HomeMy WebLinkAboutMINUTES - 10191999 - C43-C47 z
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director r Contra
By: Ginger Mar-e ro, Contracts Adm:Inistrator
Costa
DATE, October 4, 1999 Count
SUBJECT:
Approvai of Contract #27--390-1 with Janet Lord, M.D.
SPECIFIC REQUEST(a)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION -
RECOMMENDED ACTION
Approve and aut1horize the Health Services Director, or his designee
iMilt Camhi) , to execute on behalf of the County, Contract '#'27-390-1 '
With Janet Lord, M.D. , for the period from October 1, 1999 through;
September 30, 2000, for the provision of Drofessional pediatric>
services for the Contra Costa Health Plan, to be paid as follows:
a. For Medi:-Cal and Commercials Members
County skull pay Contractor those rates set forth in the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, 1-998. ln the event
rate increases are subsequently approved by the Sate of California and
are included in the County's Health pian capitated payment, County will
thereafter increase the Yates County pays to Contractor accordingly.
n. For Medicare members:
Services for :tembers who are Medicare recipients will be reimbursed at>
the Medicare rate of payment. physician will bill Medicare as primary`
payor and County will pay Medicare-required copayments and deductibles
for Medicare approved services.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan ;Health Pl.a>)
member premiums. Costs depend upon. utilization. As appropriate,
patients and/or third party payors will be billed for services .
EACXGROUNDZREASON'(S) FOR RECOMMENI3ATIQN S3 :
The Health 'Flan has an obligation to provide certain specialized
professional health care services for its mernbers unde.- the terms of
their individual. and Croup Health Plan membersh=p contracts with the
County.
:finder Contract 27-390-1, the Contractor will provide professional
pediatric services to Contra Costa Health Plan members, through
September 30, 2000 ....
y C
CONTINUED ONATTACI#�tIEN� _ `GAS' SIi3IVAIlJR
RECOMMENDAnON OF COUNTY ADMINISTRATOR � RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I 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
ASSENT- -- - ABSTAIN,. OF SUPERVISORS ON THE DATE SHOWN.
f
ATTESTED �-fi�4. e - f
Mil` Ca:ni (313-6004) PHIL BATCHEt R,C€.ERK OF THE SOARD OF
SUPERVISORS AND COUNT`(ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY��4t ���.�.,�� �.: :DEPUTY
Contractor -
TO: BOARD OF SUPERMSORSs Owl
FROM: William Walker, M.D. , Health Services Director 1 {
By. Ginger Marieiro, Contracts Administrator � s' Contra
Csta
DATE: October 4, 1999 Cour
ty
Approval of Ikon.-Physician Services Contract 427-323-1 with
Corann Withers O.D.
SPECIFIC REQUESTJSTOR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIGY3(S}
Approve and authorize the Health Services Director, or his designee (Milt
Camh.i) to execute on behalf of the County, Contract 427-323-1 with Corann
Withers, O.D. , for the period from October 1, 1999 through September 30,
2000, for provision of professional optician services, to be paid in
accordance with the attached fee schedule.
FISCAL IMPACT.
This Contract is funded by Contra Costa Health Plan member premiums . Costs
depend upon utilization. A.s appropriate, patients and/or third party payors
will be Billed for services .
BACKGTtflUUDIREASOX(S) FOR ECO ENDATION{S}
For a number of years the County has contracted with medical, and dental
specialists to" provide for patients, specialized professional services which
are not otherwise available in its hospital and health centers . The Contra
Costa. Heath Plan has been obligated to provide professional optician
services, including eyewear, for Health Plan patients with optician services
as a covered benefit .
Under Contract 427 ..323-1, the Contractor will provide optician services for
Contra Costa Health. Plan members, through September 30, 2000 .
CQNTI UE O AT AC ME T: ES
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE —OTHER
OV
SIGNATUR ' r
ACTION OF BOARD ON r:)C4 wAPPROVED S RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
J
UNANIMOUS AND CORRECT COPY OF AN ACTION TAKEN
AYES.__ DOES. AND ENTERED ON THE MINUTES OF THE BOARD
ASSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
Milt campy (313-6004) PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Heath Services(Contracts)
Risk Management ,
Auditor Controller BY 1`171, ��� e-���i�
>DEPUTY
Contractor
... ......... ........ .
............_._...._.. ...._.... ......... ......... ......... ......... ...
_... ......... ......... ......... ......... .........
.. .................................................................................................I.......
...._._....................
1_'1 ellzlel
BOARD ORDER
PAGE 2
L . For Commercial members, County shah pay Contractor as Follows:
Vision Exams $50 . 100
Contact Lens .Vision Exams $83 . 00
Single Vision Lenses $25 . 00
Bifocal Lenses $40 . O0
Irk focal Lenses $65 .00
Lenticular Lenses $65 . 0:0
Frames $40 . 03
Contact Lenses $65. 00
2 . For Med?-Cal Memoers, County shah. pay Contractor these rates set for
in the Medi-Cal Schedule of Maximum Allowances in effect on August 1,
1998 for like services and products*, once every two (2) years 'from the
last date of services . in the event rate increases are subsequently
approved by the State of California and are included in the County' s
Health Plan capitated payment, County will thereafter increase the rates
County pays to Contractor accordingly.
*Contact lenses are covered if medically necessary and authorized by the
Contra. Costa Health Plan.
3 . For all other members of the Contra Costa. Health Plan, County shah, pay
Contractor those rates set for in the Medi-Cal Schedule of Maximum
Allowances in effect on August 1, 1998 for like services and products.
In the event rate increases are subsequently approved by the State of
California and are included in the County' s Health Plan capitated
payment, County will thereafter --increase the rates County pays -O
Contractor accordingly.
........ ......... ...._.... ..........._... ._. _ -
....... ........ ....__......................... ......... ......... ......... ......... ......... ......_.. _-
......... ......_.. ......... ......... ......_.. ..
..............................................
TO; BOARD OF SUPERVISORS
1 s�
FROM, William ':Walker, M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator •�� ;
DATE.: Oct-ober 4, 1999 Costa
Cou11tY
SUBJECT: `
Approval of Non-Physician Services Contract 27-431 with
Bea Raimondi, R.L.D. , R:.C.L.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFIC;iTIO 7
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
#27-431 with Berg. Raiarondi, R..L D. , R.C.L.D. , for the period from September
I , 199 through August 31, 2000, for provision of optical dispensing
services, to be naidlas follows :
County shall pay Contractor those rates set forth in the Medi-Cal Schedule of
Maximum Allowances in effect or August 1, 1998. In the evens rate increases are
subsequently approved by the State of California and are included in the County' s
Health Plan capitated payment, County will thereafter increase the rates County _pays
to Contractor accordingly.
FISCAL IMPAC "
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 .
BACKGROUNDZR.EASON( ) FOR RECOMMENDATION( ) :
The Contra Costa Health Plan has been obligated to provderoesional
o-otician services, including eyewear, for Its members Linder the terns of
their individual and Groin Health Plan membership contract's with the
County.
Under Non-Phys_Joan Services Contract #27-431 the Contractor will prov_de
optical dispensing services to Contra Costa Health Plan members through
August 31, 2000 .
9!2N
r}},,��}} {�ry/���pp pT .p�a��y�yy�p�y �y �+a k' �y ✓
G0.t>'tTI58 VtIWl �iftl Aei PiLeF43Y3GFtl 3 ,:A^V SIGNATUR ✓
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE i OTHER
.�lQNATQREfS),, 2ese
ACTION OF BOARD ON 1 # € i � L of APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
!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: A BSTA=N: OF SUPERVISORS ON THE DATE SHOWN.
�jI i_->> r�•,., 0,
ATTESTED
ESTER f
PHIL BATCHELOR,CLERK OF THE BOARS OF
SUPERVISORS AND COUNTY ADMINISTRATORCor�tactPrsc�n. Mi�-t Ca��i X313-6000
CC. Health Services(Contracts)
Risk Management
Auditor Controller BY � "��-
Contractor DEPUTY
t
TOBOARD OF SUPERVISORS AL--/ a
FROM. "s ill iam balker, M.D. , Health Services Director
r:5y: Ginger Marieiro, Contracts Administrator -' ° Contra
October 4, 1999 Costa
County
SUBJECT: Approval of Contract 427-394-1 with Yogam Krishnamoort hy, M.D.
SPECIFIC REQUEST(S)OR RECO MENDATIONISI&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION.
Approve and authorize the Health Services Director, or his designee'
(Mi'lt Ca hi.) , to execute on behalf of the County, Contract #27-394-1
w t.- Yogam Krashnamoort y, M.D. for the period from October 1, 1999
through September 30, 2000, for the prevision of professional OB/GYM'
services for the Contra Costa Health Plan, to be Raid as follows :
a. For Medi-Cal and. Commercials Members:
County shall pay Contractor those rates set forth in she Med.-:.-Cal `
Schedule of Maximum Allowances in effect on August 1, X998. In the event
rate increases are subsequently approved by the State of California and
are included in the County's Health Plan capitated pay�ment, County will
thereafter increase the rates County pays to Contractor accordingly.
b. For Medicare members;
Services for members who are Medicare recipients will be reimbursed at<
the Medicare rate of payment. Physician will bill Medicare as primary
payor and County will pay Medicare-required copayments and deductibles
-for Medicare approved services.
FISCAL 11#MACT s'
This Contract is funded by Contra. Costa Health Plan'; (Health Plan)
mei,mer premiums. Costs depend upon utilization. As appropriate,
patients and/or third party payers will be billed for services ,
BACKGROUND/REASON(S) FOR RECOMMENDATION(g) :
she Health Plan has an obligation to provide certain specialized
professional health care services for its members under theterns of
their Individual and Group Health Plan mem.,bership contracts with the
County.
Under Contract 427-394-1, the Contractor will provide professional
OB/GYN, services to Contra Costa Health Plan members, through September
30, 2000 .
COO T UE ON ATTACH I NT-
S#G 'ATUR �.
RECOMMENDATION OF COUNTY ADMINISTRATOR `
RECt3MMENDATIGN(3F BOARD COMMITTEE
APPROVE —OTHER
ACTION OF BOARD ON r # f� �a'�A`a� — APPROVED AS RECOMMENDED !3TaiE#
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ASSENT 1 AND CORRECT COPY OF AN ACTION TAKEN
AYES. —NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ASSENT: _ ..ABSTAINOF SUPERVISORS ON THE DATE SHOWN.
ATTESTED ,etr
f /
Milt Camhi (313-6004) #�#�I€ BATCHELOR,CLERKOFTHE BOARD OF
Contact Pelson; SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Ser+Aices(Contracts)'
Risk Management
Auditor Controller BY��- �1�e ���2 �,
Contractor DEPUTY
s
TO, BOARD OF SUPERVISORS
Williairn Walker, M.D. , Health Services Director
FROM: By Ginger 'marieiro, Contracts Administrator .",�� ,�� Contra
DATE: October 5, 1999 �� Costa
SUBJECT Approval of Contrast #26-347-1 with Medstaff, Inc . County
SPECIFIC REQUEST(S)OR RECf3MMENDATI JS)&'BACKGROUND AND JUSTIF9CATION
Approve and authorize th^e Health Services Director, or his designee
(rank Puglisi