HomeMy WebLinkAboutMINUTES - 05251993 - 1.5 (2) TO: BOARD OF SUPERVISORS 1 50
FROM: Mark Finucane, Health Services Director�v Contra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: April 22, 1993 COunty
SUBJECT: Approval of Contract Amendment Agreement #24-373-8 with
Crestwood Hospitals, Inc.
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director or his designee
(Lorna Bastian) to execute on behalf of the County, Contract Amendment
Agreement #24-373-8 to amend Interim Contract #24-373-6 and Standard
Contract #24-373-7, with Crestwood Hospitals, Inc. , to increase the
fee rates retroactive to August 1, 1992, as directed by the State
Department of Mental Health.
II. FINANCIAL IMPACT:
These contracts are funded by County/Realignment 100%. There is no
increase in the contract payment limits.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
Effective July 1, 1992 , State Mental Health Realignment Legislation
shifted responsibility for payment to providers from the State
Department of Mental Health to the Counties and required the Counties
to assume direct responsibility for contracting with sub-acute skilled
nursing facilities known as Institutions for the Mentally Diseased
(IMD's) . Accordingly, the Board of Supervisors, on July 28, 1992,
approved Interim Contract #24-373-6, for the period July 1, 1992
through September 30, 1992 , and on November 3, 1992 , approved Standard
Contract #24-373-7 for the period October 1, 1992 through June 30,
1993 , with Crestwood Hospitals, Inc. for admission and intensive day
treatment of County-referred mentally disturbed persons in need of
sub-acute skilled nursing care in an IMD.
In mid-January 1993 , the Department received notice from the
Department of Mental Health that the 1992 Medi-Cal skilled nursing
facility rates were finalized and that these new rates are retroactive
to August 1, 1992 .
The purpose of Contract Amendment Agreement #24-373-8 is to provide
for rate adjustments so that Crestwood Hospitals, Inc. can be
reimbursed at the 1992 rates established by the State Department of
Mental Health.
CONTINUED ON ATTACHMENT: YES SIGNATURE
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RECOMMENDATION OF COUNTY ADMINISTRATORRECOMM D TION OF BOA D 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
SHOWN.
S
Contact: Lorna Bastian (313-6411) OF SUPERVISORS ON THE DATE
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor,advot the 003rd of
Auditor-Controller Supervisors and County Administrator
Contractor e
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M382/7-83 BY
DEPUTY
RContna Costa• Countykii?RENT Standard Form 1/87
CONTRACT AMENDMENT
(Purchase of Services) Number 24-373-8
Fund/Org #5984/5942
Account # 2320
Other #
1. Identification of Contract to be Amended.
Number: 24-373-6 and 24-373-7
Effective Date: July 1, 1992 and October 1, 1992, respectively
Department: Health Services - Mental Health Division
Subject: Admission of, and treatment for, mentally disturbed persons in
need of subacute skilled nursing care in a facility
hereinafter known as an Institution for the Mentally Diseased
(IMD)
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: CRESTWOOD HOSPITALS, INC.
Capacity: California corporation
Address: 4635 Georgetown Place, Stockton, California 95207
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is August 1, 1992 .
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
By
Chairman/Designee 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 24-373-8
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
By By
Designee
APPROVED: COUNTY ADMINISTRATOR
By
ACKNOWLEDGEMENT
State of California ACKNOWLEDGEMENT (By Corporation,
Partnership, or Individual)
County of
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]
Notary Public/Deputy County Clerk
-2-
AMENDMENT SPECIFICATIONS
Number 24-373-8
Pursuant to DMH Information Notice No. 92-39 from the State Department of
Mental Health which sets forth the 1992 Medi-Cal Skilled Nursing Facility
Rates, retroactive to August 1, 1992, County and Contractor agree to modify
the Contracts identified herein as specified below, while all other parts of
said Contracts remain unchanged and in full force and effect.
1. Modification of Fee Rates. Subparagraphs A. , B. , C. , and D. of Service
Plan Paragraph XI. (Fee Rates) of Interim Contract #24-373-6 and Standard
Contract #24-373-7 are hereby modified to read as follows:
"A. Crestwood Manor-San Jose (Provider #0044) :
1. $88.97 per client per unit of service for clients who are
enrolled in and who receive the Basic Title 22 SNF/STP care and treatment
authorized by County; and
2 . $26.79 per client per unit of service for clients who are
enrolled in and who receive "Patch" Intensive Treatment Program (ITP)
services which are over-and-above Contractor's Basic Title 22 SNF/STP
services.
B. Crestwood Manor-Vallejo (Provider #0046) :
1. $79.22 per client per unit of service for clients who are
enrolled in and who receive the Basic Title 22 SNF/STP care and treatment
authorized by County; and
2 . $80. 00 per client per unit of service for clients who are
enrolled in and who receive enhanced "Patch" ITP services which are over-and-
above Contractor's Basic Title 22 SNF/STP services.
C. Crestwood Manor-Fremont (Provider #0040) :
1. $88. 97 per client per unit of service for clients who are
enrolled in and who receive the Basic Title 22 SNF/STP care and treatment
authorized by County; and
2 . $20. 00 per client per unit of service for clients who are
enrolled in and who receive "Patch" ITP services which are over-and-above
Contractor's Basic Title 22 SNF/STP services.
D. Other IMD/SNF Facilities owned by Contractor. For clients who are
enrolled in and who receive the Basic Title 22 SNF/STP care and treatment
authorized by County, County will pay the following fee rates:
Initials••
1 Contractor County Dept.
AMENDMENT SPECIFICATIONS
Number 24-373-8
Basic Title 22 SNF/STP Care and Treatment
Facility Prov. # Fee Rates
1. Crestwood Manor-Modesto #0041 $79. 22/service unit
2 . Crestwood Manor-Stockton #0045 $79 . 22/service unit
3 . Crestwood Manor-Redding #0042 $79. 22/service unit"
2 . Modification of Automatic Extension Provision. Special Conditions
Paragraph 6. (Automatic Contract Extension) , subparagraph b. of Standard
Contract #24-373-7 is hereby modified to read as follows:
"b. County shall continue to pay Contractor in accordance with
Paragraph 6. (County's Obligations) of this Contract at the rates set forth
in Amendment Specifications Paragraph 1. (Modification of Fee Rates) above. "
Initials:
2 •Contractor County Dept.