HomeMy WebLinkAboutMINUTES - 03231993 - 1.51 To: BOARD OF SUPERVISORS /� Contra
FROM: Mark Finucane, Health Services Director 'f
By: Elizabeth A. Spooner, Contracts Administrator 04 Costa
DATE: March 11, 1993 County
SUBJECT: Approve Standard Agreement (Amendment) #29-391-3 with the State
Department of Health Services for the AIDS Medi-Cal Waiver Program
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the
County, Standard Agreement (Amendment) #29-391-3 (State #9.0-11419, A-2) effective
January 1, 1993, with the State Department of Health Services (Office of AIDS) to
amend Standard Agreement #29-391-1 (as amended by Amendment Agreement #29-391-2) ,
for the AIDS Medi-Cal Waiver Program. This Amendment adds nutrition/nutrition
supplements (ie: home delivered meals) , medical equipment and supplies under the
definition of Waiver Services and extends the term of the Agreement through
December 31, 1993.
II. FINANCIAL IMPACT:
Approval of this Standard Agreement (Amendment) with the State will allow the
Department's Home Health Agency to continue to provide direct home health care
services to AIDS Medi-Cal Waiver Program clients through December 31, 1993.
Payment is provided for specific services at established Medi-Cal rates. The
total funded amount will be determined by the number of "slots" awarded and the
services provided.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
The Department's Public Health Division AIDS Program staff is experienced in
providing case management services for people with HIV Disease. The AIDS Medi-Cal
Waiver Program goals are to lessen the financial cost of care which, for people
with AIDS and ARC, are historically driven by hospitalizations and other
institution-based care, and to provide the most humane and appropriate levels of
care in the most appropriate setting for the client. Participation in the program
allows the AIDS Program to offer case managed home and community-based care to a
greater number of clients in the County.
Approval of Standard Agreement (Amendment) #29-391-3 will provide for continuation
these services through December 31, 1993.
The Board Chair should sign nine copies of the agreement, eight of which should
then be returned to the Contracts and Grants Unit for submission to the State.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME ATI N OF BOARD OMMITTEE
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 SUPERVISO S ON THE DATE SHOWN.
Contact: Wendel Brunner, M.D. (313-6712) a
CC: Health Services (Contracts) ATTESTED
Auditor-Controller (Claims)
State Department of Health Services Phil Batchelor, Clerk of the Board of
M382/7-83 BY
, DEPUTY
� I HIVUHKU HVRCCMCIV I — ATTORNEY GENERAL U STATE AGENCY
STD. 2(REV. 71881
CONTRACTOR'S STATE I.D. NUM I J
SER 5 ❑ DEPT. OF GEN. SER.
94-6000509 ❑ CONTROLLER
THIS AGREEMENT, made and entered into this 1st day of Octobeer ig —9-2,
in the State of California, by and between State of California, through its duly elected or appointed, ❑
qualified and acting
TITLE OF OFFICER ACTING FOR STATE JAGENCY
Chief, Program Support Branch Health Services hereafter called the State. and
Contra Costa County Health Services Department 2 9 — 3 9 1 , hereafter called the Contractor.
WITNESSETH: That the Contractor for and in consideration of the covenants, conditions, agreements, and stipulations of the State
hereinafter expressed, does hereby agree to furnish to the State services and materials, as follows:
(Set forth service to be rendered by Contractor,amount to be paid Contractor,time for performance or eompletioR,and attach plans and sperfieat.ORS,It an:/.i
1. In that certain agreement made and entered into on January 1, 1991 and amended on
September 30; 1991, between the State Department of Health Services and Contra Costa
County Health Services Department
A. Paragraph 20, entitled Nonemergency Medical Transportation, Section I. Definitions
is amended to read:
"20. N6nemerzencv Medical Transportation may be granted to a Waiver Client or
his/her caregiver, if the client or caregiver has no personal transportation to
obtain the health and/or social services stipulated in the Waiver Client's
Service Plan. Reimbursement shall be made for safe and feasible public mass
transit and public or private carrier, used by the Waiver client or his/her
caregiver, when the services require interaction or participation of the
caregiver."
CONTINUED ON 3 SHEETS, EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER.
The provisions on the reverse side hereof constitute a part of this agreement.
IN WITNESS WHEREOF, this agreement has been executed by the parties hereto, upon the date first above written.
STATE OF CALIFORNIA CONTRACTOR
AGENCY CONTRACTOR(IF OTHER THAN AN INDIVIDUAL STATE WHETHER A CORPORATON.
PARTNERSHIP. ETC.)
Department of Health Services Contra Costa County
BY UIUTHORIZED SIGNATURE) BY(AUTF /M
SI RE)• ��
X ✓" l �
PRINTED NAME OF PERSON SIGNING EUWAfiD ( ��,Sl!t,�}Lti� CNi PRINTED NAvvvvM���'E IIIIAND,TITLE OF PERSON SIGNING
Pltmmm SLWFORT SRA.4 Chair, Board of Supervisors
TR1= ADDRESS
Chief, Program Support Branch 651 Pine Street, Martinez, CA 94553
AMOUNT ENCUMBERED BY PROGRAM/CATEGORY(CODE AND TITL_9 FUND TITLE
THIS DOCUMENT Local Assistance General Department of General Services
S (OPTIONAL USE) Use Only
PRIOR AMOUNT ENCUMBERED
FOR THIS CONTRACT AIDS Medi-Cal Waiver Program
S -O- ITEM CHAPTER STAMEFISCAL YEAR
TOTAL AMOUNT ENCUMBERED 4260-111-001 .. 1992 11992/93
TO DATE OBJECT OF EXPENDITURE (CODE AND TITLE)
S -0- 51350 4494 701 01
I hereby certify upon my own personal knowledge that budgeted funds are I T.B.A.NO. B.R.NO.
available for the period and purpose of the expenditure stated above.
SIGNATURE OF ACCOUNTING OFFICER DATE
X
3g A9089
-- ._------
1.
-.1- Thr C'ontractri'.'Igrt=es tii in(leniniN."clefvi d ;incl Save hurmle>s the State, its iiflici•rs• auents and
cnlplopee: front ally and all c'laints alld.loses accniirii or re5I'lltiug to ally arttl all contractors. subcrm-
tractor . nriterialricii,'I iborei=s linil' tnj tither prr:on; firm or carp iratilnl furnishim, or Slippivin:
work-, sc•rvic•es.-materials or supplies in connection with the [x•rfnrmanre of this contract. and from an\-
antl ill[ claims anti 10«es accri lin iC or resirltintt;7 to any person. firm or'CNrjwatioti "\\ho may be injured -
i�r dam: t(1 by the C.untrartor-In the [>eron 1.1 of this iontract.
Tho ('mitractor_ an(i thr a!,ents :Intl elilplme(•; of (:untr•:c[rr. in the- pvrforinamc ut this a"ret•-
niclit• shall act Irl all illdeperlcl(•Ilt cupavit\- all(1 shut its offict•r� or t•lilt)lu\'Cep Cpl• :i, erlti of Ufa[(• of
C.ilif,rltia. -
:1. 'I'll(, State- Tna\ [t-rnima'EL• this agrrc•ment and ix• relieved of the p;nment of ill\- c•nitsidcratiun to
Contrat•tur shtmiCl fail to perform the covenants livrein Cunt;iilit-(1 :it the tlrne and ill tin•
mamwi- liereiri pruvidvd. In the event of such termination the State 111,11 [Trtu'V('d with die «nrk ill ail\
Iniuincr dvt,mr-d props-r l)a tile- ~tale. The c•u:t to the Stati' Shull be d'-ducted troop ::n\ Itm due the
Contractor t.in(ier this a, r(Ynu:nt, and [lie balance• if any. shall b(• paid the C:
Contract No: 90-11419, A-2
Contractor: Contra Costa County Health Services Department
Page 2 of 4 pages
B. Paragraph 37, entitled Waiver Services of Section I. Definitions is amended to read:
"37. Waiver Services means Case Management, Skilled Nursing Care,
•Attendant Care, Homemaker Services, Psychosocial Counseling,
Nutrition/Nutrition Supplements (i.e. home-delivered meals), Medical
Equipment and Supplies, Minor Physical Adaptations to the Home,
Nonemergency Medical Transportation, and Supplements for Infants
and Children in Foster Care."
C. Paragraph 1, entitled Term of Contract of Section II. General is amended to read:
"1. Term of Contract
The term of this contract shall be from January 1, 1991 through December 31,
1993, contingent upon availability of funds."
D. Paragraph 21, entitled Contract Contingent on Appropriations Section II. General is
amended to read:
"21. Contract Contingent on Appropriations
a) It is mutually understood between the parties that this contract may
have been written before ascertaining the availability of Budget Act
of 1993 funds and Congressional appropriation of funds, for the mutual
benefit of both parties in order to avoid program and fiscal delays
which would occur if the contract were executed after these
determinations were made.
b) This contract is valid and enforceable only if sufficient funds are made
available by the United States Government and the Budget Act of 1993,
for the Fiscal Year 1993-94, for the purposes of this program. In
addition, this contract is subject to any additional restrictions,
limitations,or conditions enacted by the Congress or Legislature or any
statute enacted by the Congress or Legislature which may affect the
provisions, terms, or funding of this contract in any manner.
C) It is mutually agreed that if the Congress or Legislature does not
appropriate sufficient funds for the program, this Contract shall be
amended or cancelled to reflect any reduction in funds pursuant to
Paragraph 1 of SECTION IX of this contract.
d).. The STATE has the option to void the contract under the 30-day
cancellation clause or to amend the contract to reflect any reduction
in funds."
Contract No: 90-11419, A-2
Contractor: Contra Costa County Health Services Department
Page 3 of 4
E. Paragraph 1, entitled State of Section III. Correspondence is amended to read:
"1. State
Following is the STATE contact for matters pertaining to this contract:
Department of Health Services
Case Management and Community Based Care Section
714/744 P Street
P.O. Box 942732
Sacramento, CA 94234-7321
The STATE shall immediately notify the CONTRACTOR in writing of change
of address."
F. Paragraph 2, entitled Contractor of Section III. Correspondence is amended to read:
"2. Contractor
Ms. Rusty Keilch is designated the CONTRACTOR'S contact. The
CONTRACTOR shall immediately notify the STATE in writing
of any change of contact or address.
Contra Costa County Health Services Department
597 Center Avenue - Suite 200
Martinez, CA 94553"
G. Paragraph 1, entitled Rates. Funding Limits, of Section IV. Reimbursement is
amended to read:
"1. Rates, Funding Limits
The maximum rates payable for administrative services, Case Management,
Skilled Nursing Care, Attendant Care, Homemaker Services, Psychosocial
Counseling, Nutrition/Nutrition Supplements (i.e. home-delivered meals),
Medical Equipment and Supplies, Minor Physical Adaptations to the Home,
Nonemergency Medical Transportation, and Supplements for Infants and
Children'in Foster Care are established by the STATE and are included in
Exhibit "C-1", entitled Schedule of Reimbursement Rates and Other Limits,
consisting of two pages and is incorporated and made a part hereof by this
reference. All further references to Exhibit"C" shall henceforth be referred
to as Exhibit "C-1".
STATE shall furnish CONTRACTOR with updated Schedule of
Reimbursement Rates and Other Limits, from time to time,as rates are revised.
Reimbursements per Waiver Client shall not exceed the Individual Cost Cap
stipulated in Exhibit "C-1"."
Contract No: 90-11419, A-2
Contractor: Contra Costa County Health Services Department
Page 4 of 4
2. The effective date of this amendment shall be January 1, 1993.
3. All other terms and conditions of this contract shall remain in full force and effect.
I
Page 1 of 2
EXHIBIT C-I
SCHEDULE OF REIMBURSEMENT RATES AND OTHER LIMITS
Federal Limits on Annual Statewide Unduplicated Client Enrollment:
Calendar Year 1989 .........................788
Calendar Year 1990 .........................963
Calendar Year 1991 .......................1,138
Calendar Year 1992 .......................1,138
Procedure Rate Maximum
Procedure Code Effective Rate
Case Management 0581 6/1/89 $173.75/client/month
("From-Thru" claim format required) 1/1/90 $185.91/client/month
1/1/91 $198.93/client/month
Skilled Nursing (RN) 0582 6/1/89 $24.00/hour*
4/1/90 $28.55/hour*
Skilled Nursing (LVN) 0583 6/1/89 $18.75/hour*,**
4/1/90 $22.50/hour*
Psychosocial Counseling 0584 6/1/89 $29.24/hour*
1/1/90 $31.29/hour*
7/1/92 $33.48/hour*
Attendant Care 0585 6/1/89 $11.00/hour*
1/1/90 $11.77/hour*
7/1/92 $12.59/hour*
Homemaker Services 0586 6/1/89 $ 6.50/hour*
1/1/90 $ 6.96/hour*
7/1/92 $ 7.45/hour*
Medi-Cal Supplement for Infants
and Children in Foster Care 0587 6/1/89 $300/client/month
("From-Thru claim" format required) 1/1/90 $321/client/month
1/1/91 $338/client/month
Minor Physical Adaptations 0588 6/1/89 No limit
to the Home 1/1/91 $1,000/client***
Nonemergency Medical 0589 1/1/91 $40/client/month
Transportation
Combined Waiver Services 0581 through 0589 6/1/89 $1,293/client/month
1/1/90 $1,384/client/month
1/1/91 $13,209/client/year
*May bill up to additional .75 hour per visit for actual travel, documentation, training and/or
supervision as long as doing so does not cause per procedure billing to exceed 24 hours on any date
of service.
**High Cost Bay Area Counties= $20.50/hour
***May be exceeded with prior written State approval
Page 2 of 2
Administrative Expenses 0590 6/1/89 $135.21/client/month
Hardcopy Claim Format 1/1/90 $144.67/client/month
("From-Thru" claim.format required) 1/1/91 $154.80/client/month
Administrative Expenses 0590-85 6/1/89 $138.21/client/month
CMC Claim Format 1/1/90 $147.67/client/month
1/1/91 $157.80/client/month
r: