HomeMy WebLinkAboutMINUTES - 05031994 - 1.47 �.TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director �'�` ` Contra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: April 20, 1994 Cou
SUBJECT: Approval of Contract Amendment Agreement #22-451-2 with Staff
Builders Services, Inc.
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Wendel Brunner, M.D. ) , to execute on behalf of the County, Contract
Amendment Agreement #22-451-2 with Staff Builders Services, Inc. ,
effective March 1, 1994, to amend Contract #22-451 (effective April 1,
1993 through June 30, 1994) , as amended by Contract Amendment
Agreement #22-451-1, to increase the payment limit by $145, 000, from
$55,000 to a new Contract payment limit of $200.,000. This Contractor
provides in-home attendant care to AIDS and ARC patients.
II. FINANCIAL IMPACT:
This Contract is funded by Federal Ryan White (Care Act, Title I) .and_
AIDS Medical Waiver funds. No County funds are required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
In June, 1993, the County Administrator approved, and the Purchasing
Services Manager executed, Short Form Service Contract #22-451 with
Staff Builders Services, Inc. , to provide in-home attendant care to
County-referred AIDS and ARC patients. A subsequent Contract
Amendment Agreement #22-451-1 was approved by the Board of Supervisors
on February 15, 1994.
The case load of AIDS and ARC patients requiring in=home attendant
care is rapidly increasing. Approval of Contract Amendment Agreement
#22-451-2 will allow the Contractor to provide additional services,,
including twenty-four (24) hour live-in attendant care, through June
30, 1994.
CONTINUED ON ATTACHMENT: YES SIGNATURE•
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME#DAJION OF BOARD TOMMITTEE
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
Contact: Wendel Brunner, M.D. (313-6712) OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor. A the.'aara of .
Auditor-Controller Supervisors and County Administrator,
Contractor
4
M6e2/7-83 BYCA, , DEPUTY
.-,Contra Costa County Standard Form 1/87`tc�
CONTRACT AMENDMENT AGREEMENT V
(Purchase of Services) Number 22-451-2
Fund/Org # 5836/38
Account # 2310
Other #
1. Ide if°i i of Contract to be Amended.
Number: 22-451 (as amended by Contract Amendment Agreement
#22-451-1)
Effective Date: April 1, 1993 DRAFT
Department: Health Services - Public Health Division
Subject: In-Home Health Care for AIDS or ARC Patients
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: STAFF BUILDERS SERVICES, INC.
Capacity: New York Corporation Taxpayer ID # 13-2594932
Address: 877 Ygnacio Valley Road, # 209, Walnut Creek, California 94598
Dai
iInmeng Ad'drwn: 1981 Marcus Avenue, Lake Success, New York 11042
1
3 . imendate. The effective date of this Contract Amen reement
is March 1, 1994
I) RA� 1
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
[DRAFT
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 22-451-2
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 22-451-2
In consideration for Contractor's willingness to provide additional services under the
Contract identified herein, as amended by Contract Amendment Agreement #22-451-1, County and
Contractor agree to amend said Contract as specified below while all other parts of the
Contract remain unchanged and in full force and effect.
1. Payment Limit Increase. The payment limit set forth in Paragraph 1. (Payment Limit
Increase) of Contract Amendment Agreement #22-451-1 is hereby increased by $145,000 from
$55,000 to a new total Contract Payment Limit of $200,000.
2. Modification of Payment Provisions. Paragraph 2. (Modification of Payment
Provisions) , of Contract Amendment Agreement #22-451-1 is hereby modified to read as follows:
"a. Payment Provisions Paragraph 1. (Payment Amounts) , subparagraph d. is hereby
modified to read as follows:
[X] d. As set forth in Paragraph 1. (Payment) of the Additional Provisions, but not
to exceed the Contract Payment Limit of $200,000.
b. Additional Provisions Paragraph 1. (Payment) of the Additional Provisions is
hereby deleted and replaced with the following new paragraph:
1. Payment. Upon request received by Contractor from County's AIDS Program Case
Manager, or her designee (AIDS Program Coordinator) , and subject to the payment limit of this
Contract, Contractor shall provide its employees, in the below listed job classifications and
at the specified billing rates, to do temporary work for County for specified peak loads,
temporary absences, or emergency situations. Personnel providing services under this
contract are not County employees.
Contractor agrees to exhaust all other sources of payment, including third-party payors, as
appropriate, before billing County for services. Contractor will hold harmless both the
State and County's clients in the event the County cannot or will not pay for services
performed for County's clients pursuant to this Contract. Copies of all billings to patients
and/or third-party payors and (if applicable) copies of payments received from private pay
patients or third-party payors, specifying the number of hours by date and the total charges,
will be submitted to County. After all other sources of payment are exhausted, County will
pay Contractor the remaining fee amounts which Contractor is unable to collect from such
payment sources up to the applicable fee per hour, per visit, or per day of temporary work,
as follows
NOT TO EXCEED THE BILLING RATE SPECIFIED BELOW FOR TEMPORARY WORK
JOB CLASSIFICATION Hourly Rate
Registered Nurse $ 28.55
Licensed Vocational Nurse $ 22.20
Home Health Aide (2 Hour Minimum) $ 12.59
Homemaker $ 7.45
Nutritional Counseling $ 33.48
Psychosocial Counseling $ 33.48
Initials:
Contractor County Dept.
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AMENDMENT SPECIFICATIONS
Number 22-451-2
County will also pay the following additional rates, as applicable:
a. Short notice reimbursement according to Paragraph 2. (Short Notice Reimbursement) ,
below;
b. Holiday compensation according to Paragraph 3. (Holiday Compensation) , below;
C. Overtime compensation according to Paragraph 4. (Overtime Compensation) , below;
d. .75 hour, added to the applicable hourly fee rate specified above, per visit or
shift for actual travel, charting/documentation, training and supervision time associated
with providing skilled nursing care, nutritional/psychosocial counseling, attendant care and
homemaker services; and
e. $150.00 per shift for live-in attendant care that is provided in the home of a
County referred client by one of Contractor's Home Health Aides, or other classification
approved in advance by County's Aids Program Case Manager (or her designee) , for any
uninterrupted twenty-four (24) hour period.
Contractor's Demand Form (billing statement) must include dates of service, type of service,
hours of service, amount received from third-party payors, and total amount due from County.
Demand Forms are to be mailed to: Contra Costa County AIDS Program, Health Services
Department, 597 Center Avenue, Suite 200, Martinez, California 94553. "
Initials:
Contractor County Dept.
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