HomeMy WebLinkAboutMINUTES - 10172000 - C78-C80 TOO BOARD OF SUPERVISORS � r •
FROM: William Walker, M.D. , Health Services Director .',r ► Contra
By: Ginger Marieiro, Contracts Administrator Costa
DATE: October 4, 2000 COuntY
SUBJECT: Approval of Contract Amendment Agreement #24-935-4 with
Crestwood Behavioral Health, Inc.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)3 BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S) :
Approve and authorize the Health Services Director, or his designee
(Donna Wigand) to execute on behalf of the County, Contract
Amendment Agreement #24-935-4, with Crestwood Behavioral Health,
Inc. , effective July 17, 2000, to amend Contract #24-935-3 , to
include neurobehavioral services with no change in the Contract
Payment Limit of $109, 500 .
FISCAL IMPACT:
None, there is no change in the original Contract Payment Limit .
BACKGROUNDIREASON(S) FOR RECOMMENDATION(S) :
On May 23 , 2000, the Board of Supervisors approved Novation Contract
#24-935-3 with Crestwood Behavioral Health, Inc . , for the period
from July 1, 2000 through June 30, 2001 (with a six-month automatic
extension through December 31, 2001) for the provision of mental
health treatment services for Contra Costa County geriatric clients
at Crestwood Geriatric Center in Fremont .
Approval of Contract Amendment Agreement #24-935-4 will allow the
Contractor to provide neurobehavioral treatment services through
June 30, 2001 .
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
p
ACTION OF BOARD O �/ c (J1 C3 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 Qf2k Ler /Z 0(9 6 0
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Do=a Wigand, L.C.S.W. (313-6411)
CC: Health Services(Contract)
Auditor-Controller
Risk Management BYE ; 1 > >C c. G�. DEPUTY
Contractor
WILLIAM B. WALKER, A D. �(��T�A� TCOSTA
HEALTH SERVICES DIRECTOR A!{ENTM1 T py C A(TH
DONNA A WIGAND, LCSW lYL 1�1 IlL 1 1LIlL1 i 1
MENTAL HEALTH DIRECTOR "` .-...,.._ CoNSERVATIONSHIPI
GUARDIANSHIP PROGRAMCONT
COSTA
OSTA
P.O. Box 8
Martinez, California SERVICES 94553-01
Ph(925)646-2791
Fax(925) 646-2853
To: William Walker, MD, Health Services Director
Attention: Ginger Marieiro
From: Donna M. Wigand, LCSW, Mental Health Director
Date: August 21, 2000
Subject: Request for Retroactive Contract for Crestwood Geriatric to
add new rate for neurobehavioral program
STATEMENT OF NEED FOR RETROACTIVE CONTRACT
On July 17, 2000, a client was placed on the neurobehavioral unit at
Crestwood , Fremont. This client was becoming extremely assaultive and
needed to be moved to a unit where one-on-one supervision could be
instituted. The reguest for,lbi,$ g9ntract was delayed because the contract
monitor was on vacation and did not receive the in ormation until after
r
-SE-NE-FIT TO CONTRA CQ5TA CO TY:
The neurobehavioral program at Crestwood Fremont allows clients with co-
occurring brain damage and psychiatric disorders to receive treatment at a
psychiatric facility who would otherwise be hospitalized at a considerably
higher cost to the county.
Contra Costa Community Substance Abuse Services = Contra Costa Emergency Medical Services + Contra Costa Environmental Health = Contra Costa Health Plan +
Contra Costa Hazardous Materials Programs =Contra Costa Mental Health + Contra Costa Public Health = Contra Costa Regional Medical Center + Contra Costa Health Centers +
-O: BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator �` Contra
Costa
DATE: October 4,,2000 County
SUBJECT: Approval of Amendment #26-344-8 (Modification #1/#V261S-0296) with
the U.S. Department of Veterans Affairs
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)3 BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Frank Puglisi, Jr. ) , to execute on behalf of the County, Amendment
#26-344-8 (Modification #1/#V261S-0296) with the U.S. Department of
Veterans Affairs Northern California Health Care System (VANCHCS) to
extend the term of the agreement from October 1, 2000 through September
30, 2001 .
FINANCIAL IMPACT:
The Agreement is funded in the Health Services Department ' s Enterprise
I Budget . Under the term of the agreement, VANCHCS will be paid a fee
for service in accordance with the attached fee schedule which is
incorporated in the Contract . The services provided for the County' s
patients under this Contract are billable to patients and third party
payors .
REASONS FOR RECOMMENDATIONS/BACKGROUND:
On March 7, 2000, the Board of Supervisors approved Contract #26-3447
with the VANCHCS, for the period from January 1, 2000 through September
30, 2000, to provide specialized Audiology and Speech Pathology
services to County' s patients referred for treatment by Contra Costa
Regional Medical Center physicians .
Approval of this Amendment #26-344-8 (Modification #1/#V261-0296) , will
allow Contractor to continue providing services at the rates specified
in the attached fee schedule, through September 30, 2001 .
The Contract documents have always been prepared by the Veterans
Administration.
a�
Q
O I ,,.. SIGNATURE
41-` ECOMMENDATION OF CO AUNTY RECOMMENDATION OF BOARD COMMITTEE
&---APPROVE OTHER
r
ACTION OF BOARD ON 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 I. t- Cf f 124 c2(5 00
PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: Frank Puglisi, Jr. (370-5100) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management `
Auditor Controller BY , ,,moi ' n
,DEPUTY
Contractor
Pagge
#26--344-8
SECTION III - FEE SCHEDULE
A. BASE PERIOD: January 1.2000 through September 30,2000
CPT Code Description Est.Qty. Price per
4 Procedure Total
1) 92506 Speech Evaluation 8 $ 178.00 $ 1,420.00
2} 92507 Individual Therapy 23 $ 138.00 $ 3,174.00
.3) 92508 Group Therapy 8 $ 57.00 $ 456.00
4) 96105 Aphasia Evaluation 19 $ 225.00 $ 4,275.00
5) 92525 Dysphagia Evaluation 11 $ 320.00 $ 3,520.00
6) 92526 Dysphagia Treatment 5 164.00 $ 820.00
7) 92597 Prosthesis Eval/Fitting 5 $ 306.00 1,530.00
8) 92557 Screening Audiometry 1 $ 154.00 $ 154.00
9) 31579 Laryngeal Videostroboscopy 5 $ 539.00 $ 2,695.00
Base Period-Estimated Total $ 18,044.00
B. OPTION YEAR 1: October L2000 through September 30,2001
CPT Code Description Est.Qty. Price per
# Procedure Total
1) 92506 Speech Evaluation 10 $ 190.00 $ 1,900.00
2) 92507 Individual Therapy 30 $ 148.00 $ 4,440.00
3) 92508 Group Therapy 10 $ 61.00 $ 610.00
4) 96105 Aphasia Evaluation 25 $ 241.00 $ 6,025.00
5) 92525 Dysphagia Evaluation 15 $ 342.00 $ 5,130.00
6) 92526 Dysphagia Treatment 5 $ 175.00 $ 875.00
7) 92597 Prosthesis Eval/Fitting 5 $ 327.00 $ 1,635.00
8) 92557 Screening Audiometry 1 $ 165.00 $ 165.00
9) 31579 Laryngeal Videostroboscopy 5 $ 577.00 $ 2,885.00
Option Year 1 - Estimated Total $23,665.00
C. OPTION YEAR 2: October 1,2001 through September 30,2002
CPT Code Description Est.Qty. Price per
Procedure Total
1) 92506 Speech Evaluation 10 $ 203.00 $ 2,030.00
2) 92507 Individual Therapy 30 $ 158.00 $ 4,740.00
3) 92508 Group Therapy 10 $ 65.00 650.00
4) 96105 Aphasia Evaluation 25 $ 258.00 $ 6,450.00
5) 92525 Dysphagia Evaluation 15 $ 366.00 $ 5,490.00
6) 92526 Dysphagia Treatment 5 $ 187.00 $ 935.00
7) 92597 Prosthesis Eval/Fitting 5 $ 350.00 $ 1,750.00
J)--92-537 Screening Audiometry 1 177.00 $ 177.00
9) 31579 Laryngeal Videostroboscopy 5 $ 617.00 $ 3,085.00
Caption Year 2- Estimated Total $ 25,307.00
*See Section 11,Paragraph F(l),for additional information regarding reimbursement for services provided under this agreement.
SpeechPath.doc(kep) 02/03/00
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To: BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator f Ia Contra
Costa
DATE: October 4, 2000
County
SUBJECT: Approval of Contract Amendment Agreement #24-086--123 (1) with Portia Bell Hume
Behavioral Health & Training Center
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director or his designee (Donna M. Wigand) to
execute on behalf of the County, Contract Amendment Agreement #24-,086-123 (1) with Portia
Bell Hume Behavioral Health & Training Center, to amend Emergency Residential Care
Placement Agreement #24-086-123, effective August 17, 2000, to modify the Contract to add
an additional facility, with no change to the State established rates set forth in the
attached agreement.
FINANCIAL IMPACT:
Under this program, the County pays the State-established rates for the residential care
of mental health clients who are not vet receiving SST/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.
REASONS FOR RECONbMMATIONS/BACKGROUND:
For several years, the County's Mental Health Adult Services Program has used Residential
Care Placement Agreements with licensed Board and Care Facility operators 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.
On September 19, 2000, the Board of Supervisors approved Emergency Residential Care
Placement Agreement #24-086-123 with Portia Bell Hume Behavioral Health & Training Center
(dba Noack Family Home) , to provide emergency residential care to mentally disturbed adults
in Pittsburg, who are potentially eligible for SSI/SSP, for the period from July 1, 2000
through June 30, 2001.
Approval of Contract Amendment Agreement #24-086-123 (1) will allow Portia Bell Hume
Behavioral Health & Training Center to provide services for clients at an additional
facility in Concord, through June 30, 2001
CONTINUED ATTAC S! TU w
+e✓" RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
PROVE OTHER
ACTION OF BOARD n APPROVED AS RECOMMENDED OTHER,
VOTE OF SUPERVISORS
4j 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.
ATTESTED0 J-w r" /7, 2a a()
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Risk Management
Auditor Controller BYE �cr'�c z t DEPUTY
Contractor