HomeMy WebLinkAboutMINUTES - 02152000 - C109-C114 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director .17
By: Ginger Marieiro, Contracts Administratora
Contra
Costa
MATE: January 28, `?000 County
SUBJECT: Approval of Contract #27-395-1 with Phuong Duc Dang, M.D.
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, Contract #27-395-1 with Phuong Duc Dang, M.D. ,
for the period from January 1, 2000 through December 31, 2001, for provision of
primary care services for Contra Costa Health Plan members, to be paid as follows :
1. For Medi-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%. 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.
b. County will pay a quarterly case management fee,as follows:
Panel Size* Quarterly Fec
1 to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Family Program Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 14%. 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.
3. For Plan B Commercial Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. 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.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums . Costs depend
upon utilization.
BACKCROL7NDIREASON(B) FOR RECOMMENDATION(B) :
On February 1, 1997, the Local Initiative for Medi-Cal managed care in Contra
Costa County was implemented. Local Initiatives are required to include
traditional Medi-Cal providers from the community in their provider networks .
On June 16, 1998 , the Board of Supervisors approved Contract #27-395 with Phuong
Duc Dang, M.D. , for the period from June 1, 1998 through December 31, 1999, for
provision of primary care services .
Approval of Contract #27-395-1 will allow the Contractor will provide services to
Health Plan members, through December 31, 2001 .
SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGN URE(S�:
ACTION OF BOARD ON t��" Qr�y lei ddCJ APPROVED AS 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_—F— te
PHIL BATCHELOR,CLLfRK OF THE BOARD OF
Contact Person:
Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller By �� cLa.
,DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services rector •�, ;
By: Ginger Marieiro, Contracts Administrator ' Contra
Costa
DATE: January 28, 2000 County
SUBJECT: Approval of Contract #27-176-1 with Hwei-Jun Hsu, M.D.
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, Contract #27-176-1 with Hwei-Jun Hsu, M.D. ,
for the period from January 1, 2000 through December 31, 2001, for provision of
primary care services for Contra Costa Health Plan members, to be paid as follows :
I. For Medi-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%. 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.
b. County will pay a quarterly case management fee,as follows:
Panel Size* Quarterly Fee
1 to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Famllv Program Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 10%. 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.
3. For Plan B Commercial Members. County will pay Physicians for covered services, those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. 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.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums . Costs depend
upon utilization.
BACKGROUND/REASON(S) FOR RECOMMENDA'T`ION(S) :
On February 1, 1997, the Local Initiative for Medi-Cal managed care in Contra
Costa County was implemented. Local Initiatives are required to include
traditional Medi-Cal providers from the community in their provider networks .
On January 28, 1997, the Board of Supervisors approved Contract #27-176 with Hwei-
Jun Hsu, M.D. , for the period from February 1, 1997 through December 31, 1995, for
provision of primary care services .
Approval of Contract #27-176-1 will allow the Contractor to provide services to
Health Plan members, through December 31, 2001 .
CONTINUED ON&1:IACHMEN A Z43 �
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
1119/
SIGNATUREM.&9�zd All-
ACTION OF BOARD ON J"[ y a, / dl?C1 APPROVED AS 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 -Cdl-f 155 d4VO
PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person:
Milt Camhi (3136004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY . e22a&k - 1_ DEPUTY
Contractor
TO: BOARD OF SUPERVISORS rr •���
FROM: William Walker, M.D. , Health Servlee irector
By: Ginger Marieiro, Contracts Administrator At Contra
Costa
DATE: January 26, 2000
County
SUBJECT: Approval of Contract #27-165-1 with Jorge Salazar, M.D.
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, Contract #27-165-1 with Jorge Salazar, M.D. ,
for the period from January 1, 2000 through December 31, 2001, for provision of
primary care services for Contra Costa Health Plan members, to be paid as follows :
1. For Medi-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%. 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.
b. County will pay a quarterly case management fee,as follows:
Panel Size* Ouarteriv Fee
I to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Family Proeram Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 10%. 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.
3. For Plan B Commercial Members. County will pay Physicians for covered services, those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. 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.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums . Costs depend
upon utilization.
BACKGROUNDIREASON(S) FOR RECOMMENDATION(S) :
On February 1, 1997, the Local Initiative for Medi-Cal managed care in Contra
Costa County was implemented. Local Initiatives are required to include
traditional Medi--Cal providers from the community in their provider networks .
On January 26; 1997, the Board of Supervisors approved Contract #27-165 with Jorge
Salazar, M.D. , for the period from February 1, 1997 through December 31, 1999, for
provision of primary care services .
Approval of Contract #27-165-1 will allow the Contractor to provide services to
Health Plan members, through December 31, 2001 .
CONTINUED ON ATTACHMENT;-- XO/ s
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
ACTION OF BOARD ON /-Ct&r!r /�& ca�dGa APPROVED AS 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_ / fid
PHIL BATCHELOR,CL RK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Milt Cainhi (313-6004)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY DEPUTY
Contractor
0-oo
TO: BOARD OF SUPERVISORS , :; , ! , •
FROM: William Walker, M.D. , Health Services Director ,•� ;
By: Ginger Marieiro, Contracts .Administrator
Contra
Costa
DATE: January 28, 2000
County
SUBJECT: Approval of Contract #27--166-1 with Kwang Chiu, M.D.
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, Contract #27-166 -1 with Kwang Chiu, M.D. , for
the period from January 1, 2000 through December 31, 2001, for provision of
primary care services for Contra Costa Health Plan members, to be paid as follows :
1. For Medi-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
S%. 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.
b. County will pay a quarterly case management fee,as follows:
Panel Size* quarterly Fee
I to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For healthy Family Program Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 10%. 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.
3. For Plan B Commercial Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. 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.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums . Costs depend
upon utilization.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S) :
On February 1, 1997, the Local Initiative for Medi--Cal managed care in Contra
Costa County was implemented. Local Initiatives are required to include
traditional Medi-Cal providers from the community in their provider networks .
On January 28, 1997, the Board of Supervisors approved Contract #27-166 with Kwang
Chiu, M.D. , for the period from February 1, 1997 through December 31, 1999, for
provision of primary care services.
Approval of Contract #27-166-1 will allow the Contractor to provide services to
Health Plan members, through December 31, 2001 .
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIG 6IQBF.0VVZ7,&4401""O�L
ACTION OF BOARD ON E' Z":(t elv /� o C7DC> APPROVED AS 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 iG et J
PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management 1
Auditor Controller BY U. I l 1.+ .__ . DEPUTY
Contractor
TO: BOARD OF SUPERVISORS I
FROM: William Walker, M.D. , Health Services Director , r
By: Ginger Marieiro, Contracts Administrator Contra
Costa
DATE: January 28, 2000 County
SUBJECT: Approval of Contract #27-328-1 with Cuong Tat Vu, M.D.
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, Contract #27-328-1 with Cuong Tat Vu, M.D. ,
for the period from January 1, 2000 through December 31, 2001, for provision of
primary care services for Contra Costa Health Plan members, to be paid as follows :
L For Medi-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%. 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.
b. County will pay a quarterly case management fee,as follows:
Panel Size* Ouarterly Pee
1 to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Family Program Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 10%. In the event rate increases are subsequently approved by the State of California and are included in the County's Health Plan
capitated payment,County will thereafter increase the rates County pays to Contractor accordingly.
3. For Plan B Commercial Members. County will pay Physicians for covered services, those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. In the event rate increases are subsequently approved by the State of California and are included in the County's Health Plan
capitated payment,County will thereafter increase the rates County pays to Contractor accordingly.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums . Costs depend
upon utilization.
BACKGROUNDIREASON(S) FOR RECOMMENDATION($) :
On February 1, 1997, the Local Initiative for Medi-Cal managed care in Contra
Costa County was implemented. Local Initiatives are required to include
traditional Medi-Cal providers from the community in their provider networks .
On July 22 , 1997, the Board of Supervisors approved Contract #27-328 with Cuong
Tat Vu, M.D. , for the period from July 1, 1997 through December 31, 1999, for
provision of primary care services .
Approval of Contract #27-328-1 will allow the Contractor to provide services to
Health Plan members, through December 31, 2001 .
CONTINUED SIGNATURE
CSG d fJ�
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE _OTHER
ACTION OF BOARD ON_ Ffhl U ar' / 5a t700 0 APPROVED AS 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_1 dam- ct ey �� ael
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
CantactPerson: Milt Camhi (313-6004)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY ,`'/ DEPUTY
Contractor
TO: BOARD OF SUPERVISORS � r, ���,,�},��:• -f, ��
FROM: William Walker, M.D. , Health Services Director ,•� � .
By: Ginger Marieiro, Contracts Administrator `�# Contra
Costa
DATE: January 28, 2000 County
SUBJECT: Approval of Contract #27-190-1 with Teresa Rudlowski, M.D.
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, Contract #27-190-1 with Teresa Rudlowski,
M.D. , for the period from January 1, 2000 through December 31, 2001, for provision
of primary care services for Contra Costa Health Plan members, to be paid as
follows :
1. For Medi-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%. 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.
b. County will pay a quarterly case management fee,as follows:
Panel Size* Ouarterly,Pee
1 to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Famiiv Program Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 10%. 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.
3. For Plan B Commercial Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1. 1998 plus 200. 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.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums . Casts depend
upon utilization.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S) :
On February 1, 1997, the Local Initiative for Medi-Cal managed care in Contra
Costa County was implemented. Local Initiatives are required to include
traditional Medi-Cal providers from the community in their provider networks .
On February 25, 1997, the Board of Supervisors approved Contract #27-190 with
Teresa Rudlowski, M.D. , for the period from February 1, 1997 through December 31,
1999, for provision of primary care services.
Approval of Contract #27-190-1 will allow the Contractor to provide services to
Health Plan members, through December 31, 2001 .
VRECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIQNMUREM: &4ul,404 z/";AVZO,�
ACTION OF BOARD ON Feiru dret 1 c Od I APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT 1AND 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_ '/J/ r°�'i"y J✓r �+
PHIL BATCHELOR,tLERK OF THE BOARD OF
Contact Person: Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller BYDEPUTY
Contractor