HomeMy WebLinkAboutMINUTES - 01111994 - 1.55 TO: BOARD OF SUPERVISORS }
FROM: Mark Finucane, Health Services Director Gly r� Cw`ra
By: Elizabeth A. Spooner, Contracts Administrato Costa
DATE: December 29, 1993 County
SUBJECT: Approval of Contract Amendment.. Agreement #27-087-3 with
Pharmaceutical Care Network
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 #27-087-3,
effective September 15, 1993 , to amend Standard Contract #27-087 (as
amended by Administrative Amendment Agreement #27-087-1 and Contract
Amendment Agreement #27-087-2) with Pharmaceutical Care Network
(PCN) , to reduce the claims fee rates Contractor charges for the
provision of pharmacy administration services for Contra Costa
Health Plan and to extend the term of the Contract to January 31,
1997.
II. FINANCIAL IMPACT:
This Contract is funded in the Department's Budget by Health Plan
member premiums. Reduction of the claims fee rates will result in
additional savings to the Health Plan.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On January 5, 1991, the Board of Supervisors approved Contract #27-
087 with Pharmaceutical Care Network (PCN) , for the period from
February 1, 1991 through December 31, 1994, for the provision of
pharmacy administration services for the Contra Costa Health Plan.
The Contract was subsequently amended by Administrative Amendment
Agreement #27-087-1, which was executed by the County Administrator,
and by Contract Amendment Agreement #27-087-2, which was approved by
the Board of Supervisors on December 10, 1991, and which reduced the
per claim cost for the Contractor's services.
Approval of this Contract Amendment Agreement #27-087-3 will further
reduce the claims fee rates and will extend the term of the Contract
to January 31, 1997.
CONTINUED ON ATTACHMENT: YES SIGNATURE: Q
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEATI N OF BOARD C MMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON January 111 1994
APPROVED AS RECOMMENDEDI-X OTHER
VOTE OF SUPERVISORS
XX 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
Contact: Milt Camhi (313-5604) OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED January 11, 1994
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and County Administrator
Contractor.
M382/7-63 BY �' �= DEPUTY
v
% 5
Contra 0a;.sta County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 27-087-3
Fund/Org # 6120
Account # 2822
Other #
1. Identification of Contract to be Amended.
Number: 27-087 (as amended by Administrative Amendment
Agreement #27-087-1 and Contract Amendment
Agreement #27-087-2)
Effective Date: February 1, 1991
Department: Health Services - Contra Costa Health Plan
Subject: Pharmacy Program Administration 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: PHARMACEUTICAL CARE NETWORK (PCN)
Capacity: California corporation Taxpayer ID # 68-0044962
Address: 1112 "I" Street, Suite 300, Sacramento, California 94814
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is September 15 _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 SU RV SORS the Board of Supervisors and County
Administrator
By
Chairman/Designee Deputy
CONTRACTOR
By By
(De nate business capacity A) (Designak e business c pacity 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.
Cc;itra Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 27-087-3
APPROVALS
RECO ED BY DEP A T T FORM APPROVED
By By
lia
Desi ee
APPROVED: COUNTY ADMIN TRATOR
By cL
ACKNOWLEDGEMENT
State of California ACKNOWLEDGEMENT (By Corporation,
Partnership, or Individual)
County of SA-"mL-Ai-To
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:
[Notarial Seal]
No ary Public/Deputy County Clerk
KEVIN G. RIOS '
4J1L_'-'FMY
lrOMM.#979682
NOTARY PUBLIC.CAUFORM5<Lrs,�snto County -2-
Comm.Expires Dec.13,1996
AMENDMENT SPECIFICATIONS
Number 27-087-3
In consideration for Contractor's willingness to provide additional volume discounts for
County under the Contract identified herein, County agrees to extend the Contract term.
County and Contractor agree therefore to amend said Contract as set forth below while all
other parts of the Contract remain unchanged and in full force and effect.
1. Extension of Contract Term. The term of the Contract set forth in Paragraph 3. (Term)
(Term) is hereby extended from December 31, 1994 to January 31, 1997.
2. Deletion of Paragraph. Amendment Specifications Paragraph 2. (Modification of Claims
Fee Schedule) set forth in Contract Amendment Agreement #27-087-2 is hereby deleted.
3. Modification of Payments and Fees. Service Plan Paragraph 5. (Payments and Fees), of
Standard Contract #27-087 is hereby deleted and replaced with the following paragraph:
115. Payments and Fees. County shall pay Contractor the payments and fees set forth
below:
a. Allowed Charges. Allowed charges as provided in Exhibit A and the
applicable Pharmaceutical Services Summary.
b. Claims Fee Schedule. The applicable per claim fee listed below multiplied
by the number of claims processed by Contractor during each two-week period:
Number of Processed Claims Per Per Processed Claim Fee:
Checkwrite (Every two weeks) :
0 - 2,500 $ .68 each claim
2,501 - 5,000 .66 each claim
5,001 - 7,500 .64 each claim
7,501 - 10,000 .62 each claim
10,001 - 12,500 .60 each claim
12,501 - 15,000 .59 each claim
15,000 or more .58 each claim
Initials. J
C tractor County Dept.
1
AMENDMENT SPECIFICATIONS
Number 27-087-3
C. Additional Services. The applicable fee rate per service as set forth below:
(1) Pharmaceutical Case Management (MicroDUR) $ 0.10 per Claim
(Retrospective DUR)
(2) On-line DUR Screening (Level II) $ 0.10 per Claim
(3) ID Card Production Subsequent to Implementation $ 0.25 per Card
(4) Annual Benefit Cap $ 0.05 per Claim
(5) Annual Benefit Cap Reporting $35.00 per Report
(6) Annual Drug Deductible $ 0.05 per Claim
(7) Claims Data Transfer $80.00 per Tape
(8) Special Request Reports
(a) Physician Profile
#PNA640A $25.00 per Profile
(b) Patient Drug Usage by Dollar Amount
#PNA641A $50.00 per Report
(c) Patient Profile
#PNA690 $25.00 per Profile
(d) Eligibility File Printout
#PNA801A $50.00 per File
d. Postage, Shipping, and Handling Charges. Postage, shipping and handling charges
incurred by Contractor in connection with the administration of this program, plus ten
percent (10%) .
e. Increase in Per Claim Fee Rates. Contractor reserves the right to increase its
per claim fee after sixty (60) days advance, written notice to the County. No increase shall
exceed ten percent (10%) per year. "
f. Direct Patient-Beneficiary Reimbursement. One dollar and seventy-five cents
($1.75) for any direct Patient-Beneficiary reimbursement claims. This includes PCN
providing the forms, issuing a check to the individual Patient-Beneficiary and mailing
the check with an Explanation of Payment (EOP) . If this is used, PCN will pay Patient-
Beneficiaries every two weeks.
Initials: l
Co ractor County Dept.
2