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MINUTES - 10201998 - C47-C51
TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administratora Contra DATE: October 8, 1998 Costa CountySUBJECT: Approval of Contract #26-955 with Surya Kumar, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATiON(S)a BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, ; or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Contract #26- 955 with Surya Kumar, M.D. (Specialty: General/Vascular/Thoracic Surgery) , for the period from September 1, 1998 through January 31, 1999 to be paid as follows : a. $ 950.00 per month for on-call coverage consultation, medical and/or surgical procedures, NOT TO EXCEED a total of $4,750 . In the event Contractor provides on-call coverage for less than' a full month at Contra Costa Regional Medical Center and the Conga Costa Health Centers, County shall prorate payments to Contractor for that month; plus b. $ 380.00 per occurrence when Contractor is required to come to the Hospital during on-call hours for a surgical procedure. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services . REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and health centers . Under Contract #26-955, Surya Kumar, M.D. , will provide on-call General , Vascular, and Thoracic surgery services for Contra Costa Regional Medical Center and the Contra Costa HealthCenters through January 31, 1999 . CONTENUED ON ATTACHMENT Y5b' �f° SIGNATURE bbbb 4L RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE l" APPROVE OTHER S S • ACTION OF BOARD ON C,J 1.,+ jz� _ APPROVED AS RECOMMENDED IER VOTE OF SUPERVISORS UNANIMOUS (ABSENT_____) I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED Zo PHIL BATCHELOR,CLERK OF TH OARD OF' Contact Person: Frank Puglisi, Jr. (370-5100) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY + Contractor DEPUTY TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director ,', ✓ �. Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: October 8, 1998 County SUBJECT. Approval of Contract #26-912-7 with Pauline Velez, M.I . SPECIFIC REQUEST{S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or hisj' designee, (Frank Puglisi, Jr. ) to execute on behalf of the County,' Contract #26-912-7 with Pauline Velez, M.I . (specialty: General and Vascular Surgery) , for the period from October 1, 1998 through September 30, 1999, to be paid as follows : a. $4,167 .00 per month for consultation, training, medical' and/or surgical procedures, not to exceed a total of 550, 004.00; and b. $ 950.00 per month for on-call coverage, not to exceed a total of $11,400 . In the event Contractor provides on-call coverage for less than a full month at Contra', Costa Regional' Medical and Health Centers, County shall prorate payments to Contractor for that month; plus C. ,$ 380.00 per occurrence when Contractor is required to come> to the Hospital during on-call hours for a surgical' procedure. FISCAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed ; for services. BACKQRQ1=/REASON(S) FOR RECOMMENDATION(S) : On September 23, 1997, the Board of Supervisors approved Contract' #26-912--6 with Pauline Velez, M.D. , for general and vascular' surgery services, for the period from October 1 1997 through; September 30, 1998 . Approval of Contract #26-912-7 will allow Dr. Velez to continue providing surgical services for Contra Costa Regional Medical Center and Health Centers through September 30, 1999 . CONTINUED ON A ESIGNATURE _ - " RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE „OTHER ACTION OF BOARD ON APPROVED AS RECOMMENDED 9*11ER VOTE OF SUPERVISORS JL #HEREBY CERTIFY THAT THIS IS A TRUE. UNANIMOUS {ABSENT 1 AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN, ATTESTED PHIL BATCHELOR,CLERK OF TfiE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Frank Pugl.isi, Jr. (370-5100) CC: Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor S .�' TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director '.7 By: Ginger Marieiro, Contracts .Administrator `� Centra Costa DATE: October 8, 1998 County SUBJECT. Approval of Contract #24-949-63 with Melene Smith, M.F.C.C. SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION RECQ�MMZ PED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-63 with Melene Smith, M.F.C.C. , for the period from October 1, 1998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. FISCAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds. BACRC Rg-U. �MZREASONMY FOR RECC3RMMATIONS . On January 1.4, 1997, the Board of Supervisors adopted Resolution #97/1.7, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of July 1, 1997 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services . ,Approval of Contract #24-949-63 will allow the Contractor to provide mental health specialty services through June 30, 1999 . 9ONTINUED ON ATTA H E : 9jIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER SIGNATUREM ACTION OF BOARD ON � � � f APPROVED AS RECOMMENDED _ _ S+HER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE . UNANIMOUS {ABSENT } AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN:_. OF SUPERVISORS ON THE DATE SHOWN. ATTESTED _ , PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (313-6411) CC: Health Services(Contracts) Risk Management Auditor Controller /BY I3EPUTY Contractor Board Order page two (2) CCMIiP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCMDULE--Revised 1219197. CPT CODE PROCEDURE _ M.D Ph.D L.C.S.W. M.F'.C.C. Levet 1Godes 90830 Fest Administrallort- 1 hour(max 6) $30 90887 Test Scor in .`Ihour(max 2) $30 90843 irtcl'ivlduai Ps cy hutheraLr�i12 hota $30_ 90844 htcfiviclual Ps ch(theta> - 1 hour $60 $30 $30 $30 -90846 Fatttily itreraE -wy ithout tratiettt $30 $30 $30 90847 Patrol Ty irera�)Lcort'oirtt $30 $30_ $30 90863 Group Theiai)y-fret ftersoEt (tor visit-I 1/21umax $12 $12 $12 90862 Pttartriacoluttcal rtiatiar oment $30 90870 ECT-Single Seinve X9544 Case Conferetice- 1t2 hour $30 $15 $15 $15 X9546 Case Conference- lhour $60 $30 $30 $30 Iios1>ital It pt. Service 59221 l#osptal Cate Visit-milia#l30 mirurtes $30 99222 Hospital Cate Visit Initial-50 mintiles $60 - _ _ 592,32 Iios{rital Crrtt�Visi!-Sttt>sc*clttent 3f3 tnirrtticks $3t3 011tftatielit Corlstiits 99242 Office Consultation New Palieut 30 mituiles $30 99244 Office€onsullatian New Patient-60 minutes $60 lrrfraliettt Cortsults99251 infaalienl Consultation New Palienl 30 rninules __ f $30 99253 hiliatieitl Cotisultation New Patient-60 mimiles $60 Nttrsi_ntq Fac Assess 99301 Evaluation and IiAtanauement-30 minutes $30 99303 Evaluation and Management-60 mimites_ $60 993_11Subsequent Nufsint Facilit Care.15 mimites $15 __ 99313 Suhsoquent Nursing Facility Caie-30 minutes $30 Rest flotne et Al Svc. 99323 Evaluation of New Patient $60 99333 EVWt—miion of Established Palietit $30 home Services 99341 Evaluation of New Palient $60 95353 Evaluation of Established Patient $30 «'" Titese are the ottly outpatient services which CCMIiP will authorize arta#the only modes for which providers will be reimbutsed. TO: BOARD OF SUPERVISORS k. William stalker, M.D. , Health Services Director ti By: Ginger Marieiro, Contracts Administrator "A Contra Costa DATE: October 8,1998 County SUBJECT: Approval of Contract #24-949-65 with Margaret Thayer, Ph.D. SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGt2+t7i)ND AND JUSTIFICATION RECQ�MMEIWED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-66 with Margaret Thayer, Ph.D. , for the period from October 1, 1998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. FISC:&L IMFAGT: This Contract is funded by State and Federal FFP Medi-Cal Funds . BACK;CRC7t1ND/REASON(S) FOR RECOMMENDATIONS: On January 14 , 1997, the Board of Supervisors adopted. Resolution #97/17, authorizing the Health Services Director or his designee (Deanna Wigand, LCSW) to contract with the State Department of Mental. Health to assume responsibility for Medi-Calc specialty mental health services as of July 1, 1997 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services . Approval of Contract #24-949-65 will allow the Contractor to provide mental health specialty services through June 30, 1999 . ', CONTiNU EQ Ohl ATTAQHMENT: GNAT R T _ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE y K APPROVE _OTHER V.2 v Sze VGNM EM): ACTION OF BOARD ON ai "4.� j; APPROVED AS RECOMMENDED 0)< I� VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSENT„ } AND CORRECT COPY Of+AN ACTION TAKEN AYES: NOES: ANIS ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN, ATTESTED. PHIL BATCHELOR,CLERK OF fHE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wieland (313-6411) CC: Health Services(Contracts) Risk Management Auditor Controller BY -,DEPUTY Contractor x Board order page two (2) CCM14P OUTPATIENT SPECIALTY MENTAL IfEALTII SERVICES FEE SCMDULE--Revised 1219197. CPT CODE PROCEDURE _ _ M.D PhM L.C.S.W. M.F.C.C. Level !Codes 90830 Test Administration- t hour max 6 - $30 90887 Test Scoring- thour(max 2) $30 - 90843 i—n ividual Psyclrolhetapy- 112 hour $30 _ _ _ 90944 Individual Citothetapy- 1 hour � � � $60 $30 $30 $30 90846 Family Iheiaa> -wilhoui patient $30 $30 $30 X90847 Farrilly Therapy-conjoint $30 $30 $30- 908Groin)Ther - per -per visit- t12hr max _ $12 $12 $t2T 53 90862 Pharmacological management $30_ - 90870 t=CT-Slrtt le Seizure _$50 X_9544 Case Conference- 112 hoot $30 $15 $15 $15 X9545 Case Conference- 111our _ _ _ $60 $30 $30 $30 Ilospital hipt, service 99221 Hospital Care_'Visit-litritiail30 mir»rtes _ $3fl 992_22 Hospital Care Visit Initial-50 minutes ��� -��$60 99232 Hospital Cage Visit-Subseclueut-30 minutes $30 outpatielit Cotistrits 99242 Office Consultation New Patieol-30 miuules _ $30 _ 99244 Office Consultation New Patient-60 minutes) $60 Inpatterat C orrstilts 99251 lnitafieol Coil' New Patient-30 mimiles $30 99253 ttrpMtierrl CosiStilt rtion New Patient 60 urinutes $60 Ntrtsim Fac Assess - 99301 Evahtatioir au(l_Nl !tags-Iltextt-30 minutes $3_0 99303 Evaltrafinn and Manat enrent-60 rnirmles $60 99311 Subsequent Nursing Facility Carta 15 minutes $15 __ ___ 99313 §—u")se Nt,rsiutl Facility Caie-30 minutes $30 Rest tfome et Al Svc. 993'23 Evaluative of New Patient_ $60_ 99333l valuation of Established Patient $30 itonre Services 99341 Evaluation of New Patietrt $60 99353 Evaluation of Established Patient $3fl These are the only oulpatient services which CCMIIP will authorize and the only codes for which providers will be reimbutsed. TO: BOARD CSFSUP R S . E 111 ©RS FROM: William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator Contra DATE: October 7, 1998 CostaCounty SUBJECT: Approval of (Novation) Contract #24-308-24 with Early Childhood Mental Health Program SPECIFIC REQUEST(S)OR RECOMMENDATION(S)A BACKGROUND AND JUSTIFICATION RECOMMENDATI ON L'8 : A. Approve and authorize the Health Services Director, or his designee (Donna Wigand,, L.C.S.W'. ) to execute on behalfof the County, (Novation) Contract #24-308-24 with Early Childhood Mental Health Program, for the period from July 1, 1998 through June 30, 2000, in the amount of 1-.108.000, for provision of a therapeutic nursery school, an infant-family home visiting program, and family and day care services in West Contra Costa County; B. Approve cancellation of Contract #24-309-21 (as amended by Contract Amendment Agreement #24-309-22 and Administrative Amendment Agreement #24-309-23) with Early Childhood Mental' Health Program, effective at the close of business on June 30, 1998; and C. Approve cancellation of Contract #24-785-5 (as amended by Contract Amendment Agreement #24-785-6 and Administrative Amendment Agreement #24-785-7) with Early Childhood Mental Health Program, effective at the close of business on June 30, 1998. FISgAL IMPACT: This Contract is funded, as follows: 1998-1999 1999-2000 Total $222,620 $222,620 $ 445,240 Federal Medi-cal (FFP) 331.380 3 ,380 662,760 County/Realignment Funding $SS4,000 $554"000 $111108o000 TOTAL CONTRACT 'PAYMENT LIMIT CHILDREN118 IMPACT STAMPNT: This Contract will support the following Board of Supervisors, community outcomes: "Children steady For and Succeeding in School"; "Families that are Safe, Stable, and Nurturing"; and "Communities that are Safe and Provide a High Quality of Life for Children and Families". Expected program outcomes are: Increase and maintain school attendance as measured by school records; Increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS) ; Increase in family satisfaction as measured by the Parent Satisfaction Survey; and Decrease in out-of-home placements as measured by mental health and social services statistics. CONTINUED ATTACHMENT: S SIGNATURE I ILAI RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER ACTION OF BOARD ON 111100,Ld01. fete APPROVED AS RECOMMENDED O!C VOTE.OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED PHIt BATCHE'.R,C �"K ?F E HOAR Contact Person. Donna Wigand, L.C.S.W. (313-6411) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health SeMces``(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor I'll..........................I................................................................................................................................................... .......................................................................... ..... BOARD ORDER 24-308-24 Page 2 BAQXQRQMZRZA$0NfS) YOR RF&OXMZNDATIQN($) : This Contractor has been providing mental health program services for the County under Contracts x`24-•308-22, #24-309-21, and #24-785-5. These Contracts were for the period from July 1, 1997 through June 30, 1998 and contained provisions for automatic six-month Contract extensions through December 31, 1998. Contract #24-308-24 will combine the services of these Contracts, and replace the automatic Contract extensions under Contracts #24-308-22, #24-309-21, and #24-785-5, as amended, and will allow the Contractor to continue providing mental health services through June 30, 2000.