HomeMy WebLinkAboutMINUTES - 05251993 - 1.45 shy 1 -45
TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director
' Contra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: May 12, 1993 oio County
SUBJECT: Approval of Contract Amendment Agreement #24-133-31
with La Cheim School, Inc.
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, Contract Amendment Agreement #24-133-31, effective May 1, 1993, to amend
Standard Contract #24-133-29 (as amended by Contract Amendment Agreement #24-133-30)
with La Cheim School, Inc. , to reduce the number of Medi-Cal service units which the
Contractor is required to provide.
II. FINANCIAL IMPACT:
There is no change in the payment limit of this Contract.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On August 11, 1992, the Board of Supervisors approved Standard Contract #24-133-29
with La Cheim School, Inc. , for the period from July 1, 1992 through June 30, 1993
to provide intensive day treatment services for mentally disturbed children and
adolescents. On December 15, 1992, the Board approved Contract Amendment Agreement
#24-133-30 to reduce the Contract Payment Limit.
The Contract, as amended, specifies that at least 85% of the service units which the
Contractor is required to provide will be Medi-Cal service units, subject however,
to sufficient referrals of Medi-Cal eligible clients by the County. Since the
County has been unable to refer enough Medi-Cal eligible clients .for the Contractor
to meet this goal, the Department is requesting approval of this Contract Amendment
Agreement #24-133-30 to adjust the Medi-Cal service units to a more attainable goal
of 80% of the total service units.
CONTINUED ON ATTACHMENT: YES SIGNATURE, Q
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM AJTI OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S) 42
ACTION OF BOARD ON 5 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
V�
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 SUPERVISON THE DATE SHOWN.
Contact: Lorna Bastian (313-6411) O r q
CC: Health Services (Contracts) A TESTED
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and CGunty Administrator
Contractor a
M382/7-e3 BY
DEPUTY
Xontra Costa County 1 -45 Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 24-133-31
Fund/Org # 5952
Account # 2320
Other #
1. Identification of Contract to be Amended.
Number: 24-133-29 (as amended by Contract Amendment
Agreement 124-133-30)
Effective Date: July 1, 1992
Department: Health Services - Mental Health Division
Subject: Intensive Day Treatment Program for mentally or emotionally
disturbed children, including Special Education Pupils (SEP)
for Individualized Education Plan (IEP) required services
under AB 3632
2 . Parties. The County of Contra Costa, California (County) , for its
Department named above, and the following named Contractor mutually
agree and promise as follows:
Contractor: LA CHEIM SCHOOL, INC.
Capacity: Nonprofit California corporation
Address: 5741 Telegraph Avenue, Oakland, California 94609
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is May 1. 1993
4. Amendment Specifications. The Contract identified above is hereby
amended as set forth in the "Amendment Specifications" attached hereto
which are incorporated herein by reference.
5. Signatures. These signatures attest the parties' agreement hereto:
COUNTY OF CONTRA COSTA, CALIFORNIA
ATTEST: Phil Batchelor, Clerk of
BOARD OF SUPERVISORS the Board of Supervisors and County
Administrator
�'�"✓I IGS e0 By
Chairman/Desig a Deputy
CONTRACTOR
By By
(Designate business capacity A) Designate/business capacity B)
Note to Contractor: For corporations(profit or nonprofit),the contract must be signed by two officers. Signature A must be that of the president or vice-president and
Signature B must be that of the secretary or assistant secretary (Civil Code Section 1190 and Corporations Code Section 313). All signatures must be acknowledged as set
forth on page two.
Contra Costa County Standard Form 1/87 `
APPROVALS/ACKNOWLEDGEMENT
Number 24-133-31
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
By B Q
Designee
APPROVED: COUNTY ADMINISTRATOR
By
ACKNOWLEDGEMENT
State of California ACKNOWLEDGEMENT (By Corporation,
Partnership, or Individual)
County oci3TT�,�1�STA
The person(s) signing above for Contractor, personally known to me in the
individual or business capacity(ies) stated, or proved to me on the basis of
satisfactory evidence to be the stated individual or the representatives) of the
partnership or corporation named above in the capacity(ies) stated, personally
appeared before me today and acknowledged that he/she/they executed it, and
acknowledged to me that the partnership named above executed it or acknowledged
to me that the corporation named above executed it pursuant to its bylaws or a
resolution of its board of directors.
Dated: '
[Notarial Seal] I
`
r OFFICIAL SEAL
RATE ELIZABETH LINDSTROM
NOTARY PUBLIC-CALIFORNIA Notary Publi /Deputy County Clerk
PRINCIPAL OFFICE IN
CONTRA COSTA COUNTY
-2-
My Commission Expires June 10,IMM
�:
AMENDMENT SPECIFICATIONS
Number 24-133-31
In consideration for Contractor's willingness to reduce its level of Medi-Cal
service under the Contract identified herein, County agrees to adjust the ratio
of Medi-Cal service units set forth in the Contract. County and Contractor agree
therefore to amend said Contract as set forth below while all other parts of the
Contract remain unchanged and in full force and effect.
1. Modification of Medi-Cal Service Units. Subparagraph a. of Service Plan
Paragraph 10. (Number of Service Units) as modified by Paragraph 4. (Modification
of Medi-Cal Service Units) of the Amendment Specifications of Contract Amendment
Agreement #24-133-30, is hereby modified to read as follows:
"10. Number of Service Units.
"a. Subject to sufficient referrals of appropriate youth, inclusive
of Medi-Cal eligible referrals, by County or other authorized referral
sources, Contractor shall provide for County during the 12 month fiscal
year period not less than 8.967 total units of service, of which at least
80%, or 7.174 units, shall be Medi-Cal service units. "
2. Revised Budpet of Estimated Program Expenditures. Subparagraphs 1.
(Intensive Day Treatment Programs) and 2. (Fiscal Year Payment Limit) of Section
II. , B. (Net Program Budget Summary) , of the Revised Budget of Estimated Program
Expenditures are hereby modified to read as follows:
12-MONTH
"l. INTENSIVE DAY TREATMENT PROGRAMS FISCAL YEAR PERIOD
a. Max. Short-Doyle Reimbursement (MSR) $550,070
b. Based Fed. Medi-Cal Reimbursement (Federal
Financial Participation: 50% Share)+ $366,714
2. FISCAL YEAR PAYMENT LIMIT (Contract Payment Limit) 916 784
+The amount of Federal Financial Participation (FFP) is the
anticipated Medi-Cal revenue from Federal reimbursable units of
service, projected to be 80% of the total number of service units. "
Initials: %
Contractor County Dept.