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HomeMy WebLinkAboutMINUTES - 01051999 - C92-C96 TO: BOARD CP SUPERVISORS Ff20AA: William Walker, M.D. , Health Services Director ' Contra By: Ginger Marieiro, Contracts Administrator DATE: December 18, 1998 Costa County SUBJECT: Approval of Emergency Residential Care Placement Agreement #24- 6-115 with Fred Williams (dba Williams Board and Care Home) SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION REC01 M bWATION{S) : a. Approve and authorize the Health Services Director or his designee (Donna M. Wigand) to execute on behalf of the County Emergency Residential Care Placement Agreement #24-086-115 with Fred Williams (dba Williams Board and Care Dome) , for the period from November 1, 1998 through October 31, 1999, to provide emergency residential care to mentally disturbed adults who are potentially eligible for SSI/SSP, in an amount not to exceed $703 per client per month through December 31, 1998, and in an amount not to exceed $738 per client per month beginning January 1, 1999; and b. Authorize the Auditor-Controller to pay an amount not to exceed $93 per month through December 31, 1998, and an amount not to exceed $98 per month beginning January 2, 1999, to clients who are placed in the board and care facilities under said Emergency Residential Care Placement Agreements for incidental expenses and personal needs. FISCAL IMPACT: Under this program, the County pays the State-established rates for the residential care of mental health clients who are not vet receiving SSI/SSP (but who are potentially eligible and have made formal application to the Social Security Administration for SSIISSP) , contingent upon the client's signing an agreement with the County to reimburse the County from the SSI/SSP money, once it is finally granted by the federal government (usually 3 to 6 months retroactively back to the month of application) . For those mental health clients who are not granted SSI/SSP (i.e. , are found ineligible) , the County covers the residential care payments to the facility operators through the County's established Mental Health Program Funding. Initially, ten to twenty percent of the clients are found ineligible by the Federal Social Security Administration, depending on changes in .Federal guidelines, and then some of these are ultimately found eligible through appeal processes. BACKGROMM/REASON(S) FOR RECOMM NDATIONtS3 : For several years, the County's Mental Health Adult Services Program has used these Agreements as an interim financing mechanism to facilitate the residential care of mentally disabled clients and movement of clients, who are deemed eligible for SSI/SSP, from State or local inpatient facilities to community-based facilities. This Program provides residential care for 40 to 50 clients per year. Approval of Agreement 424-086-118 will allow the Contractor to provide services through October 31, 1999. _CONTINaD ONATTACHMENT: Ys5SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE _OTHER ACTION OF BOARD ON r� APPROVED AS RECOMMENDED 1R VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE _ UNANIMOUS (ABSENT_,2Lo...•} 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 IL BATCH ,TXND ERK F THE BOARD OF Contact Person: Donna Wigand (313-6411) UPERVISOOUNTY ADMINISTRATOR CC: Health Services(Contracts) Disk Management Auditor Controller BY �,�„ DEPUTY Contractor .................................................................................................1.1.11.111.11'', ...................................................................................... ................... TO: BOARD Of SUPERVISORS FROM: William Walker, M.D. , Health Services Director Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: Decenber 18, 1998 County SUBJECT: Approval of (Novation) Emergency Residential Care Placement Agreement #24-086-44(21) with Ruth Lawton (dba Lawton Family Home) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RZCQY?=NDkT1OX(S) : a. Approve and authorize the Health Services Director or his designee (Donna M. Wigand) to execute on behalf' of the County, (Novation) Emergency Residential Care Placement Agreement #24-086-44(21) with Ruth Lawton (dba Lawton Family Home) , for the period from July 1, 1.998 through June 30, 1999, to provide emergency residential care to mentally disturbed adults who are potentially eligible for SSIlssp, in an amount not to exceed $703 per client per month through December 31, 1998, and in an amount not to exceed $738 per client per month beginning January 1, 1999; and b. Authorize the Auditor-Controller to pay an amount not to exceed $93 per month through December 31, 1998, and an amount not to exceed $98 per month beginning January 1, 1999, to clients who are placed in the board and care facilities under said Emergency Residential Care Placement Agreements for incidental expenses and personal needs. FISCAL IMPACT- Under this program, the County pays the State-established rates for the residential care of mental health clients who are not yet receiving SSIISSP (but who are potentially eligible and have made formal application to the Social Security Administration for SSIISSP) , contingent upon 'the client's signing an agreement with the County to reimburse the County from the SSI/SSP money, once it is finally granted by the federal government (usually 3 to 6 months retroactively back to the month of application) . For those mental health clients who are not granted SSIISSP (i.e. , are found ineligible) , the County covers the residential care payments to the facility operators through the County's established mental Health Program Funding. Initially, ten to twenty percent of the clients are found ineligible by the Federal Social Security Administration, depending on changes in Federal guidelines, and then some of these are ultimately found eligible through appeal processes. BACXQRgyND/R8AS0X(S) FOR RXCOMMFMIDATION(S) . On June 24, 1997, the Board of Supervisors approved Contract #24-086-44(20) with Ruth Lawton (dba Lawton Family Home) , to provide emergency residential care to mentally disturbed adults who are potentially eligible for SSIISSP, for the period from July 1, 1997 through June 30, 1998, which included a six-month automatic extension through December 31, 1998. This Novation Contract #24-086-44(21) replaces the six-month automatic extension under the prior Contract, and will allow the Contractor to continue providing services through June 30, 1999. CONTINUED ON ATTACHMENT: 210191� StGNATU#2E RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE —OTHER 12 r ,11GNATURE(S)o ACTION OF BOARD ON� APPROVED AS RECOMMENDED - X 9+1 1ER 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 LBATCHELO LER OF THE BOARD OF Contact Person: Donna Wigand (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY Contractor -,DEPUTY TO: BOARD OF SUPERVISORS e77- 2211 FROM: William Walker, M.D. , Health Services Director By: Ginger Nts:rieira, Contracts Administrator y ' Contra V DATE: CostaDecember 18, 1998 SUBJECT: Approval of (Novation) Emergency Residential Care Placement Ag nt County #24-086-101(12) with Rica & Dominga Torneros (dba Torneros Residential Care SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RBC01s MZNDATION(.01: a. Approve and authorize the Health Services Director or his designee (Donna M. Wigand) to execute on behalf of the County (Novation) Emergency Residential Care Placement Agreement #24-086-3.01 (12) with Rica & Dominga Torneros (dba Torneros Residential Care Home #1 & #2) , for the period from July 1, 1998 through June 30, 1999, ;to provide emergency residential care to mentally disturbed adults who are potentially eligible for SST/SSP, in an amount not to exceed $703 per client per month through December 31, 1998, and in an amount not to exceed $738 per client per month beginning January 1, 1999; and b. Authorize the Auditor-Controller to pay an amount not to exceed $93 per month through December 31, 1998, and an amount not to exceed $98 per month beginning January 1, 1999, to clients who are placed in the board and care facilities under said Emergency Residential Care Placement Agreements for incidental expenses and personal needs. FISCAL IMPACT: Under this program, the County pays the State-established rates for the residential care of mental health clients who are not vet receiving SSI/SSP (but who are potentially eligible and have made formal application to the Social Security Administration for SSI/SSP) , contingent upon the client's signing an agreement with the; County to reimburse the County from the SSI/SSP money, once it is finally granted by the federal government (usually 3 to 6 months retroactively back to the month of application) . For those mental health clients who are not granted SSI/SSP (i.e. , are found ineligible) , the County covers the residential care payments to the facility operators through the County's established Mental Health Program Funding. initially, ten to twenty percent of the clients are found ineligible by the Federal Social Security Administration, depending on changes in Federal guidelines, and then some of these are ultimately found eligible through appeal processes. BACKGROM W&RASON(B) FOR RECo)fd UMATI ON(S} On June 24, 1997, the Board of Supervisors approved Contract #24-086-101(11) with Rica & Dominga Torneros (dba Torneros Residential Care Home #1 & #2) , to provide emergency residential care to mentally disturbed adults who are potentially eligible for SSI/SSP, for the period from July 1, 1997 through June 30, 1998, which included a six-month automatic extension through December 31, 1998. This Novation Contract ##24-086-101(12) replaces the six-month automatic extension under the prior Contract, and will allow the Contractor to continue providing services through June 30, 1999. CONTI_N,UED ON ATTACHMENT: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE —OTHER SIGNATIJ ACTION OF BOARD ON APPROVED AS RECOMMENDED f #� 67 67-7 VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT 2,,x,22^ ) 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 IL BATCHELO ERK 0 THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (311-6411) CC: Health Services(Contracts) RiskManagement Auditor Controller F3Y %r DEPUTY TO: BOARD OF SUPERVISORS77 Will walker, M.D. , Health Services Director �.�` ' --��'� Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: December 18, 1998 County SUBJECT: Approval of Contract ##26-957 with Colleen S. Schwartz, DPM SPECIFIC REQUEST(S)OR RECOMMENOATICN+N(S)3 BACKGROUND/AND JUSTIFICATION RECOZC4ENDATION(S) Approve and authorize the Health Services Director, or his designees, (Frank Puglisi,, Jr. ) to execute on behalf of the County, Contract #26-957 with Colleen S. Schwartz, DPM. , (Specialty;: Podiatry) , for the period from November 1, 1998 through October 31, 1999, to be paid as follows : a. $59. 85 per hour, for consultation, training and/or medical procedures; and b. For surgery, sixty percent (60%) of the fee stated in the 1997 Medicare Physicians ' Fee Schedule for area 7. FISCAL IMPACT: Cost to the County depends upon utilization. As appropriate', patients and/or third party payors will be billed for services. BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : 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 #26-957, Colleen S. Schwartz, DPM shall provide podiatry services for Contra Costa Regional MedicalCenter and. Contra Costa Health Centers through October 31, 1999. CONTINUEDAT N : SIGN ATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD ONOr APPROVED AS RECOMMENDED - 8+1 1E 17 VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (A85EN1 AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES; AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: _ABSTAIN: OF SUPER SORS ON THE DATE SHOWN. ATTESTED ' BATCHELO ERK F THE BOARD OF Frank Pit9 1151 (370-5140) PERVISORS AND COUNTY ADMINISTRATOR Contact Iverson: CC: Heatth Services(Contracts) Risk Management / Auditor Controller By DEPUTY Contractor TO: BARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator +` •= Centra Costa DATE: December 18, 1998 � County SUBJECT: approval of Unpaid Student Training Agreement #26--141.-3 with the Board of Trustees of Peralta Community College District SE'ECIFIc RECIUEST{S)OR RECOMMENDATION{S &BACKGROUND AND JUSTIFICATION RECgInam,&TION(S) Approve and authorize the Health Services Director, or his designee (Frank' Puglisi') to execute on behalf of the County, Unpaid Student Training Agreement, ##26-141-3 with the Board of Trustees; of Peralta Community College District, for the period from 'January 1, 1999, through December 31, 2002, for provision of field instruction in the Health Services Department for the Contractor' s radiology students FISCAL ljp CT: None . BACKGRU� R AS{N{S) FOR RAZOME DATION{S) : The purpose of, this agreement is to provide Contractor' s radiology students with the opportunity to integrate academic knowledge with application skills and attitudes at progressively higher levels of performance requirements and responsibility. Supervised field work experience for students is considered to be an integral 'part of both the educational and professional preparation. The Health. Services Department can, provide the requisite field education, whale at the same time, taking advantage of the students ' services to patients'. Approval of this Unpaid Student Training Agreement #26-1.41-2 will continue to provide supervised clinical experience for students enrolled in the Peralta Community College District through December 31, 2002 . CONTINUEP.ON A T R LLW--a>�- RECCMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE _ OTHER ACTION OF BOARD ON APPROVED AS RECOMMENDED X �**HtR VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENTJ2&�%0� } 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 OATCHELOR4gEIRK Of THE BOARD OF PERVI SORB AND COUNTY ADMINISTRATOR Contactftrson:Frank Puglisi,' Jr. (370--5100) CC: Health Services (Contracts) Contractor BY DEPUTY`