HomeMy WebLinkAboutRESOLUTIONS - 01011981 - 1981-683 IN THE BOARD OF SUPERVISORS
OF
CONTRA COSTA COUNTY, STATE OF CALIFORNIA
In the Matter of New Ambulance }
Service Rates and Contracts } RESOLUTION NO. 81/683
WHEREAS this Board has entered into agreements with various ambulance companies
for transportation services to the needy sick and indigent of the County pursuant to the
provisions of Health and Safety Code Section 1443 and Government Code Sections 26227 and
31000; and
WHEREAS said companies are reimbursed for rendering such services in accordance
with a schedule of rates established from time to time by this Board; and
WHEREAS representatives from ambulance companies providing ambulance and para-
medic services to the County have met with appropriate County Health Services Department
staff for the purpose of negotiating revised contract rates effective July 1, 1981, for
the aforementioned services; and
WHEREAS this Board is in full concurrence with the agreements reached in the
aforementioned meetings as reported to the Board by the Director, Health Services
Department, and
WHEREAS this Board has considered the recommendations of the Director,
Department of Health Services, regarding execution of new contracts with said companies
effective July 1, 1981, under a new payment schedule;
NOW, THEREFORE, BE IT BY THE BOARD RESOLVED that:
A. The Board rescinds its prior schedule of rates (Board Resolution Number
80/1363) and by this Resolution adopts the following schedule of rates for payment to
ambulance service contractors effective July 1, 1981:
1. In all areas of the County for patient delivery by ambulance service to or
from both the County hospital and other facilities which are designated by County
(including County Clinics at Richmond, Pittsburg and Brentwood, and including Brookside
Hospital, Delta Memorial Hospital, convalescent hospitals, Richmond Hospital, and others
as may subsequently be approved by County's Department of Health Services as designated
facilities) and for whom the County has responsibility; and for all Code III patient
delivery, and for Code II patient delivery in which Paramedic - level treatment skill has
been utilized, to a hospital emergency facility, but excluding County Hospital, County
clinic facilities, or County designated facilities:
a. Base Rate:
Response to call, 1 patient $ 54.35
Response to call, 2 patients 32.60 (each patient)
Plus the following items, as appropriate:
b. Mileage 2.80 per mile one way
c. Night Call 7 p.m. to 7 a.m. 8.70 per night call trip
d. Emergency run 8.70 per delivery
e. Oxygen -- per tank 8.70 per tank
f. Neonatal intensive care incubator 45.35 per use
g. Waiting time over 15 minutes 8.70 per additional
15 minutes
h. EKG 14.25 per episode
i. I.V. Fluids 15.00 per administration
J. Drugs 4.00 per administration
k. Esophageal obturator airway 31.65 when not replaced
or reused
1. Oral pharyngeal airway 1.00 per item when not
replaced or reused
m. Cervical collar 6.50 per item when not
replaced or reused
Page l of 3
RESOLUTION NO. 81/683
n. All ambulance service rates are subject to a
five (5) mile mimimum for a delivery to or from
County Hospital, clinics and/or designated facilities.
o. $2.80 per mile portal to portal for returning
County personnel and/or equipment to a County
facility following delivery of a patient.
2. In all areas of Contra Costa County, payment at the above County rates for
patient delivery which is authorized, requested, and/or approved by County to a County-
designated detoxification facility.
3. For ambulance services for County Key Plan and Contra Costa Health Plan enrollees
who are also MediCare enrollees or eligibles:
a. Payment of any Medicare deductible, not already paid.
b. Payment of the twenty percent (20%) MediCare co-payment in those cases which
MediCare pays 80% of the ambulance service charge, plus those items listed above, when
payment is appropriate.
4. $23.00 for an ambulance service dry run resulting from a call for ambulance
services authorized by a County representative.
5. No payment to be made for the initial 15 minutes of waiting/standby time; $8.27
to be paid for each additional 15 minute period, or fraction thereof when a number is
issued by the Sheriff's Office.
6. For wheelchair patient transportation service resulting from a call authorized by
a County representative:
a. Ambulatory/wheelchair patients:
1 patient $ 12.95 per delivery
2 patients, each patient 10.35 per delivery
3 patients, each patient 8.20 per delivery
4 or more patients, each patient 7.35 per delivery
b. Company wheelchair use .85 per use
c. Attendant 4.05 when authorized
d. Waiting time over 15 minutes 4.15 each 15 minutes
e. Mileage .95 per mile one way
f. Night Call - 7 p.m. to 7 a.m. 4.50 per night call trip
g. Dry run within County as a result of a
call from an authorized County Dept.
of Health Services representative 8.25 per dry run
h. Dry run outside County resulting from
a call from an authorized County Dept.
of Health Services representative 8.25 per dry run plus
.90 per mile one way
7. For ~uncollectable accounts," County to pay the above rates in accordance with
the Service Plan set forth in the new contracts.
8. Payment of the above rates to be subject to compliance with all of the terms and
conditions set forth in the new contracts executed between the County of Contra Costa and
the individual ambulance companies, as specified below.
Page 2 of 3
RESOLUTION NO. 81/683
a
B. The Director, Department of Health Services is AUTHORIZED to execute on
behalf of the County new standard form contracts for the term from July 1, 1981
through June 30, 1982, upon approval of said documents as to legal form by the
County Council's office with the following named ambulance companies (contractors):
Contract Number Contractor Reponse Area ( )
22-078-8 Lorraine M. Higgins 7
(dba Antioch Ambulance Service)
22-079-8 Cadillac Ambulance Service, Inc. 1
22-080-8 Contra Costa Medical Systems, Inc. 4
(dba Michael's Ambulance Service)
22-082-8 Tri-Cities Ambulance, Inc. 3
(dba Fremont Ambulance)
22-090-10 Gloria E. McGrath and Tom McGrath 6 and 8
(dba East Contra Costa Ambulance Service)
22-092-7 Pomeroy Enterprises, Inc. 2 and 5
(dba Pomeroy Ambulance Company)
PASSED BY THE BOARD on June 23, 1981, by the following vote
AYES: Supervisors Fanden, Schroder, Me Peak, Torlakson,
Powers
NOES: None
ABSENT: None
I hereby certify that the foregoing is a true and correct copy of an order
entered on the minutes of said Board of Supervisors on the date aforesaid.
Witness my hand and the Seal of the Board of
Origa Health Services Supervisors
Attn. Contracts & Grants Unit
cc: County Administrator affixed this day of , 1981
Auditor-Controller
Contractors By Deputy Clerk
Page 3 of 3
RESOLUTION NO. 81/'683