HomeMy WebLinkAboutMINUTES - 01261999 - C64-C68 to, BOARD OF SUPERVISORS
FROM: William: Walmer, M.D. , Health Services DirectorContra
By: Ginger Marieiro, Contracts Administrator Cone
DATE: January 13, 1-999
Cfll)n#y
SUBJECT:
Approval of Contract #24-939-99 with Nagui Achamallah, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Donna Wigand) , to execute on behalf of the County, Contract
#24-939-99 with Nagui Achamallah, M.D. , for the period from April 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 .
I.I . FINANCIAL IMPACT:
This Contract is funded by State and Federal FFP Medi-Cal Funds .
iII . REASONS FOR RECOMMENDATIONS/BACKGROUND:
On January 14 , 1997, the Board of Supervisors adopted Resolution
#97/17, auts^orizing 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 . The implementation date has since been
changed to April 1, 1998 . Responsibility for outpatient specialty
mental health services involves contracts with individual, group and
organizational providers to deliver these services.
Approval of Contract #24-939-99 Wi11 allow the Contractor to provide
mental, health specialty services through June 30, 1999 .
x � a
CONTINUED ON ATTACHMENT: XX SIGN TURF s
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
SIGN UR
ACTION OF BOARD ON_ i,a t cu ' � APPROVED AS RECOMMENDED
VOTE OF SUPERVISORS
I HEREBY CERT'IF'Y THAT THIS IS A TRUE
UNANIMOUS (ABSENTaZ L) 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,CLAK OF TOE BOARD OF
ContactPerson: Donna Wigand (313-6411) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management .
Auditor Controller BY DEPUTY
Contractor
Board order
page two { )
CCMl1P OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 1219197.
CPTCC3t3E PRdC—E5.DREL.C.S,tn1�. M.F.C.C.
Level 1Codes 90830 Test Administiation- 1 #icier�rriax 6j $30 _
90887 "Test Scoring- !hour(max 2 $30
90843 #iics#victim#l'sc§iotfieral} t2 ticiir $30
90844 Individual Psyc#collies}t�I hoiir �_. $60 $30 $30 $30
118_46rFamlly
ib#iera>y Nit#ic}i}t patient -- $30_ $3Ei $3G_
90847T#fern#} GUii oiiit $30 $30 $30
9085_3p Thefaj)L2er t3ersoit-Eer V{Sit i 112hr maX $12 $12 $#2
90562i3iacoioc ica# ement $3090$70 -S#ri ce Selzme $60
X9544 Casa Confeience- 112 hour $30 $15 $15 $15
X9546 Case Confeience- ltiour $60 $30 $30 $30
Itos iitaf tri t. Service 99221 ltos pitai Care Visi' lnilial-30 minWes $30 _
_ I _ —— 59222 Hospital Cite Visil I+iiti i-50 miruites $60
9923'2 l#osl}tT�at C}3iw Visit Siit}sisctaetit-30 ii}itiules $30 _ I_-_____
91itvalien#Consritts 99242 O_itice Consuit 3tion New Patient30 mincites {�---_$30_
95244 Office Consultation New Patient-60 minutes l $60
lnl}atieiit Conscilts� 99251 Iiipat#eiit Coii^yuHatiois New Patienl-30 iiiiiiiiti',5 $30
59253 Inpatient Consultation New Patient-60 milmles $60
-
'�cirsiii _Fac Assess 99301 Evaluation a.ic#Mania einent-30 m4mtes $3_0
99303 EvaIitalion and Mai}acmehi
ent-60 m p es $60
__.._... _ - -
3531# Sut}ser uent 3msinu Facii#ity Care 15 minutes $15
99313 Subsequent Nursing f=acility Care-30 minules $30
£test![(!1118 et Al Svt. 99323E valuation of New Paf#eiit_ _ $60
- 9333.3 Evaluation of Established Patient�� $30
ii—ome Services 99341 Evaluation of New Patient_ $613
_ 99353 Evaluation of Established Patient $30
These are the only outpatietit services which CCMHP will authorize and the only
codes for which providers will be reimbursed.
TO: BOARD OF SUPERVISORS �
"3t
FROM: William Walker, M.D. , Health Services Director = ,
By: Ginger Marieiro, Contracts Administrator
Contra
Costa
J � 1 � County
SUBJECT:
Approval of Contract, 427--219-2 with Zena Potash, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATIONtS)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Milt Camhi) , to execute on behalf of the County, Contract #27-219-2
with Zena Potash, M.D. , for the period from January !, 1999 through
December 31, 1999, for the provision of psychiatric services for the
Centra Costa Health Plan, to be paid as follows :
8100 . 00 per initial evaluation session.;
170 . 00 for each additional therapy session.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums .
Costs depend upon utilization. As appropriate, patients and/or third
party payers will be billed for services .
SACKGROUNDIREASON(S) FOR RECOMMENDATION(S) :
On March 17, 1998, the Hoard of Supervisors approved Contract 427-219-1
with Zena Potash, M.D. , for the provision of professional psychiatric
services to Contra Costa Health Plan (Health Plan) ::embers, for the
period from January 1, 1998 through December 31, 1998 .
The Health Man has an obligation to provide professional psychiatric
services for Health 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 this Contract will allow the Contractor to provide mental
health services to Health Plan members through December 31, 1999 .
CON rINUED ON ATTACHM NT' �K �,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
S106I BE(
ACTION OF BOARD ON t ` r �. APPROVED AS RECOMMENDED = -At-�
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT#I -� AND CORRECT COPY OF AN ACTION TAKEN
AYES: __ NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ASSENT: ABSTAIN: OF SUPERVISORS ON THE GATE SHOWN.
ATTESTED " � y
PHIL BATC ELOR,CL OF THE OARD OF
Milt Camh (313-600 SUPERVISORS AND COUNTY ADMINISTRATOR
ContactPerson: )
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY y{ DEPUTY
Contractor
TO. BOARD OF SUPERVISORS
William. Walker, M.D. , Health Services Director
FROM- By: Ginger Marieiro, Contracts Administrator � =�,� Contra
�y Costa
DATE: January 13, 1999
County
SUBJECT:
Approval of Non-Physician Services Contract #27-151-3 with
ilah pox, 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 #27-1-51-3 with Lilah Fox, M. F.C.C. , for the period. from January
1, 1999 through December 31, 111999, for the prevision of professional
outpatient psychotherapy services, to be paid in accordance with the rate
set fort: below:
$50.00 per individual therapy session.
FISCAL 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 .
BACKGROUND/REASQN(S) FOR RECOMMENDATION(S):
On January 5, 1993, the Board of Supervisors approved Contract #27-151-2
with T., -' ah Fox, M.F. C.C. , for the period from January 1993 through
December 31, 1993, for outpatient psychotherapy services for Contra Costa
Health Plan (Health Plan) members .
The Health Plan has an obligation to provide professional outpatient
psychotherapy services for Health Plan members with mental health therapy
services as a covered benefit . This population includes Medi-Cal,
Medicare, and CommerC4a, members enrolled in the Health Pl'n.
Approval of Non.-Physician Services Contract #27-151-3 will allow this
Contractor to provide professional outpatient psychotherapy services
through December 31, 1999 .
Ar
CONTINUED ON ATTAC M T: St ATH r
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMI 117EE
APPROVE OTHER
ellU
ACTION OF BOARD ON ire° APPROVED AS RECOMMENDED o _ OtHM
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS {ASSENT Ban 3 AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ASSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED. ""
PHIL BATCHELOR,CLEOK OFT E BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
ContactPerson: Mi i v Cari�h i (313-6004)
CC: Health Services(Contracts)
Risk Management
Auditor Controller
Contractor BY '� ".. �.. �i3EPUTY
TO: BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM. By: 'Ginger Marieiro, Co.-.t--acts Administrator Contra
Costa
DATE: January 13, 1999 _. County
SUBJECT: Approval of Contract ,#.27-222-2 with Alan Scott, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and aut-horize the Health Services Director, or his designee
(Milt Camh" , to execute or behalf of the County, Con-'ract 427-22202
with Alan Scott, M. D. , for the period from � anua.ry 1, 1, 999 through
December 31, 1999, for the provision of professional mental health
services for the Contra Costa Health plan, to be paid in accordance
with the rates set forth below.
0100 . 00 per initial evaluation session;
S 70 . 00 for each additional therapy session.
FISCAL IMPACT:
This Contract is funded by Contra Costs. Health Plan member premiums .
Costs depend upon utilization. As appropriate, patients and/or third
party payors will be billed for services .
BACKGROLW/REASON( ) FOR RECOMMENDAATION(S) :
On May 10, 1998 , the Board of Supervisors approved Contract 427-222-1
With Alan Scott, M.D. , for the period from janua.ry 1, 1998 through
December 3 : , 1998 , for professional -Qsychiat.ric services for Centra
Costa Health Plan (Health Plan) members .
The Health Plan has an obligation to provide professional psychiatric
services for Health Plan members with mental health therapy services as
a covered :benefit . This population includes Medi--Cal, Medicare and
Commercial members enrolled in the Health elan.
Approval of this Contract will allow the Contractor to provide mental
health services to Hearth Plan members through December 31, 1999 .
C; 'INUE12 Q AT ACHMENI S#CiNATIi
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
S '
ACTION OF BOARD ON Dn j�L ` APPROVED AS RECOMMENDED -
VOTE OF SUPERVISORS
- —
UNANIMOUS I HEREBY CERTIFY THAT THIS IS A TRUE.
(ABSENTi�!�4 � } 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 � ��
PHIL BATCHELOR,CLE OF TH BOARD OF
ContactPerson:sCf#1:
Mi 1t Ca phi (31.3-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor ControiierBY DEPUTY
Contractor
TO: BOARD CSP SUPERVISORS
William Walker, M.D. , Health Service Director
FROM: By: Linger Ma.rieiro, Contracts .Administrator ',° �.. Contra
Costa
DATE, January 7, 1999 County
SUBJECT, Approval of Contract 22-707 with Cbiel A. Leyva
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENI7AT I ON(S) :
Approve and authorize the Health Services Director or his designee
(Wende.l Brunner, M.D. ) to execute on behalf of the County, Contract
#22-707 with Obiel A. Leyva, in the amount of $29, 434 , mor the
period from December 28 , 1998 through June 30, 1999, to provide
consult.ation and technical assistance to the Department with regard
to the AIDS Program.
FISCAL IMPACT
This Contract is 100° State funded.
BACKGROUNDZREASON(S) FOR RECOMMENDATION(S} :
Under Contract #F22-707, Obiel A. Leyva will provide consultation and
technical assistance to the Department with regard to the AIDS
Program, responsibilities include the development, monitoring and
evaluation of community based programs and supervision of prevention
outreach workers through June 30, 1999 .
CONTIIgU D ON ATT'AC MEN : S#GNATUR _' v • 5� %.
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
dS '
ACTION OF BOARD ON ! s� APPROVE-OAS RECOMMENDED X' _
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOSES:_--.. AND ENTERED ON THE MINUTES OF THE.BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE MATE SHOWN,
ATTESTED "
PHIL BATCHELOR,CL OFT BOARD OF
Contact Person: WendelBrunner, M.O. (313-6712) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management f{
Auditor Controller gY ` � A
Contractor DEPUTY