HomeMy WebLinkAboutMINUTES - 01141997 - C72 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director •f ; .
By: Ginger Marieiro, Contracts Administrator Contra
Costa
DATE: December 31, 1996 County
SUBJECT: Approve Contract #27-264 with East Bay Nephrology Medical Group
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his
designee (Milt Camhi) , to execute on behalf of the County,
Contract #27-264 with East Bay Nephrology Medical Group, for the
period from February 1, 1997 through January 31, 1998, to be paid
in accordance with the rates set forth in the agreement, for the
provision of professional health care services for the Contra
Costa Health Plan.
II. FINANCIAL IMPACT:
This Contract is funded by Contra Costa Health Plan member
premiums. Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
The Health Plan has an obligation to provide certain specialized
professional health care services for its members under the terms
of their Individual and Group Health Plan membership contracts
with the County.
The Health Plan is also required under the terms of its Local
Initiative contract with the State, to contract -with community
physicians and other providers, called "Safety Net" and
"Traditional" Providers, for the provision of medical care to
Medi-Cal recipients.
This Contract is necessary to meet State mandates to expand the
number of community provider's for the Local Initiative, along with
a recent Department of Corporations audit finding which requires
formal contracts with low volume providers.
Approval of this Contract will. allow the Contractor to provide
professional health care services to Health Plan members through
January 31, 1998 .
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIG'NATURE(S)
ACTION OF BOARD ON 9 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 (313-6004) II
CC: Health Services (Contracts) ATTESTED 1
. 1997
Risk Management Phil aj6hebr,e9ki of the Board of
Auditor-Controller Suvertiisors and County Administrator
Contractor
M382/7-e9 BY , DEPUTY