HomeMy WebLinkAboutMINUTES - 12071999 - C85-C90 �.,._ BOARD OF SUPERVISORS ( '
ti ,sa •Y- fi Co e
FROM:
John Cullen, Director '
Employment and Human Services; ar ent COS
November 9, 1999 Uo
unty
DATE:
T C
SUBJECT: APPROVE and AUTHORIZE the Emptoyment and Human Services Director, or designee, to
contract (#21-554) with Contra Costa Child Care Council in the amount of $625,000 for Child Care
Services or the period of November 1, 1999 through June 30, 2000.
SPECIFIC NEOUEST(S)OR RECOMMENDATION($)&BACKGROUND AND JUSTIFICATION
RECOMMENDED AC110
APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to contract
(#21-554) with Contra Costa Child Care Council in the amount of$625,000 for Child Care Services for
the period of November 1, 1999 through June 30, 2000.
FISCAL:
No additional County cost. Funded State Department of .Education Child Care allocation (State and
federal).
CHILDREN'S ILDREN' IMPACT SQA MEN
The action will support community outcomes #1 "Children Ready for and Succeeding in School" by
providing child care to meet developmental needs of children, #3 "Families that are Economically Self
Sufficient" by addressing child care needs of parents who are engaged in work and/or in work related
activities.
RACKKCGROM J�ii :
In addition to Ca1WORKs Child Care allocations, the Employment and Human Services Department
(EHSD) receives State Department of Education Alternative Payment Program allocations (FAPP and
GAPP). There are three local Alternative Payment Programs (APP) providers, Employment and
Human Services Department, Professional Association for Childhood Education and Contra Costa
Child Care Council, that provide child care services. Contra Costa Child Care Council and
Professional Association for Childhood Education primarily provide services to non-CalWORKs low
income families while Employment and Human Services Department's focus is on families currently
receiving Ca1WGRKs funding.
CONTINUED ON ATTACHMENT: x YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
/ A
Al
SIGNATUREM:: r 1
ACTION OF BOARD ON � " b l' APPROVED AS RECOMMENDED -X_ . OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT J AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN,
ATTESTED - f'C L-2 L e L
Contact: Danna Fabella, 3-1583 PHIL BATCHELOR,CLERK OF THE BOARD OF
cc: EHSD (CONTRACTS UNIT) (E$) SUPERVISORS AND COUNTY ADMINISTRATOR
COUNTY ADMINISTRATOR
AUDITOR-CONTROLLER
CONTRACTOR BY�....Y.�„� ; E-4. Z. DEPUTY
BOARD OF SUPERVISORS
TO: 'M
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator Contra
..
DATE:
November 2 , 1999 Costa
County
SUBJECT:
Retroactive Payment to Gupta Etwaru, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)b BACKGROUND AND JUSTIFICATION
RICCOMMENDED ACTION-
Ratify
CTION:Ratify purchase of services from Gupta Etwaru, M.D. , for the period from July 19, 1999
through August 15, 1999, and authorize the Auditor-Controller to pay $13,958
outstanding for ophthalmology services.
FINANCIAL IMPACT.
The amount of $13,958 is included in the 1999-2000 fiscal year expenditure projections
of the Department's Enterprise Fund. As appropriate, patients and/or third party
payors will be billed for services.
REASONS FOR R.ECOMMENDATIO S/BACKGROLtDM:
At the request of the Department, the County's Purchasing services Manager executed
a purchase order for ophthalmology services for Contra Costa Regional Medical Center
and Contra Costa Health Centers, between July 19, 1999 and August 15, 1999, from Gupta
Etwaru, M.D. The payment limit was $25,000. Services were requested and provided
beyond the payment limit and by the middle of July, 1999, charges of $38,958 had been
incurred, of which $25,000 had been paid and $1.3,958 remains outstanding.
The Ophthalmology services were both requested by County staff and provided by Dr.
Etwaru in good faith. Because of administrative oversight by both the County and Dr.
Etwaru, the ophthalmology services provided under the purchase order exceeded the
amount authorized for approval by the Purchasing services Manager.
The Department is requesting that the amount due to Dr. Etwaru be paid. This can be
accomplished by the Board of supervisors ratifying the actions of County employees
in obtaining provision of ophthalmology services of a value in excess of the purchase
order's payment limit. This will create a valid obligation on the part of the County
retroactively authorizing all payments made by the Auditor-Controller up to now and
authorizing payment of the balance specified above.
CQNTINUf.D QN ATI6CHMENT; SIGNATUBEe�
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
_/y_ APPROVE OTHER
ffawI
ACTION OF BOARD ON b ec&.r°1 6 r- ` APPROVED AS RECOMMENDED v OTHER
VOTE OF SUPERVISORS
l� I HEREBY CERTIFY THAT THIS IS A TRUE
x UNANIMOUS (ABSENTS 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_ .•t ) _a"r"t t '
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Frank Puglisi (370-5100)
CC: Health Services(Contract)
Auditor-Controller
Risk Management BY DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator � f
Centra
Gusto
DATE: November 12, 1999ty
Approval of Amendment #26-343-6 (Modification #6/# 6151) w� �
SUBJECT: Approval
U.S . Department of Veterans Affairs
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&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, Amendment
426-343-6 (Modification #6/#V612S-5151) with the U.S . Department of
Veterans Affairs Northern California Health Care System (VANCHCS) to
extend the term of the agreement from November 1, 1999 through December
31, 1999 .
FINANCIAL IMPACT:
The Agreement is funded in the Health Services Department' s Enterprise
I Budget . Under the term of the agreement, VANCHCS is paid a fee for
service in accordance with the attached fee schedule which is
I
ncorporated in the Contract .
The services provided for the County' s patients under this Contract are
billable to patients and third party payors .
REASONS FOR RECD►I'+MENDATIONS/BACKGROLTND:
On October 1 , 1999, the Board of Supervisors approved Amendment 26-
344-5 (Modification #5/#V612S-6151) to Agreement #26-343 with the
VANCHCS, to extend the term of the agreement through October 31, 1999,
to provide specialized ophthalmology medical services to County' s
patients referred for treatment by Contra. Costa Regional Medical Center
physicians.
Approval of this Amendment #26-343-6 (Modification #6/#V612S-5151.) ,
will allow Contractor to continue providing services at the rates
specified in the attached fee schedule, through December 31, 1999.
The Contract documents have always been prepared by the Veterans
Administration.
zr
C- Z
O TINU ON A CHME T: SIGNATURE x5 �' s',&✓
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
' APPROVE � OTHER
ACTION OF BOARD ON ✓t r a e 1- 71 1 1 APPROVED A5 RECOMMENDED OTHER
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 IeCC=r'-N 6"-I- '�t 1
PHIL BATCHELOR,CLERK OF THE BOARD OF
ContactPerson:
Frank Puglisi (370-5100) SUPERVISORS AND COUNTY ADMINISTRATOR
CC; Health Services(Contracts)
Risk Management
Auditor Controller BY ' ' -� L DEPUTY
Contractor
#26-343-6
V612S-6151 ( 26-343) Page 2 of 2
Modification #6
FEE SCHEDULE
OPHTHALMOLOGY SERVICES
A. November 1, 1999 through December 31, 1999
Item# Description Est. Cost per Estimated
Qty. procedure total cost
VA PROVIDED SERVICES
1. Colorvision Testing 1 22.00 22.00
2. Comprehensive Eye Exam 1 216.00 216.00
3. External Photography 1 54.00 54.00
4. Flourescein Angiography 1 173.00 173.00
5. Flourescein Angiography Printing 1 34.00 34.00
6. Fundus Photography 2 66.00 132.00
7. Ophthalmology O/R Assistant Fee 1 417.00 417.00
8. Slit Lamp Photography 1 52.00 .52.00
9. Ultrasound'A or B Scan 1 154.00 154.00
10. Visual Field Test 1 109.00 109.00
11. Medical Media Slides (per slide) 1 5.00 5.00
USE OF EQUIPMENT AND SPACE
12. Comprehensive Eye Exam 1 216.00 216,00
13. Endolaser 1 188.00 188.00
14. Intermediate Eye Exam 1 139.00 139.00
15. Keratometry 1 39.00 39.00
16. Laser Treatment and/or Croypexy 1 396.00 396.00
17. Scleral Buckle 1 1,255.00 1,255.00
18. Vitrectomy 1 1,527.00 1,527.00
19. Vitrectomy and Lensectomy 1 1,527.00 1,527.00
20. Vitrectomy and. Scleral Buckle 1 1,527.00 1,527.00
21, Vitrectomy/Scleral Buckle/Lensectomy 1 1,527.00 1,527.00
Estimated Total $9,709.00
Estimated Quantities: The quantities(number of procedures) identified above is an estimate only
based on the projected number of procedures to be performed during the contract period. The
estimate will not be construed to imply that CCRMC guarantees any specific number of
procedures. CCRMC will be obligated to make payment only for those procedures actually
performed by VANCHCS.
*0: Eltl<ARQ OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator �r .i� Contra
Costa
DATE: November 12, 1999 County
SUBJECT: Approval of Amendment, #26-3446 (Modification #6/#V -6152) with
the U.S. Department of Veterans Affairs
SPECIFIC REQUEST(S)OR RECONMMENDATIONJS)&BACKGROUND AND JUSTIFICATION
RECQMXENDZD ACTON
Approve and authorize the Health Services Director, or his designee
(Frank Puglisi, Jr. ) , to execute on behalf of the County, Amendment
#26-344-6 (Modification #6/#V612S--6152) with the U.S. Department of
Veterans Affairs Northern California Health Care System (VANCHCS) to
extend the term of the agreement from November 1, 1999 through December
31, 1999 .
FINANCIAL XM�ACT:
The Agreement is funded in the Health Services Department ' s Enterprise
I Budget . Under the term of the agreement, VANCHCS is paid a fee for
service in accordance with the attached fee schedule which is
incorporated in the Contract .
The services provided for the County' s patients under this Contract are
billable to patients and third party payors .
REASONS FOR RECOI'+=NDATIONS IBACKGROU=:
On October 19, 1999, the Board of Supervisors approved Amendment #26--
344-5 (Modification #5/#V612S-6152) to Agreement #26-344 with the
VANCHCS to extend the term of the agreement through October 31, 1999,
to provide specialized Audiology and Speech Pathology services to
County' s patients referred for treatment by Contra Costa Regional
Medical Center physicians .
Approval of this Amendment #26-344-6 (Modification #6/#V612S-6152) ,
will allow Contractor to continue providing services at the rtes
specified in the attached fee schedule, through December 31, 1999 .
The Contract documents have always been prepared by the Veterans
Administration.
O U A AC E YES_ XX SIG-NATURE `•�"_ % ,:<�.., iC�' `
101
i RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
! ` APPROVEOTHER
ACTION OF BOARD ONl� !"("F,s �'r—
�� ,t �� _ APPROVED AS RECOMMENDED _— � OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS {ASSENT.0 3 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
Contactperson: Frank Puglisi, Jr. (370-5100)
CC: Health SefV1ces{Contracts}
Risk Management I� �c
Auditor Controller By DEPUTY
Contractor
#26-344-6
V6125-6152 (#26-344) Page 2 of 2
Modification #6
FEE SCHEDULE
SPEECH PATHOLOGY SERVICES
A. November 1,1999 through December 31, 1999
Item# Description ;Est. Cost per Estimated
Qty. procedure total cost
Audiology/Speech Pathology Services
1. Speech-Language Evaluation 1 225.00 225.40
2. Speech-Language Pathology Group
Treatment 2 104.00 208.00
3. Speech-Language Treatment 5 225.00 1,12.5.00
Estimated Total $1,852.00
Estimated Quantities. The quantities(number of procedures)identified above is an estimate only
based on the projected number of procedures to be performer)during the contract period. The
estimate will not be construed to imply that CCRMC guarantees any specific number of
procedures. CCRMC will be obligated to make payment only for those procedures actually
performed by VANC11CS.
TO. BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administratorf �:1 Contra
November 12, 1999 �. Costa
DATE: County
SUBJECT: Approval of .Amendment #26-345-3 (Modification #2/#V61 S- 6159) with
the U.S. Department of Veterans Affairs
SPECIFIC REQUEST(S)OR RECOMMIENDATION($)&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, Amendment
#26-345-3 (Modification #2/#V612S-6159) with the U.S. Department of
Veterans Affairs Northern California Health Care System (VANCHCS>) to
extend the term of the agreement from November 1, 1999 through December
31, 1999 .
F'jXANGIAI, IMPACT:
This Contract is funded in the Health Services Department ' s Enterprise
I Budget . Under the terms of the agreement VANCHCS will be paid s fee
for service in accordance with the attached feel schedule which is
incorporated in the Contract . The services provided for the County' s
patients under this Contract are billable to patients and third party
payors .
REASONS ICOR RECO�"1 ATIOXVBACKGROUM:
On October 19, 1999, the Board of Supervisors approved Amendment #26-
345-2 (Modification #1/#V612S-6159) to Agreement ##26-345-1 with the
VANCHCS, to extend the term of the agreement through October 31, 1999,
to provide neurology services to County' s patients referred for
treatment by Contra Costa Regional Medical Center (CCRMC) .
Approval of this Amendment #26-345-3 (Modification #2/#V612S-6159) ,
will allow Contractor to continue providing services at the rates
specified in the attached fee schedule., through December 31, 1999 .
The Contract documents have always been prepared by the Veterans
Administration.
CONTINUED-ON AMCL!MENT: YES XX SIGNATU-R -Z1
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
`�, t � a�..q.ice,
ACTION OF BOARD ON__I�ct- APPROVED AS RECOMMENDED _ OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT e� 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 C r' -71 f g 7 C
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person; Frank Puglisi, Jr. (370-5100)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY �h � �'{ - DEPUTY
Contractor
26-345-
6125-6159 (#26-34 ) Page 2 of 2
Modification #2
FEE SCHEDULE
NEUROLOGY SERVICES
A. November 1, 1999 through December 31, 1999
Item# CPT Description Est. Cost per Estimated
Cade Qty, procedure total cost
1. 95950 24-Hour Ambulatory EEG Monitoring 5 188.00 $940.00
2. 95805 Multiple Sleep Latency Studies 1 358.O0 $358.00
3. 95950 No-Shaw for 24-Hour AMEEG N/A 94.00
4. 95805 No-Show for MSLT N/A 179.00
Estimated Total $1,298.00
Estimated Quantities. The quantities(number of procedures)identified above is an estimate only based on
the projected number of procedures to be performed during the contract period. The estimate will not be
construed to imply that CCRMC guarantees any specific number of procedures. CCRMC will be obligated
to make payment only for those procedures actually performed by VANCHCS.