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Home My WebLink AboutMINUTES - 02021999 - C51-C55 TO: BOARD OF SUPERVISORS William Walker, M.D. , Health ,Services Director FROM: By: Ginger Marieiro, Contracts Administrator y- „ Contra Costa DATE: January 20, 1999 County SUBJECT: AD proval of Non-Physician Services Contract. ##27-152-3 with Audrey Silverman-Foote, M. F.C.C. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director or his designee (Milt Camhi) to execute on behalf of the County, Non-Physician Services Contract #27-152-3 with Audrey Silverman-Foote, M. F. C.C. , for the period from January 1, 1999 through December 31 , 1999, for the provision of professional outpatyent psychotherapy services, to be paid in accordance with the rate set forth below: a. $50 . 04 per individual therapy session; $40 . 00 for second individual therapy session in the same week; and b. $20. 00 per individual in a group therapy session. FISCAL IMPACT: This Contract is funded by Contra Costa Health Plan merrber premiums . Costs depend upon utilization. As appropriate, patients and/or third party payors will be billed for services . BACKGROUND/REASON(S) FOR RECOMMENDATItON(S) : On January 6, 1998, the Board of Supervisors approved Contract #27-152-2 with Audrey Silverman-Foote, M. F.C.C. , .for the period from January 1, 1998 through December 31, 1998 , for outpatient psychotherapy services for Contra Costa :wealth Flan (Health Plan) members . The Health Plan has an obligation to provide professional outpatient psychotherapy services for Healt�: Plan members with mental health therapy services as a covered benefit . This population_ includes Medi,-Cal, Medicare, and Commercial members enrolled in the Health Plan. Approval of Non-Physician Services Contract ##27-152-3 will allow this Contractor to provide professional outpatient psychotherapy services through December 31, 1599 . LONTINJED ON .TTA AMEN GNATURE S� RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGN 0 ACTION OF BOARD ON Irtz APPROVED AS RECOMMENDED 49+Hf-R VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE 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 -OJY " f PHIL BATCHELOR,CLE OF TAE BOARD OF Contact Person: Mi1c Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller B DEPUTY Contractor TO; BOARD OF SUPERVISORS FROM. MVi11iam. Walker, M.D. , Health Services Director r .Y� Contra By. Ginger Marieiro, Contracts Administrator Caste DATE. January 20, 1999 County SUBJECT: Approval of Contract #24-949-90 with Richard Bloom, Ph.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMEMED ACTION: Approve a.-.d authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-90 with.. Richard Bloom, Ph.D. , for the period from January 1, 1999 through June 301, 1999, to provide Medi-Cal mental health specialty services, to be paid i-n- accordance with the rates set forth in the attached fee schedule . FISCAL IMPACT: 'his Contract is funded by State and Federal FFP Medi-Cal Funds . BACKGROUND REASON(S) FOR RECOMMENDATIONS Can January 14 , 1997, the Board of Supervisors adopted Resolution #97/17, authorizing the :ea� th Services Director or his esi gr<ee (Donna 4 �Wigand, DCSW) to contrast w t:': the State Department of Mental Rea.'to 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- -949-90 will allow the Contractor to provide mental health specialty services through June 30,, 1999 . CO#VT#IYl1Irf5_Ctr#ATTACHMENT: --- SIGNA#t1R ' RECOMMENDA T ION OF COUNTY ADMINISTRATOR ®� RECOMMENDATION OF BOARD COMMITTEE 41 APPROVEOTHER C €1 ( . ACTION OF BOARD ON 4 ��s e`er Z APPROVED A5 RECOMMENDED � 0+1 1ER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT & 6 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_ �aC°�,V xo PML BATCHELOR,C,6#RK OF E BOARD OF ContactPerson: Dogra Wigand (313-6411) SUPERV€SORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) f /� Risk Management Auditor Controller BY DEPUTY- Board order Page 2 PhD REIMBURSEMENT TABLE LEVEL CPT CODE PROCEDURE TIME RATE LEVEL I CODES X9514 Test Administration (max 6 hours) 60 min. i $30 X9532 Test Scoring (max 2 hours) 60 min. $30 3. X9533 Test Report Writing (max 2 hours) 60 min. $30 X9502 Individual Psychotherapy- inpatient Setting 60 rein. $30 99205 Outpatient Assessment Visit.. New Patient 60 rain. $30 90844 individual Psychotherapy 60 ruin. $30 X9508 Family'Therapy 60 min. $30 s t 90853 Group Therapy- per person/per visit 90 miry. $12 X95444 Case Conference 30 min. $15 X9546 i Case Conference 60 min, $30 EME R EN Y DEPARTMENT 99284 ' Emergency Department Mental Health Services 45 min. j $22.50 ,NPATIEN`T"CONSULTS 99251 E inpatient Consultation New Patient 30 min, $�5 89253 Inpatient Consultation New Patient 60 min. i $30 53 TO*.-. BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director Contra By: Ginger Marieiro, Contracts Adminis�.rator Cost DATE: January 20, 1999 County SUBJECT: Approval of Contract 424-949-87 with Nora Klimist, M.. F. C.C. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (gonna Wigand) , to execute on behalf of the County, Contract ##24-949-87 with Nora Klimist, M.F.C.C. , for the period from January 1, 1999 through June 31, 1999, to provide Medi-Cal mental health specialty services, to he 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 . BACKGRQUND/REASQN(S) FCR RECOMMENDATIONS : On January 14 , 1997, the Board of Supervisors adopted Resolution 497/17, 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 424-949-87 will allow the Contractor to -orovide rental hea.ltIn specialty services through June 30, 1999 . _ CONTINUED ON ATTAChvl NT SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER S ACTION OF BOARD ON ; _ APPROVED AS RECOMMENDED VOTE OF SUPERVISORS I HEREBY CERTIFY THAT IS A TRUE UNANIMOUS (ABSENT4�� AND CORRECT COPY OF ANIACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ASSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN, ATTESTED_ ' IY PHIL BATCHELOR,CLER OF THE BOARD OF Donna Wi ai7d (313-6411) SUPERVISORS AND COUNTY ADMINISTRATOR Contract Person: g CC: Health Services(Contracts) j Risk Management 4�_ Auditor Controller BY DEPUTY Contractor Beard order Page 2 MFCC REIMBURSEMENT TABLE E i LEVEL CPT CODE PROCEDURE TIME RATE LEVEL i CODES 99205 Outpatient Assessment Vint- New Patient 60 min. $30 90844 Individual Psychotherapy 60 min. � $30 � X9508 Family Therapy 60 rain. I $30 90853 Group Therapy- per person/per visit 90 min. $12. X9544 Case Conference 30 rnln I $15 X9546 Case Conference 60 min. 0 1 TO BOARD OF SUPERVISORS FROM: Willia=m Walker, M.D. , 11ealth Services Director Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: January 20, 1999 County SUBJECT: Approval of Contract #24-949--94 with Nancy Corl , pn.D. SPECIFIC REoueST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, 'Contract 424-949-94 wits Nancy Corl, Ph.D. , for the period from January 1999 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: Th is Contract is funded by Mate and Federal FFP Medi-Cal Funds . BACKGROUN-D/REASON(�SI FOR RECOMMENDATIONS : On January 14 , 1997, the Board of Supervisors adopted Resolution #97/17, authorizingthe Health Services Director or his designee (Donna Wigand, :CSW) to contract with the State Department of Menta' 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 424-949-94 will allow the Contractor to provide mental health specialty services through June 30, 1999 . ' CO T€NEJM ON ATTAC . E T' X19f SIGNATUR �"" 9 RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER SIGN U ACTION OF BOARD ON t" .'roof APPROVED AS RECOMMENDED VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ASSENT,& 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,CLEC OFT �80ARD�OF � Y? la W at�d (313-cell} SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: g CC: Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor el-" Boa--d Order Page 2 e PhD REIMBURSEMENT TABLE ' I I LEVEL, CPT CODE PROCEDURE TIME RATE LEVEL I CODES X9514 Test Administration (max 6 hours) 60 min. 1 $30 , X9532 Test Scoring (max 2 hours) 60 min. i $30 X9538 Test Report Writing (max 2 hours) 60 min. $30 X9502 Individual Psychotherapy- Inpatient Setting 60 min. ` $30 I 99205 Outpatient Assessment Visit- New Patient 60 rein. $30 y 901844 Individual Psychotherapy 60 rein. $30 Family I I Y Thera pY 60 min. $30 90853 Group Therapy- per person/per visit 90 min. $12 - --- X9544 I Case Conference 30 min. $15 E X9546 Case Conference 60 min. $30 — _ EMERGENCY DEPARTMENT 99284 ? Emergency Department Mental Health Services 45 min. $22.50 INPATIENT CONSULTS 99251 ; Inpatient Consultation New Patient e 30 min. $15 99253 inpatient Consultation New Patient 60 min. $30 TO: - BOARD OF SUPERVISORS i FROM* William Walker, M.D. , Health Services Director Contra By: Ginger Marieiro, Contracts Administrator Caste DATE: Uanuary 20, 1999 County SUBJECT, Approval of Contract #24-949-50 with David Kallrnger, Ph.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-94950 with David. Kallinger, Ph.D. , for the period from September 1, 1998 through June 30, 1999, to provide Medi-Cal, trental 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 -Ca" Funds . BACKGROUND/REASON{S} FOR, RECOMMENDATIONS: On January 14, 1997, the Board of Supervisors adapted Resolution #97/17, authorizingthe 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 #24-949-50 will aglow the Contractor to provide mental health specialty services through June 30, 1999 . 4 ONTINLIIrD ON ATTACHMENT. SIGNATURE,,;- RECOMMENDATION IGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE. APPROVE OTHER SIGNATQRE(S): ' ACTION OF BOARD ON rLtt°_""oAPPROVED AS RECOMMENDED 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_4 1,0!F,9�,ra PHIL BATCHELOR,CLE OF TKE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (.313-6411) CC: Health Services(Contracts) Risk Management ' Auditor Controller BY DEPUTY Contractor Beard order pace two (2) CC:ltrlliP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 12/9/97. SPT C:Cif3E PROCEDUPE M.t3 Ph.i3 L.C.S.411. M.F.C.C. Level 1Codes _ 90830 Test Administration- 1 hour tm x 6) $313 9€3887 Test Scorista i i{aur(rnax 2) $30 90843 Individual Psycltoltteraisy- 112 ttotir�� $3d 90844 Indivldmil Psychol€resapy- 1 €rcrur w� _ $60 $3€3 $30 $30 _911845 Family 3sera iy wctltrsut Iaa€cent $30 $30 $30 90847 Family Tlteralty-coa�oittt $30 $36 $30d 90853 Grdrt�fierl� er persoter visit 1 1I2#tr max $12 $12 $12 9088.2 Pharmacolo£lical tnati :rtent $30 - 90870 PCT-Single Seizure $60 X9544 Case Conference- 1/2 hour $30 $1 $16 $15 X9545 Case Can€eience- 1hour $60 $3d $30 $30 #ttitat#ttlitService 59221 Hospital Cafe Visit-tssitial�30 mitittles� $30 99222 Hospital Cate Visit Init#al-Sd mintites _ $60 99232 #iosttital Cate vi"A# Sub,e<#=tart-3d tnimiteS -- $30- � outitatielit Consults 99242 Office Consuitat'son New Pilienl 3d minules $30 _._ 99244 Office Consultation New Palient-60 minutes , $60 — 3 latitatiettt r oitsttits 53261 Iiiiiatsent Consuilaiicitt New Pai#ent_30 minutes €3 _ $3 99253 Inpatient Consultation New Patient-60 mitt{rtes # $gad Ntirsii Fac Assass 39301 Evaluation andtvlariac einAttt 3d tninetles $30 993d3 # vacualiott atd tvlaitat anent 6d tttisttties $6d , 99311 SugseqLuetit� irsituU Faci€ity-Ca_e 15 minutes $15 c.. 99313 Sunset#uent 'VursitIg Facility Case-30 mimites $30 €test t€once et Al Svc. 99323 Evaluation of New Pationt $60 _ 99333 Evaluation o€Established Patient #conte Services 39341 Evaluation of New Palient $60 99353 Evia#ualion of Esiablis#ped Pa##enl $30 . " These are the only outpatient services witicli CCMIiP will actthorize and the only Moftcodes for which providers will be reimbursed,