HomeMy WebLinkAboutMINUTES - 06261990 - 1.63 TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director
Contra
By: Elizabeth A. Spooner, Contracts AdministratCIO Costa
DATE: June 14, 1990 County
SUBJECT: Approval of Contract Amendment Agreement #26-177-4 7
with CuraCare
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director or his designee
(Frank Puglisi, Jr. ) to execute on behalf of the County, Contract
Amendment Agreement #26-177-4 with CuraCare, effective September 1,
1989, to amend Contract #26-177-2 (effective from September 1, 1989
through August 31, 1990) , as amended by Contract Amendment Agreement
#26-177-3, to increase the Contract Payment Limit by $27, 000 from
$45, 000 to a new total Contract Payment Limit of $72, 000.
II. FINANCIAL IMPACT:
Funding for this service is included in the FY 1989-90 Enterprise I
Budget and in the FY 1990-91 Enterprise I Budget projections. As
appropriate, patients and/or third-party payors will be billed for
services.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On October 31, 1989, the Board approved Contract #26-177-2 , effective
September 1, 1989 through August 31, 1990, and on February 6, 1990,
approved Contract Amendment Agreement #26-177-3 , with CuraCare to
provide ultrasound services for Merrithew Memorial Hospital.
The payment provisions of the Contract have been based on the
Contractor's Fee Schedule for certain procedures. Because of the
complexity and rapid development of this technology, new diagnostic
procedures are continually becoming available, and the Contractor has
been using these new procedures, as they become available, in the
provision of professional ultrasound diagnostic services for the
patients which are referred by the County. There has been no
provision in the Contract to pay the Contractor for new diagnostic
studies which are not listed in the fee schedule even though
Department staff approved such studies.
CONTINUED ON ATTACHMENT: X YES SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME D TION OF BOA COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VC�.F SUPERVISORS
VOTE
(ABSENT I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED JUN 2 6 1990
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Suvorvisors and County Administrator
Contractor
M382/7-83 BY DEPUTY
CuraCare
Contract Amendment #26-177-4
Page 2
The Contractor has been invoicing the County for all the diagnostic
studies it has been providing to the County since the Contract became
effective, and there are unpaid bills back to September 1, 1989 for
services the Contractor performed in good faith, as requested by the
County, but which cannot be paid under the terms of the current
Contract. This problem only recently became apparent following the
resignation of the program manager, and the Department is eager to
clear its account with Curacure.
Approval of Contract Amendment Agreement #26-177-4 will provide
enough additional funds to pay for the ultrasound services the
Contractor has already rendered to the County and to allow continua-
tion of the services to the end of the contract term. In addition,
the amendment agreement modifies the Payment Provisions so that the
Contractor may use new diagnostic procedures as the technology
develops.