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Home My WebLink AboutMINUTES - 10082002 - C.57-C.61 TO: BOARD OF SUPERVISORS f FROM: William Walker,M.D.,Health Services Director 1 , Contra c By: Ginger Marieiro,Contracts Administrator ri1 ' September 24, 2002 Costa DATE: ~ ..,s �� County SUBJECT: Approval of Contract#25-012-8 with HomeBase-The Center for Common Concerns SP'ECIF'IC REQUEST{S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RFCQhjM "MA'['j0N( ): Approve and authorize the Health Services Director, or his designee (Wendel Branner, M.D.) to execute on behalf of the County, Contract #25-012-8 with HomeBase - The Center for Common Concerns, a non-profit corporation, in an amount not to exceed$140,000 to provide consultation and technical assistance to the Department with regard to the Continuum of Care planning and resource development, for the period from October 1, 2002 through September 30, 2003. FISC AL T_MPAf L This Contract is 14.3%Federally funded and 85.7% County funded. RACK ROUN2IBE ASO LS)UR RT`(`0MN_ NDA3TI(S): On February 12, 2002, the Board of Supervisors approved Contract #25-012-6 (as amended by Contract Amendment Agreement #25-012-7) with HomeBase - The Center for Common Concerns, for the period from January 1, 2002 through September 30, 2002, for the provision of consultation and technical assistance to the Department with regard to the Continuum of Care planning and resource development. Approval of Contract #25-012-8 will allow the Contractor to continue providing services through September 30,2003. _ONTINM ON ATTACH11 ENT - Y SI NAT t RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE _L---APPROVE OTHER rte.. ,...�..... ACTION OF BOARD O '- E� �� -� �, ? � � APPROVED AS RECOMMENDED O'Tmerk" J s' VOTE OF SUPERVISORS UNANIMOUS (ABSENT—&ilf HEREBY CERTIFY THAT THIS IS A TRUE ��`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. JOHN SWEETEN CLERK OF T 80ARD OF Contact Person: Wendel Brunner,M.D. 313-6712 SUPERVISORS AND COUNTY ADM:NISTRATOR CC: Health Services Dept. (Contracts) Auditor-Controller Risk Management BY �uJY Contractor TO: BOARD OF SUPERVISORS V� FROM: William Walker, M.D. , Health Services Director _ tontra By: Ginger Marieiro, Contracts Administrator Costa DATE: September 24, 2002 County SUBJECT: Approval of Sharing Agreement #26-424-2 with the U.S. Department of Veterans Affairs SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION IZECOMMENDATIOi�I AS) Approve and authorize the Health Services Director, or his designee (Jeff Smith, M.D. ) , to execute on behalf of the County, Sharing Agreement #V612S-6423 (County #26-424-2)', with the U. S. Department of Veterans Affairs Northern California Health Care System (VANCHCS) , in an amount not to exceed $29, 040, for the period from October 1, 2002 through September 30, 2003, for the provision of Oncology services for patients referred for treatment by Contra Costa Regional Medical Center. FISCAL IMPACT: This Contract is funded in the Health Services Department ' s Enterprise I Budget . The services provided for the County' s patients under this Contract are billable to patients and third party payors . BAACRGROUND/REASON(;S) FOR. RECOMMENDATION(S) : For many years the County and U.S . Department of Veterans Affairs has maintained a mutual sharing agreement which has 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 provided Emergency Room treatment and inpatient care, including certain ancillary services, for VA-referred patients . On October 16 , 2001, the Board of Supervisors approved Sharing Agreement #26. 424 with VANCHCS to provide Oncology services, including physician services with 24 hours of on--call. coverage, Tumor Board, and clinic support, to County' s patients at the VA Outpatient Clinic in Martinez, for the period from October 1, 2001 through September 30, 2002 . Approval of Sharing Agreement #26-424-2 will allow Contractor to continue providing Oncology services, through September 30, 2003 . The Contract documents have always been prepared by the Veterans Administration. CONTINUED ON T N I r,,�' 'RECOMMENDATION OF LINTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE —APPROVE OTHER SIGN ESM d ACTION OF BOARD QK€ �,{'• u z'� "l APPROVED AS RECOMMENDED _ { s � VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ASSENT . "ttl, } 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. r' ATTESTEDr f Y 2.. JOHN SWEETEN,CLERK OP THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Neff Smith, M.D. (370-53.73) CC: Health Services Dept. (Contracts) fey fy ,. Auditor-Controller Risk Management BY t f ,e s'r� `c� g y DEPUTY Contractor TO:- BOARD OF SUPERVISORS � FROM: William talker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator � Costa DATE: Costa September 24, 2002 County Approval of Amendment #26-343-9 (Modification #2f#V261S-0424) with the U.S . Department of Veterans Affairs SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Jeff Smith, M.D. ) , to execute on behalf of the County, Amendment #26- 343-9 (Modification #2/V261S-0424) with the U.S. Department of Veterans Affairs Northern California Health Care System (VANCHCS) to extend the term of the agreement from September 30, 2002 through September 30, 2003, to be paid in accordance with the attached Fee Schedule, for Ophthalmology services . FINANCIAL IMPACT: The Agreement is funded in the Health ,Services Department ' s Enterprise I .Budget . Under the term of the agreement, VANCHCS is 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 . REMONS FOR REC OMMENDATIONS rBA,CKGROUND: On May 16, 2000, the Board of Supervisors approved Contract #26-343-7 (as amended by Amendment Agreement, #26-343-8, Modification #1) with the VANCHCS, for the period from January 1, 2002 through September 30, 2002, to provide specialized ophthalmology medical services to County' s patients referred for treatment by Contra Costa Regional Medical Center physicians. Approval of Amendment Agreement #26-343-9 (Modification #2) , will allow Contractor to continue providing services at the rates specified in the attached fee schedule, through September 30, 2003 . The Contract documents have always been prepared by the Veterans Administration. I T � RECOMMENDATION OF COUNTY ADMINISTRATOR 4I'PROVE OTHER RECOMMEN ION OF BOARD COMMITTEE 510 ACTION OF BOARD 0 APPROVED AS RECOMMENDED VOTE OF SUPERVISORS UNANIMOUS (ABSENg t ITt :) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES' AND CORRECT COPY OF AN ACTION TAKEN ASSENT: --NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JOHN SWEETEN,CLERK O HE BOARD OF Contact Person: Jeff Smith, M.D. (370-5113) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services Dept. (Contracts) Auditor-Controller Risk ManagOrnent Y , Contractor Page 2 SECTION III- FEE SCHEDULE IV. OPTION 3: October 1,2002 through September 30 2003 Costper # procedure Description j_CPT Codes procedure A. EXAMINATIONS AND TREATMENT PROVIDED BY VANCHCS STAFF Evaluation&Management: 1 New, problem focused 99201 $47.00 2 New, exp. problem focused 99202 $74.00 3 New, detailed 99203 $100.50- 4 New, moderate camp. 99204 $149.00 5 New, high comprehensive 99205 $186.00 6 Established, detailed 99211 $29.00 7 Estab., expanded problem focused 99212 $44.00 8 Estab., detailed 99213 $59.50- 9 Estab., moderate comprehensive 99214 $87.00 10 Estab., high comprehensive 99215 $133.00 11 Consult, problem focused 99241 $77.00 12 Consult, exp. problem focused 99242 $120.00 13 Consult, detailed 99243 $155.00 14 Consult, moderate comprehensive 99244 $218.00 15 Consult, high comp. 99245 $294.00 Photography 16 Fluorescein angiography___ 92235 $191,60- 17 Fundus photography 92250 $72.00 18 External or slit lame photograph 92285 $60.00 Misc Procedures: 19 Ultrasound A-scan with €OL talc. 76519 $170.00 20 Visual Field Intermed.-Goldman 92082 $120.00 21 Visual Field-Extended Humphries 92083 $120.00 22 Uni€steel Proc(includes Keratometr , Color Vision`testing) 1 92249 $39.00 23 Medical Media Slide ProductionlS€€de(with disk NIA $8.00 D. USE OF EQUIPMENT AND SPACE BY CCRNIC PHYSICIANS LaserslCrn p my: 24 Argon laser Trabeculoplasty 65855 $523.00 25 Cyclophotocoa . ciliary body 66710 $523.00 26 Ciliary body cryotherapy 66720 $523.00 27 Laser lridotomyliridectomy 66761 $523.00 28 YAG Laser Capsulotomy 66821 $523.00 29 Laser Suture Lysis 66999 $523.00 30 Prophylaxis of retinal detach, cryoprexy and laser 67141 $523.00 31 Retinal cryopexy of localized lesion 67208 $523.00 32 Focal laser 67210 $523.00 33 Retinal cryo a of ext retinopathy 67227 $523.00 34 Pan retinal photocoagulation 67228 $523.00 35 Unlist. Proc. posterior segment 67299 $523.00 Miscellaneous Procedures: 36 Retrobulbar lnjection 67500 $523.00 37 Unlisted pros, anterior segment 66999 $523.00 38 Ultrasound B-Scan only 76512 $523.00 39 OR Time(per 15 minutes)_ NIA $387.00 Option 3-Estimated Total