for the purpose of providing
information for the diagnosis, prevention, treatment or assessment
of any disease, impairment, or health of a human being, all the
locations at which such examinations are performed shall meet the
requirements of 42 U.S.C. section 263a (CLIA) and the regulations
adopted thereunder."
2. The effective date of this amendment is July 1, 1993.
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 91-12416 A-06
July 1, 1993
EXHIBIT C-1
PAYMENT PROVISIONS
OFFICE OF FAMILY PLANNING
JULY 1, 1993-JUNE 30, 1994 .
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 $130,486.
There are no further subdivisions of this paragraph B.
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