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HomeMy WebLinkAboutMINUTES - 01251994 - 1.53 l . 53 To: BOARD OF SUPERVISORS /Inn � t FROM: Mark Finucane, Health Services Director l/t& Contra By: Elizabeth A. Spooner, Contracts Administrat Costa DATE: January 7, 1994 County SUBJECT: Approval of Contract Amendment Agreement #24-646-5 with Villa Maria Management Corporation (dba Westwood, 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 #24-646-5 to. amend Novation Contract #24-646-4 with Villa Maria Management Corporation (dba Westwood) , to increase the fee rates retroactive to August 1, 1993 , as directed by the State Department of Mental Health. II. FINANCIAL IMPACT: This contract is funded by County/Realignment 100%. This amendment increases the fee rates as directed by the State, with no change in the contract payment limit of $668, 096. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: Recently, 'the Department received notice from the Department of Mental Health that the Fiscal Year 1993-94 Medi-Cal skilled nursing facility rates were finalized and that these new rates are retroactive to August 1, 1993 . The purpose of Contract Amendment Agreement #24-646-5 is to provide for rate adjustments so that Villa Maria Management Corporation (dba Westwood) can be reimbursed at the new rates established by the State Department of Mental Health. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN ATIO OF BOARD COM14ITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON q 9!t 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 SUPERVISORS ON THE DATE SHOWN. Contact: Lorna Bastian (313-6411) CC: ' Health Services (Contracts) ATTESTED Risk Management: Phil lhibelff,Clerk 8 the BOA Of Auditor-Controller Supervisors and CountyAdministratar Contractor M382/7-83 BY I� lv� Q DEPUTY S Gong Costa County Standard Form 1/87 CONTRACT AMENDMENT AGREEMENT (Purchase of Services) Number 24-646-5 V Fund/Org # 5984 Account # 2320 Other # 1. Identification of Contract to be Amended. Number: 24-646-5 Effective Date: July 1, 1993 Department: Health Services - Mental Health Division, Subject: Admission of, and treatment for, mentally disturbed persons in need of subacute skilled nursing care in a facility hereinafter known as an Institution for the Mentally Diseased (IMD) 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: VILLA MARIA MANAGEMENT CORPORATION (dba WESTWOOD) Capacity: California corporation Address: 4303 Stevenson, Fremont, California 94538 3 . Amendment Date. The effective date of this Contract Amendment Agreement is August 1, 1993 . 4 . Amendment St3ecifications. 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 BOAR OF PER SORS the Board of Supervisors and County Administrator BY \ o� P h�an/Designee Deputy CONTRACTOR By_ � . B (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 24-646-5 APPROVALS RECOMMENDED BY DEPARTMENT FORM APPROVED By Designee APPROVED: COUNTY ADMINISTRATOR By _Z legftZ ACKNOWLEDGEMENT CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 State of �/��� OPTIONAL SECTION v CAPACITY CLAIMED BY SIGNER County of 4~ 6"T ®4r Though statute does not require the Notary to / fill in the data below, doing so may prove On before me, / ��L � n �_/„e���, invaluable to persons relying on the document. - /.a `� DATE --NAME,TITLE OF OFFICER-E.G.,"JANE DOE,NOTARY PUBLIC" (ND(VIDUAL / �1 E]CORPORATE OFFICER(S) personally appeared cr�itky4n A^yre ec.✓eV1W e All,✓l,i& 9 A, NAME(S)OF SIGNER(S) T(TLE(S) LIMITED ❑personally known to me-�OR- proved to me on the basis of satisfactory evidence E] PARTNER(S) ❑ to be the person(s) whose name(s)46/are ❑ GENERAL subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT knowledged to_me that krek,4e/they executed ❑TRUSTEE(S) the same in :h+s fter/their authorized ❑GUARDIAN/CONSERVATOR Ea¢a¢nnra¢rrrrrarr�ztis:��=:�:�•:- ; -,�,;,r€ capacity(ies), and that by mer/their RAY A. HARRIS �OTHER: v COMM. ##984875 - signature(s) on the instrument the person(s), a - NOTARY PUBLIC-CALIFORNIA or the entity upon behalf of which the - ALAMExpi COUNTYMy Comm. person(s)s acted, executed the instrument. ®oar€€®¢rrurrr mr arrrrr¢ratsreeree:¢s€€erer p SIGNER IS REPRESENTING: WITNESS my hand and official Seal. NAME OF PERSON(S)OR ENTITY(IES) SIGNATURE OF NOTARY OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES , DATE OF DOCUMENT Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. SIGNER(S)OTHER.THAN NAMED ABOVE ©1993 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 - AMENDMENT SPECIFICATIONS Number 24-646-5 Pursuant to DMH :Information Notice No. 93-15 from the State Department of Mental Health which sets forth the Fiscal Year 1993-94 Medi-Cal Skilled Nursing Facility Rates, retroactive to August 1, 1993, County and Contractor agree to modify the Contracts identified herein as specified below, while all other parts of said Contracts remain unchanged and in full force and effect. 1. Modification. of Fee Rates. Service Plan Paragraph XI. (Fee Rates) , subparagraph A. , of Standard (Novation) Contract #24-646-4, is hereby modified to read as follows: "A. Amounts,. $92 . 61 per client per unit of service, for clients who are enrolled in and who receive the Basic Title 22 SNF/STP care and treatment authorized by County, and in addition, $8.50 per client per unit of service for the Clozaril program specified in Section V.H. (Clozaril Program) , above. " 2 . Modification of Automatic Extension Provision. Special Conditions Paragraph 6. (Automatic Contract Extension) , subparagraph b. , of Standard Contract #24-646-4, is hereby modified to read as follows: "b. County shall continue to pay Contractor in accordance with Paragraph 5. (County's Obligations) of this Contract at the rates set forth in Contract Amendment Agreement #24-646-5, Amendment Specifications, Paragraph 1. (Modification of Fee Rates) " . Initials• Contractor County Dept.