HomeMy WebLinkAboutMINUTES - 12191995 - D8 y vi ' ID ,
TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director Contra
Costa
DATE: December 12, 1995 County
SUBJECT: Approval of Standard Agreement (Amendment) #29-609-43 with the State
Department of Health Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director to execute on behalf of the
County, Standard Agreement (Amendment) #29-609-43 (State #93-18608 A-02) with the
State Department of Health Services, effective August 1, 1995, to amend Standard
Agreement #29-609-41 (as amended by Standard Agreement [Amendment] #29-609-42) , for
prepaid health services for Medi-Cal beneficiaries. This amendment increases the
FY 1995-96 payment limit by $30,467,796 from $18,232,204, for a new total of
$48,700,000, and extends the term of the agreement through June 30, 1998.
II. FINANCIAL IMPACT:
Approval of this amendment will increase the State's funding encumbrance for FY
1995-96 by $30,467,796, for a new total of $48,700,000. However, the net effect of
this increase on Health Plan revenues is dependent upon enrollment levels.
III. REASONS FOR RECOMMENDATIONSIBACKGROUND:
On January 11, 1994, the Board approved Standard Agreement #29-609-41 (as amended
by Standard Agreement [Amendment] #29-609-42) with the State Department of Health
Services, for prepaid health services for Medi-Cal beneficiaries.
Standard Agreement (Amendment) #29-609-43 increases the enrollment limit from 15,000
to 40,000 Medi-Cal members, reflects the associated revenue increases, and extends
the term of the agreement through June 30, 1998.
Three .sealed and certified copies of this Board Order 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 ADMINISTRATOR RECOMMENDATION OF ARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON ���` 1 Q�v (q QI�Y.� 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: Milt Camhi (313-5604) 1� 1C
CC: Health Services (Contracts) ATTESTED
State Dept. of Health Services Phil Batchelor, Clerk of the Board of
SupelviwI3 and County AdminjWaW
M3e2/7-e3 BY DEPUTY
STAT=OF CALIFORNIA
STANDARD AGREEMENT-- APPROVED BY THE CONTRACT NUMBER
ATTORNEY GENERAL AMNO.
STP.2(REVS-91) 93-18608 02
TAXPAYERS FEDERAL EMPLOYER IQEmnncAricm Nt;uz:=
THIS AGREEMENT,made and entered into this 1St day of August . 19 95 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 AGES
Chief, Program Support Branch I Department of Health Services ,hereafter called the State,and
CONTRACTOR'S NAME
The County of Contra Costa 2 9 '- 6 0 9 - 4 3 .hereafter called the Contrac=.
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 Contrac:cr.
rime for performance or completion,and attach plans and specifications.if any.)
AMENDMENT A-02 TO CONTRACT NO. 93-18608 BETWEEN THE COUNTY OF
CONTRA COSTA AND THE STATE OF CALIFORNIA
WHEREAS, the State of California and the County of Contra Costa
entered into a contract for prepaid health. services dated
January 1, 1994; and
NOW THEREFORE, this contract is amended as follows :
CONTINUED ON 2 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 First above written.
STATE OF CALIFORNIA CONTRACTOR
AGENCY CONTRACTOR(if oetw Ow an indAWua4 state**~a awporahom pa,Mevrho.eta)
Department of Health Services The County of Contra Costa
aY(AUTHORIZED SIGNATURE) BY(AUTHORIZED SIGNATURE)
PRINTED NAME OF PERSON SIGNING PRINTED NAME AND TITLE OF PERSON SIGNING
Edward E. Stahlbe
nTLE ADDRESS
Chief, Program S rt Branch Martinez, CA 553
AMCUNT ENCUMBERED BY THIS PROGRAMICATEGORY(CODE AND TITLE) FUND TITLE Department of General Services
DOCUMENT
$ 30,467,796 roml AsSt., Sect. 14147 MI Cbc7e Health Care 't use Only
(OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED FOR Federal Catalogue No. 93778 4260--101-001 & 890
THIS CONTRACT Exempt from PCC per
$ 44,610,809 ITEM CHAPTER STATUTE FISCAL YEAR W&I Code Section 14204 (b)
TOTAL AMOUNT ENCUMBERED TO 4260-601-92 1 1995 1 1995-96
DATE OBJECT OF EXPENOITURE(CODE AND TITLE)
S 75,078,605 n/a
1 hereby certify upon my own personal knowledge that budgeted funds T.B.A.NO. I B.A.NO.
are available for the period and purpose of the expenditure stated above.
SIGNATURE OF ACCOUNTING OFCIC=a DATE
CONTRACTOR STATE AGENCY DEPT.OF GEN.SER. CONTROLLER
County of Contra Costa Contract No. 93-18608 A-02
6. This Amendment increases the amount payable for Fiscal Year
1995-96 by $30, 467, 796 .
7. All rights, duties, obligations, and liabilities of the
parties hereto otherwise remain unchanged.
-3-
ALAMEDA-CONTRA COSTA MEDICAL ASSOCIATION
N:
6230 CLAREMONT AVE. P.O. BOX 2895 • OAKLAND, CA 94618 • 510/654-5383 • FAX 510/654-8959
O•ATEO
RECEIVED _a
December 18, 1995 DEC 2 I 1995
CLERK BOARD OF SUPERVISORS
Ms. Gayle Bishop, Chairperson CONTRA COSTA CO.
Contra Costa County Board of Supervisor
651 Pine Street #/106
Martinez, CA 94553
Dear Ms. Bishop:
The Alameda-Contra Costa Medical Association (ACCMA) wants to explore how the
Claremont Medical Group, Inc. (CMG) can participate in a strategic alliance with Contra
Costa Health Plan (CCHP) through a single IPA managed medical care contract to serve the
County's Medi-Cal population under the Local Initiative. We believe a joint venture between
ACCMA and Contra Costa County sponsored organizations such as CMG and CCHP will
offer many advantages to the community.
The ACCMA is a professional organization with board representation throughout CCHP's
service area. Community physicians have provided Medi-Cal patients medical services since
the programs inception, and have shared the community responsibility for providing care to
the underserved.
The CCHP/CMG arrangement has the potential of being an important partner with the
County that ensures health care services to the vulnerable portion of the service population.
The volume of eligible, managed care members who choose the Local Initiative through one
IPA may result in cost effective delivery of care that fits within the costs' contraints of the
proposed State capitation rate.
The Claremont Medical Group, Inc. wants to work closely with the Contra Costa. Health
Plan to ensure the successful transition of the Local Initiative to serve the Medi-Cal managed
care patients.
Sincerely,
Patricia L. Austin, MD
Vice-President {
PLA:dc
Request to Speak Form
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Complete this form and place It In the box near the speakers' rosbum
before addrewing the Board.
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