HomeMy WebLinkAboutMINUTES - 05251993 - 1.51 -5;7 F� i 1 _51
TO: BOARD OF SUPERVISORS M!
FROM: Mark Finucane, Health Services Director Contra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: April 21, 1993 10 County
SUBJECT: Approval of Contract Amendment Agreement #24-646-3 with
Villa Maria Management Corporation (dba Westwood, 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 #24-646-3 to amend
Interim Contract #24-646 (as amended by Contract Amendment Agreement #24-646-2) and
Standard Contract #24-646-1, with Villa Maria Management Corporation (dba Westwood) ,
to increase the fee rates retroactive to August 1, 1992, as directed by the State
Department of Mental Health and to increase the payment limit of Interim Contract
#24-646 (as amended by Contract Amendment Agreement #24-646-2) by $1,435, from
$108,664 to a new total of $110,099.
II. FINANCIAL IMPACT:
These contracts are funded by County/Realignment 100%. There is an increase in the
total payment limit of Interim Contract #24-646 (as amended) but no increase in the
payment limit of Standard Contract #24-646-1.
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 #24-646, for the period July 1, 1992 through
September 30, 1992, and on November 3, 1992, approved Standard Contract #24-646-1
for the period October 1, 1992 through June 30, 1993, with Harbor Hills Hospital,
Inc. for admission and intensive day treatment of County-referred mentally disturbed
persons in need of sub-acute skilled nursing care in an IMD. On January 5, 1993,
the Board of Supervisors approved Contract Amendment Agreement #24-646-2 which
increased the payment limit of the Interim Contract to cover services provided for
County-referred patients in excess of the anticipated daily census.
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 #24-646-3 is to provide for rate
adjustments so that Villa Maria Management Corporation (dba Westwood) can be
reimbursed at the 1992 rates established by the State Department of Mental Health.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME AT ON OF BOARD CO MITTEE
APPROVE OTHER
SIGNATURE(S) yy
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
—4— 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 ON THE DATE SHOWN.
Contact: Patricia Roach (313-6411)
CC: Health Services (Contracts) ATTESTED 3
Risk Management Phil Batchelor,C rk of the goard of
Auditor-Controller Su^ervi rs and County Administrator
Contractor /
M382/7-e9 BY (/'� DEPUTY