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HomeMy WebLinkAboutMINUTES - 11191996 - C126 TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director .f .. Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: October 29, 1996 County SUBJECT: Approval' of Standard Contract #23-146-5 with Jennifer Loomis & Associates, Inc. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Patrick Godley) , to execute on behalf of the County, Standard Contract #23-146-5 with Jennifer Loomis and Associates, Inc. , for the period from January 1, 1997 through December 31, 1997 to provide billing services for the processing of out-of-state Medicaid claims. II. FINANCIAL IMPACT: This Contract is funded by third party recoveries. Contractor will be paid a 25% commission for the amounts Contractor collects on out-of-state Medicaid claims. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: Periodically, patients are treated at Merrithew Memorial Hospital and Health Centers who are from out-of-state and who may be eligible for Medicaid benefits in their State of residence. Policies and regulations governing Medicaid reimbursement are very complex and vary from State to State, making it difficult, if not impossible, for .the County to pursue reimbursement for care it has rendered to out-of-state residents. Jennifer Loomis & Associates, Inc. , has the expertise to pursue and process out-of-state Medicaid claims on behalf of the County, and will be paid a commission for any amounts it collects for the County. On December 12 , 1995, the Board of Supervisors approved Standard Contract #23-146-4 with Jennifer Loomis & Associates., Inc. , for the period from January 1, 1996 through December 31, 1996. Approval of Standard Contract #23-146-5 will allow Contractor to provide services through December 31, 1997. -.. CONTINUED ON ATTACHMENT: YES SIGNATURE:Z., i aG2 t�l�C��O RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIG•NATURE(S) ACTION OF BOARD ON fan � �3 APPROVED AS RECOMMENDED OTHER qm%j7OF 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: Pat Godley (370-5007) 9•q 9 19% CC: Health Services (Contracts) ATTESTED NOVW c7 �(l Risk Management Phil Batchelor,Clerk Of the Board of Auditor-Controller Sucervisors and County Administptor Contractor M3e217-e3 BY DEPUTY