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Home My WebLink AboutMINUTES - 11062001 - C.110 TO: BOARD OF SUPERVISORS FR44: William Walker, M.D. , Health Services Director - Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: Ocbcber 23, 2001 �� :v`� srq • County SUBJECT: Approval of Agreements #26-023-66, #26-023-67, and #26-023-68 with the U.S . Department of Veterans Affairs SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee (Frank Puglisi, Jr. ) , to execute on behalf of the County, Agreements #26-023-66 , #26-023-67, and #26-023-68 with the U. S . Department of Veterans Affairs, Northern California Health Care System (VANCHCS) , to extend the emergency and inpatient medical surgical services for Veterans through June 30, 2004 , to be paid in .accordance with the attached fee schedule . FISCAL IMPACT: VANCHCS will pay County a fee for service in accordance with the attached fee schedule . BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : For many years the County and U. S . Department of Veterans Affairs have maintained mutual sharing agreements which have made available to the County specialized medical services not otherwise available due to lack of resources, equipment, and personnel . These services included specialized laboratory testing, radiology services, nuclear medicine studies, CT scans, MRI ' s, dermatology, gastroenterology, urology, audiology and speech, and ophthalmology services . The County has provided Emergency Room treatment and inpatient care, including certain ancillary services, for VA-referred patients . Approval of subsequent agreements #26-023-66 , #26-023-67, and #26-023-68 will allow Contra Costa Regional Medical Center to provide Emergency services, and Inpatient and Outpatient medical and surgical services to patients referred by VANCHCS, through June 30, 2004 . The Contract documents have always been prepared by the . Veterans Administration and require final approval from the Department of Veterans Affairs in Washington, D. C. CONTINUED ON ATTACHMENT: SIGNATUR LZ'_.__'D ,"RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME�IDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD O 0 VC_4UjQAAPPROVED 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. ?1"deA.t.� 4 / ATTESTED__ � JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Frank Pu lisi, Jr. (370-5100) CC: Health Services Dept. (Contracts) Auditor-Controller �. D Risk Management BY DEPUTY Contractor RFP 261-0049-01 Page 2 Inpatient/Outpatient Services 1 s SCHEDULE OF SUPPLIES/SERVICES 1. 13ASE PERIOD/YEAR For the period of Ally 1., 2001 through June 30, 2002 Contra Costa Regional Medical Center(CCI MC),shall l)rovide Healthcare Services,as defined herein,to beneficiaries of the Department of Veterans Affairs(VA) in accordance with the reimbursement schedule identified below: 1.2 INPATIENT MEDICAL AND SUI.ZGICAL SERVICES (a) Inpatient Medical and Surgical Services shall be reimbursed at a per diem rate. $1,350 Per Diem Rate (b) Inpatient Professional Services shall be reimbursed at the current Medicare RBRVS, les the corm) percent discount htt}i#ed.hereiR.or at 68% of billed chances, thi,dever is less. L3 OUTPXrlE.NT SERVICES (a) Outpatient Medical and Surgical Services shall be reimbursed at the cun-ent Medicare Reimbursable 32 percent discount Rate(%of charges), less the discount indicated herein. (b) Outpatient Professional Services shall be reimbursed at the current Medicare RBRVS, lis- percent discount t}7udisemit-andiented-herein. cr at 68% of billed charye-s, 4 dimer is lam. IVS: RFP 261-0049-01 Page 3 Inpatient/Outpatient Services Continuation of ST 1.449, page 1,Block 20 2. OPTION YEAR 1 For the period of July 1, 2002 through June 30, 2003 Contra Costa Regional Medical Center(CCRMC),shall provide Healthcare Services,as defined herein, to beneficiaries of the Department of Veterans Affairs(VA) in accordance with the reimbursement schedule identified below: 2.1 INPATIENT MEDICAL AND SURGICAL SERVICES (a) Inpatient Medical and Surgical Services shall be reimbursed at a per diem rate. $1,425 Per Diem Rate (b) Inpatient Professional Services shall be reimbursed at the current Medicare RBRVS, leas-Ox-diseettnt percent discount ftp oiged-lter-ek c r at 68% of billed diarcj--;, whicbever ].s 12S. 2.2 OUTPATIENT SERVICES (a) Outpatient Medical and Surgical Services shall be reimbursed tit the current Medicare Reimbursable 32 percent discount Rate(%of charges), less the discount indicated herein. (b) Outpatient Professional Services shall be reimbursed at the current Medicare RB.RVS, les* percent discount N=46etm o amtdieated-lieu. or at 68% of billed dta>zled, 41irhm- er is lea'. A Rel'211-0049-01 Page 4 "Inpatient/Outpatient Services Continuation of ST 1449, page 1, Block 20 2. OPTION YEAR 2 I+or the period of July 1, 2003 through ,lime 30, 2004 Contra Costa Regional Medical Center(CCRMC),shall lirovide Healthcare Services,as defined herein, to beneficiaries of the Department of Veterans Afftti.rs(VA)in accordance with the reimbursement schedule identified below: 2.1 INPATIENT MEDICAL AND SURGICAL SE,RV]CES (a) Inpatient Medical and Surgical Services shall be reimbursed at a per diem rate. $1.500 Per Diem Rate (b) Inpatient Professional Services shall be reimbursed at the current Medicare RBRVS,_les"h"iscount percent discount clwated-NeFein. cr at 6% of billed charges, whichever is less. 2.2 OUTPATIENT SERVICES (a) Outpatient Medical and Surgical Services shall be reimbursed at the current Medicare Reimbursable 32 percent discount Rate(%of charges), less the discount indicated herein. (b) Outpatient Professional Services shall be reimbursed at the current Medicare RBRVS,�r percent discount ilmKliseett"dieatetl-heFeia. cr at 680 of billed chargw,, whiclieuer is ltsSs. RFP 261-0049-01 PACE j Ippatient/OutpaAlenl Services 3. ESTIMATED QUANTITIES The following represents the estunated number of monthly And annual patient referrals that may be made under the tertrls of this contract. These estimates are provided for itiformation purposes only and are not intended to imply or guarantee any fixed number of referrals. A. BASE YENR: July 1, 2001 throw 1June-30, 2002 # I)escription Quantity Unit Annual Total Referrals Referrals r41 Emergency/Medical Services(Outpatient) 25 Month 180 2 Medicine Services(hipatient) 10 Month 1.20 3 SurgeryServices (Inpatient) 10 Month 120 Ps chiatric Services Aeute/Crisis(hipatient) 5 1VI01101 60 Estimated Total Referrals 40 480 11. OPTION YEAR 1.: hily 1,2002 thi-otl h June 30,2003 1 Emergency/Medical Services (Outpatient) 25 Month 180 2 Medicine Services(Inpatient) 10 Month. .120 3 Surgery Services(Inpatient) 10 Month 1.20 4 Psychiatric Services.A.cute/Crisis(In patient) 5 Month 60 Estimated Total Referrals 1 40 1 1 480 B. OPTION YEAR 2: July 1,through .lune 30 2004 1. Eniergmey/Medical Services(Outpatient) 25 Month 1.80 2 Medicine Services(Inpatient) 10 Month 120 3 SurgeryServices in patient) 10 Month 120 4 Psychiatric Services AcutcXrisis(lnpatienl) 5 Month 60 Estimated Total Referrals 40 480 (END OF SECTION) �7�