HomeMy WebLinkAboutMINUTES - 06191984 - 1.4 (2) THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA
Adopted this Order on June 19 1984
by the following vote:
AYES: Supervisors Powers , Fanden, Schroder , Torlakson.
NOES: None .
ABSENT: Supervisor YcPeak.
ABSTAIN: None .
SUBJECT: Approval of Contract Amendment Agreement 424-297-7
with California Health Associates, Inc.
The Board on January 31, 1984, having approved Contract 424-297-6 with
California Health Associates , Inc. for methadone program services; and
The Board having considered the recommendations of the Director, Health
Services Department, regarding approval of Contract Amendment Agreement 424-297-7
to provide additional BAC/Outpatient Heroin Detox services under this Contract, IT
IS BY THE BOARD ORDERED that said contract amendment agreement is hereby APPROVED
and the Chairman is AUTHORIZED to execute the contract amendment agreement as
follows: .
Number: 24-297-7
Department : Health Services- Alcohol/Drug Abuse/Mental Health Division
Contractor: California Health Associates, Inc.
Effective Date of Amendment: June 19, 1984 (no change in contract term)
Payment Limit Increase: $5,000 (From $405,967 to a new total
payment limit of $410,967)
I hereby certify that this is a true and correct copy of
an action taken and entered on the minutes of the
Board of Supervisors n the date shown.
ATTESTED: 61e�
J-R. OLSS N, COUNTY CLERK
and ex officio Clerk of the Board
By , Deputy
Orig. Dept.: Health Services Dept./CGU
cc: County Administrator
Auditor-Controller
.Contractor
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REVISED
BUDGET OF ESTIMATED PROGRAM EXPENDITURES
(Short-Doyle Drug Abuse Programs)
I. METHADONE MAINTENANCE PROGRAM Number 24-297-7
A. GROSS OPERATIONAL BUDGET
1 . COST CATEGORIES
a. PERSONNEL SALARIES & BENEFITS 12-MONTH FISCAL YEAR PERIOD
(1) Direct Service Staff Salaries $ 188,955
(2) Administrative Staff Salaries * 84,852
(3) Unemployment Insurance 9,582
(4) FICA 129844
(5) Pension 11 ,078
(6) Health Insurance 16,700
(7) Contract Personnel 10,485
(8) SUBTOTAL AMOUNT $ 334,496
b. DIRECT OPERATIONAL COSTS
(1) Space (+ janitorial and maint.) $ 9,786
(2) Utilities (+ alarm) 3,575
(3) Printing, Reproduction & Advertising 450
(4) Medical Supplies 2,000
(5) Methadone (+ shipping) 14,000
(6) Office Supplies 2,400
(7) Equipment Purchase -0-
(8) Equipment (lease and maint.) 2,600
(9) Telephone 5,862
(10) Urinalysis and Lab Work 25,000
(11 ) Audit and Legal Expense 3,675
(12) Computer Services 3,000
(13) Insurance 4,025
(14) Travel 2,000
(15) Dues, Subscriptions & Educational Material 450
(16) Miscellaneous Expense 576
(17) Depreciation -0-
(18) Training 2,000
(19) Workers Compensation Insurance 1 ,072
(20) SUBTOTAL AMOUNT $ 82,471
c. INDIRECT COSTS (SUBTOTAL AMOUNT) -0-
2. TOTAL GROSS ALLOWABLE PROGRAM COST $ 416,967
B. LESS NON-COUNTY PROGRAM REVENUES (To be
collected and provided by Contractor)
1 . Client Fees and Insurance $ 36,000
2. Grants & Subventions -0-
3. Donations -0-
4.
0-4. TOTAL NON-COUNTY PROGRAM REVENUES ($ 36,000)
C. NET ALLOWABLE PROGRAM COST (Program Payment Limit) $ 380,967
II. BAC/OUTPATIENT HEROIN DETOX SERVICE FEES (Service Payment Limit) 30,000
III. CONTRACT PAYMENT LIMIT $ 410,967
* Second line supervisors and above and administrative staff who have no direct client ser-
vice I responsiblities; administrative staff who also have direct service responsibilities
are to have their salaries split in proportion to the actual time spent on direct service
and on administrative activities.
* Subject to State limits (see Service Plan Paragraph 1 .)
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REVISED
BUDGET OF ESTIMATED PROGRAM EXPENDITURES
(Short-Doyle Drug Abuse Programs)
Number 24-297-7
IV. GTiER ZZGET PROVISIONS.
A. CHANGES IN COST CATEGORY AMOUNTS. Subject to the Contract Payment Limit and subject to
the Program/Service Payment Limits set forth below, each cost category Subtotal Amount
set forth in Section I.A.1 . above:
1 . May vary by up to 15% without approval by County; and
2. May be changed in excess of 15% provided, however, that Contractor has obtained
prior written _litho:"..-_"_*inn f r"m. ('nurt yl a Fe-91 th -servines Director, or his
designee, before implementing any such budget changes.
B. PROGRAM BUDGET SUMMARY.
PROGRAM/SERVICE
PAYMENT LIMITS
1 . PROGRAM/SERVICE
a. Methadone Maintenance Program $ 380,967
b. BAC/Outpatient Heroin Detox Service 30,000
TOTAL (Contract Payment Limit) $ 410,967
2. SEPARATE PROGRAM/SERVICE PAYMENT LIMITS. Adjustments in County's total payments to
Contractor, in accordance with the Payment Provisions and Paragraph 2. (Cost Report
and Settlement) of the Special Conditions, shall be limited to the line item
Program/Service Payment Limits set forth above; funds budgeted above for one ser-
vice may not be transferred to or expended under the other service.
C. BAC/OUTPATIENT HEROIN DETOX FEE PROVISIONS.
1 . Fee Schedule. Subject to the Program/Service Payment Limit set forth above in
Section IV.B.1 .b. for this service, County shall pay Contractor at the same
Medi-Cal rates as are prescribed by the State for daily treatment in Title 22,
California Administrative Code, Section 51328 and 51533 (SMA Codes 2400, 2401 ,
and 2402) , as follows:
FEE RATE
SERVICE PER VISIT
CODE NUMBER SERVICE DESCRIPTION ALLOWANCE
2400 . During the first seven days, per visit, services
include: taking of the initial history; physi-
cal examiniation by a physician; other physician
services necessary to the heroin detoxification
services; necessary urine screening tests and
related specimen handling; daily visits to the
clinic for medication or re-examination; any
other procedures related to outpatient heroin
detoxification services. $ 13.63
2401 From the 8th through the 21st day, per visit,
services include: administering medication and
other procedures related to outpatient heroin
detoxification services. $ 8.67
2402 Re-examination by a physician between the 8th
and 21st days, maximum of one per week, per
visit (payable only as a substitute for visits
under 2401 ; payment includes all other services
specified in 2401) . $ 16.82
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REVISED
BUDGET OF ESTIMATED PROGRAM EXPENDITURES
(Short-Doyle Drug Abuse Programs)
Number 24-297-7
2. Cost Report and Settlement. Subject to the Program/Service Payment Limit set forth
above in Section IV.B.1.b. for this service, the above fees are not subject to the
cost accounting or cost report and settlement requirements set forth in Payment
Provisions Paragraph 6., as modified by Special Conditions Paragraph 2., but rather
are to be paid on a fee basis regardless of Contractor's actual costs. Nevertheless,
no later than August 15, 1984, or 45 days following the termination of this Contract,
whichever comes first, Contractor shall submit to County a Final Service Unit Summary
in the form and manner prescribed by County, itemizing all of the service units that
were actually provided during the 12-month fiscal year, in accordance with Service
Plan Paragraph 8.b. (BAC/Outpatient Heroin Detox Services) .
D. AGENCY PROGRAM BUDGET. Contractor shall submit to County no later than March 1 , 1984,
its total Corporation budget including: all program budgets, all revenue sources and
projected revenue amounts, all cost allocations, and line item breakdown of budget cate-
gories to include salary levels listed by job classification as well as detailing of
operational and administrative expenses by cost center and listing numbers of staff
positions by job classification.
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