HomeMy WebLinkAboutMINUTES - 06161992 - 1.49 1e 49
TO: BOARD OF SUPERVISORS
Mark Finucane, Health Services Director Contra
FROM: By: Elizabeth A. Spooner, Contracts Administrator '
Costa
DATE: June 4, 1992 Courcy
Approval of Contra Costa Health Plan Medicare Contract #29-608-6 with the
SUBJECT: U.S. Department of Health and Human Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chair to execute on behalf of the County, Contra Costa
Health Plan Medicare Contract #29-608-6 (Federal Number H0502) with the U.S.
Department of Health and Human Services for the period January 1, 1992 through
December 31, 1992, and automatically renewed for successive periods of one year
unless sooner terminated as set forth in the agreement.
II. FINANCIAL IMPACT:
Contract #29-608-6 is a cost reimbursement agreement and will produce a total
annual revenue of $3,434,029 in Federal, member premiums and State payments. Cost
of this group of members depends on the use of services by Medicare-eligible
members and Health Services Department costs.
Terms of thecontract provide for reimbursement to Contra Costa Health Plan for
the cost of Medicare-covered services. State provided rates for Medi-Cal and
Medicare eligibles in the Plan, and Board approved premiums for private Medicare
members, cover benefits and services which exceed the Medicare level.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
Since 1976 the County has contracted with the Federal government for prepaid
health services by the County for Medicare-eligible persons. Contract #29-608-5
with the U.S. Department of Health and Human Services, effective January 1, 1990
through December 31, 1990, and automatically renewed for successive one-year
periods unless terminated as set forth in the document, was approved by your Board
on January 2:3, 1990.
This new Contract #29-608-6 incorporates changes in the law governing contracts
between HCFA. and organizations providing services to Medicare beneficiaries under
Section 1987 of the Social Security Act, which have resulted from the passage of
the Omnibus Budget Reconciliation Acts of 1989 and 1990. In addition, HCFA has
made several modifications to the contract language, and editorial and format
changes.
The Board Chair should sign four copies of the contract, three of which should
then be returned to the Contracts and Grants Unit for submission to the Department
of Health and Human Services.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION of COUNTY ADMINISTRATOR RECOMME D ION OF BOAR COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (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 OPV THE DATE SHOWN.
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CC: Health Services (Contracts) ATTESTED C
0
Auditor-Controller (Claims)
U.S. Department of Health and Human Services Phil 9tchelor, Clerk of the Board of
Supenrim and Bounty A4ministratot
M3e2/7-83 BY DEPUTY