HomeMy WebLinkAboutMINUTES - 06131995 - 1.37 a�rOr = BOARD OF SUPERVISORS -@Uontra
FR6M: f Mark Finucane, Health Services Director
Costa
DATE: June 1, 1995 County
SUBJECT: Approve Standard Agreement (Amendment) #29-391-5 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) #29-391-5 (State #93-18550, A-1) with the
State Department of Health Services (Office of AIDS) , effective December 1, 1995,
to amend Standard Agreement #29-391-4, for the AIDS Medi-Cal Waiver Program. This
Amendment extends the term of the agreement through December 31, 1996 .
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, 1996. 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 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
Department's 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) #29-391-5 will allow the Department to
continue these services through December 31, 1996.
The Board Chair should sign eight copies of the agreement. Seven signed copies of
the agreement and three certified/sealed copies of this Board Order should be
returned to the Contracts and Grants Unit for submission to the State.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON a3 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
_ZUNANIMOUS (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 SUPERVISORS ON THE DATE SHOWN.
Contact: Wendel Brunner, M.D. (313-6712)
cc: Health Services (Contracts) ATTESTED
State Dept. of Health Services Phil atchelor, Clerk of the Board of
SupeIvL=and County Admink&atu
M3e2//83 BY DEPUTY
��TANDARD AGREEMENT— APPR9s
0VEDBYTHE 1.37
ATTORNEY GENERAL CONTRACT NUMBER AM.NO.
STO.2(REV.S•91) 93-18550 A-1
TAXPAYERS FEDEERAL EWPl0YEa-,XE?RIFiii-rI0N NUMBER
THIS AGREEMENT,made and entered into this 1st day of December ,19 95 94-6000509
;n the State of California,by and between State of California,through its duly elected or appointed,qualified and acting
i ITLE OF OFFICER ACTING FOR STATE AGENCY
--Lief, Program Stitprt Branch I Deet of Health SeLyices ,hereafter called the State,and
,XNTRACTOR'S NAME
Contra Costa County Health Services Department 9 — 391
391 ® 5 ,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 completion,and attach plans and specifications,if any.)
In that certain agreement made and entered into January 1, 1994 between the Department of Health
Services and Contra Costa County Health Services Department
1. Section 1. General, Paragraph 1 is amended to read:
"1. Term _
The term of this contract shall be from January 1, 1994 through December 31, 1996."
2. The effective date of this amendment shall be December 1, 1995.
3. Except as amended herein, all other terms, provisions, and amendments to said agreement shall
remain in full force and effect.
::ONTINUED ON -0- SHEETS, EACH REARING NAME OF CONTRACTOR AND CONTRACT NUMBER.
The provisions on the reverse side hereof constitute a part of this agreement.
i\`VZTNESS WHEREOF,this agreement has been executed by the parties hereto,upon the date first above written.
STATE OF CALIFORNIA CONTRACTOR
tiCY - CCNTRACTCR(ft other than an individual,state.Aethee a a, atan,ra..-ershp,etc.)
'r:e a l t h Services Contra Crusta CoUnty Health Services Deparht'ent
cy,s
I= SIGNATURE)_)SIGNATURE) - BY(Al1THCn1�D SIG.`aTun_) '
"cJ�'VE.
N S;GNiNG PAINTED NAVA?iO Ti r GF PERSCN SIGN tia Stahlber ., Chair, Bd. of Supervisors
__ ACORESS
`thief, Program Su000rt Branch 651 Pine Street, Room 106, Martinez, CA94553
S VNT'cNCU.MSERED 5Y 7HISPRCGRaV;CA ICUGnY(C;_c ANG T ITL ) FUND TITLE Department of General Services
Use Only
Clearing Account l General Y
-0- (OPTIONA[USE)
CAAMOUNT ENC:JVE=REOFOR
Medi—Cal Waiver
SGCNTRAGT This contract exempt from
^0- IT_M ( CHAPTER IS T A Ic FISCALYEARYEAR r rU � Iprl
oval per
AVCUNT EtiCV: 4260-111-001 55 1993 93/94
A. EAED TO
OBJECT CF cXPcNDURc C:Cc ANP TITLE) GhapterS5iStats
of 19ga
— T �y n C
`2r-by certify upon my own personal knowledge that budgeted funds 7.B A.No. SA NO. ��qq 11ev m `to o"111-001 (AIDS)
j��i�v)
,r@ available for the period and purpose of the expenditure sated above.
:ATURE OF ACCO 'ING OFFICER �� I OA—..
JUL
-
$ 4 1995
CONTRACTORJYS
E AGENCY CEPT.OF GEN.SER. CONTRCLLEr2