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Home My WebLink AboutMINUTES - 06231998 - C74-C78 BOARD OF SUPERVISORS fir. J FROM: William Walker, M.D. , Health Services Director _ '; ` Ct7t`tra By: Ginger Marieiro, Contracts Administrator osta DATE: June 11, 1998 County SUBJECT: Approval of Contract #24-949-8 with Saul Lassoff, 'Ph.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I . RECaM1+2MNDM ACTION Approve and authorize the Health Services Director,; or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-8 with Saul Lassoff, Ph.D. , for the period from April 1, 2998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. II . FINANCIAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . III . REASONS FOR R.ECQMMENnATIt}XS/BACK{;R0UND: On January 14, 1997, the Board of Supervisors adapted: Resolution #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of July 1, 1997 . The implementation date has since been changed to April 1, 1998 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Approval of Contract #24-949-8 will allow the Contractor to provide mental health specialty services through June 30, 1999 . CQNTINUE2 ON ATTACHMENT: E XX SIGNAT R r RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE /j APPROVE OTHER 61 EM ACTION OF BOARD ON JUN 2 3 1998 APPROVED AS RECOMMENDED, OTHER VOTE OF SUPERVISORS f I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT } AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: _ _—__ OF SUPERVISORS ON THE DATE SHOWN. ATTESTED +JUS+{ 2 311,9 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (313-6411) CC: Health Services(Contracts) Risk Management � Auditor Controller BY 'j s 0Z, � . d►.a�— --- DEPUTY Contractor Board order page two {2) .CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE$CHF- IULE--Revised f219t97 GPT CODE PROCEDURE M.D Ph.b L.C.S.W. M.F.C.C. Level 1Codes 90830 Test Administration- 1 hour Tax 6 $30 90687 Test—Scoring- lhour max 2 - $30 90843 Individual'Psychotherapy- 1t2 hour $30 90$44 tndtvidual Ps chothera - 1 hour $60 $30 $30 $30 90846 Family Therapy-without patient $30 $30 $30 $0847 Family Therapy-conjoint $30 $30 $30 90853 Group Therapy-per person-per visit-1 112hr max $12 $12 $12 90862 Pharmacological management $30 90870 ECT-Single Seizure $60 X9544 Case Conference- 1/2 hour $30 $15 $15 $15 X3546 Case cot:ference- itiour $60 $30 $30 $30 Hospital lopt.Service 99221 Hospital Cafe Visit-Initial-30 minutes $30 99222 Hospital Care Visit-Initial-50 minutes $60 99232 Hospital care Visit-Subsequent-30 minutes $30 Outpatient Consults 93242 Office Consultation New Patient-30 minutes $30 95244 office Consultation New Patient-60 minutes $60 Inpatient Consults 98251 In atient Consultation New Patient-30 minutes $30 99.253 Inpatient Consultation New Patient-60 minutes $60 qursing Fac Assess 99301 Evaluation and lanagement-30 minutes $30 99303 Evaluation and Management-60 minutes $60 99311 Subsequent Nursing Facility Gare-15 minutes $15 99313 Subsequent Nursing f=acility Care-30 itiinutes $30 Rest Home et At Svc. 99323 Evaluation of New Patient $60 39333 Evaluation of Established Patient $30 Home Services 99341 Evaluation of New Patient $60 99353 Evaluation of Established Patient $30 }"« These are the only outpatient services which CCMHP will authorize and the only 90"icodes for which providers will be reimbursed. To: BOARD OF PER a t... vM: William Walker, M.D. , HeaZth Services Director t'` �t� Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: June 11, 19981County SUBJECT: Approval of Contract #27-390 with Janet Lord, M.D. SPECIFIC REQUEST(5)OR I~rECOMMENDATIGNV(S)&BACKGROUND AND JUSTIFICATION I . RECgIRZME3 ACTION: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract #27--390 with Janet Lord, M.D. , for the period from June 1, 1998 through May 31, 1999, to be paid in accordance with the rates provided in the Medi-Cal. Schedule of Maximum Allowances in effect on the date professional health care services are rendered to Contra Costa Health Plan members. II . FINANCIAL IMPACT: This Contract is funded by Contra Costa Health Plan member premiums'. Costs depend upon utilization. As appropriate, patients and/or third party payors will be billed for services. III . REASON'S FOR RECOMi+lR=ATIONS/BACKGROt=: The Health' Plan has an obligation to provide certain specialized professional health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. The Health Plan is also required under the terms of its Local Initiative contract with the State, to contract with community physicians and ether providers, called "Safety Net" and "Traditional" Providers, for the provision of medical care to Medi-Cal recipients. This Contract is necessary to meet State mandates to expand the number of community providers for the Local Initiative, along with a recent Department of Corporations audit finding that requires formal contracts with low volume providers. Approval of this Contract will allow the Contractor to provide professional health care services to Health Plan members through May 31, 1999 . O T U A C M T S SI NATUR RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE , APPROVE OTHER 2dzazz Z,)zz�& ��- ACTION OF BOARD ON JUN 2 2 1998 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 41 I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN:� OF SUPERVISORS ON THE DATE SHOWN. JUN 2 3 1998 ATTESTED PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: CC: Health Services(Contracts) Risk Management Auditor Controller BY ry �` ,DEPUTY Contractor BOAR OZ'S �ftlllSl'3RS FROM: William Walker, M.D. , Health Services Director Contra By: Ginger Marieiro, Contracts Administrator sta DATE: June 11, 1998 County SUBJECT: Approval of Contract #24-939-84 with Robert Burr, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I . RECqMMENDED ACTIt7N z Approve and authorize the Health Services Director,I or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-939-84 with Robert Burr, M.D. , for the period from April 1, 1998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. I I . FINANCIAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . III . REASONS FOR REC4FNIMAT1gXS/BACKGR0U"NI>: On January 14, 1997, the Board of Supervisors adopted Resolution ##97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of July 1, 1997. The implementation date has since been changed to April 1, 1998 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Approval of Contract #24939-84 will allow the Contractor to provide mental health specialty services through June 30, 1999 . C ##TIN [3 N YES-.XX YES-. SIG#t TU E� w e... �0 RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER PairiNATTURE(gih LZ_2� ACTION OF BOARD ON JUN 2 3 1998 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS #HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: _ AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN:— OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JUN 2 3 199i PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (313-641.1) CC: Health Services(Contracts) Risk Management Auditor Controller BY ,a : # DEPUTY Contractor Board order page two (2) CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 1219197.. CPT CODE PROCEDURE M.{7 Ph.D: L.C.S.W. M.F.C.C. Levet 1Codes 9083034 Test Administration- # hour trrax 6 $30 908117 Test Scoring- 1 hour max 2 $30 90843 Individual Psychotherapy- 112 hour $30 90844 Individual Psychotherapy- i hour $60 $30 $30 $30 90845 Family Therapy-without patient $30 $30 $30 94847 Family Thera -con oint $30 $30 $30 90853 Group Therapy.per person-per visit-1 1121h max $12 $12 $12 90862 Pharmacological management $30 90870 ECT-Single Seizure $60 X9544 Case Conference- 112 hour $30 $15 $15 $15 X9548 Case Conference- lhour $60 WO $30 $30 Hospital Inpt. Service 99221 Hos ltaf Care Visit-lnifiaf-30 minutes $30 95222 Hospital Care Visit-Inifial-50 minutes $60 99232 Hospital Care Visit-Subsequent-30 minutes $30 _14—C 0 it S U its rrt_Cortsutts 95242 Office Consultation New Patient-30 minutes $30 - 99244 office Consultation New Patient-60 minutes $50 Inpatient consults 99251 Inpatient Consultation New Patient-30 minutes $30 _ S9Z53 Inpatient Consultation New Patient-60 minutes $60 Nursing Fac Assess 99301 Evaluation and Management-30 minutes $30 99303 Evaluation and Mana ernent-60 minutes $60 99311 Subse uent Nursing Facility Care-15 minutes $15 _ 99313 Subsequent Nursing Facility Care-30 minutes $30 Rest Hoene et At Svc. _ 99323 Evaluation of New Patient $£0 99333 Evaluation of Established Patient $30 Home Services 99341 Evaluation of New Patient $601 1 99353 Evaluation of Established Patient $30 ** Titese are the only outpatient services which CCMHP will authorize and the only codes for which providers will be reimbursed. FROM: William Walker, M.D. , Health Services Director , ^};,+�. Contra By: Ginger Marieiro, Contracts Administrator L:flSt DATE: June 11, 1:998 County SUBJECT: Approval. of Contract #24-939-62 with M. Catherine Warren, MFCC SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKOROUND AND JUSTIFICATION I . RjC0V=Nl.'ZD- ACTION.- Approve and authorize the Health Services Director,; or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-939-62 with M. Catherine Warren, MFCC, for the periodfrom April 1, 1998 through June 30, 1999, to provide Medi-Cal mental health specialty ,services, to be paid in accordance with the rates set forth in the attached fee schedule. II . FINANCIAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds. III. RVASONS FOR REC0VQdZNDAT10NSIBACKGRQUNL: On January' 14, 1997, the Board of Supervisors adopted Resolution #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of July 1, 1997 . The implementation date has since been changed to April 1, 1998 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Approval. of Contract #24-939-62 will allow the Contractor to provide mental health specialty services through June 30, 1999 . C N INU ON AC Y SIGNATURE .r e RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE `OT'HER SIGNATOE L &ik� /16-1 ACTION OF BOARD ON JUN 2 3 19% APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ASSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN, ATTESTED JUN 2 3 1998 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (313-6411) CC: Health Services(Contracts) Risk Management , Auditor Controller BY E ..d. DEPUTY Contractor o Board order page two (2) MCEMHP 5UTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE-.Revised 12/9/91. EPT CODE_PROCEDURE M.0 Ph.l7 L.C,S.W. M.F.C.C. Level#Codes 90830 Test Administration- 1 hour max 6 $30 90887 Test Scoring- 1hour max 2 i$30 90843 Individual Ps chothera - 112 hour $30 90844 Individual Psychotherapy- 1 hour $60 $30 $30 $30 50846 Family Therapy-without patient $30 $30 $30 90847 family'Thera -con pint $30 $30 $30 90853 Group Therapy.per person-per visit-1 1/2hr max $12 $12 $12 90862 Pharmacological man ement $30 96874 ECT-Single Seizure $60 X9544 Cass Conference- 112 hour $30 $15 $15 $15 X9546 Case Conference- lhour $60 $34 $30 $30 Hospital hipt. Service 99221 Hospital Care Visit-Initial-30 minutes $30 99222 Hospital Gare Visit-Initial-50 minutes $60 99232 Hospital Care Visit-Subsequent-30 minutes $30 outpatient Consults 99242 Office consultation New Patient-30 minutes $30 99244 Office Consultation New Patient-60 minutes $60 In atient Consults 99251 Inpatient Consullatiort New Patient-30 minutes $30 99253 Inpatient Consultation New Patient-60 trtinutes $60 Nursing Fac Assess 99301 Evaluation and Management-30 minutes $30 99303 Evaluation and Marta ement-60 rnioutes $60 99311 Subsequent Nursing Facility Care-15 minutes $15 99313 Subsequent Nursing Facility Care-30 minutes $30 Rest Home et At Svc. 99323 Evatvation of New Patient $60 99333 Evaluation of Established Patient $30 dome Services 99341 Evaluation of New Patient $60 99353 Evaluation of Established Patient $30 ««"These are the only outpatient services which CCMHP will authorize and the only codes for winch providers will be reimbursed. OARD OF SUP VrSORS W11 am Walker, M.D. , Health Services Director '`. �" Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: .IL`tne 11, 1998 County SUBJECT: Approval of Contract ##24-939-75 with John Shobe, MFCC SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I . REC4MMENDBU ACTIC3N» Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24--939-75 with John Shobe, MFCC, for the period fi°om April 1, 1598 through June 30, 1959, to provide Medi.-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. II . FINANCIAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . III . REA C3NS FC7R RECOMME ATIC>XS IBACKGRf7MM: On January 14, 1997, the Board of Supervisors adopted Resolution #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental. Health to assume responsibility for Medi--Cal specialty mental health services as of 'July 1, 1997 . The implementation date his since been changed to April 1, 1998 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Approval of Contract ##24-939-75 will allow the Contractor to provide mental health specialty services through June 30, 1999 . ONTINUEDON&TTACHMENTzY SIGNA R4 " RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER StGN&T-UREM: 2a:2'4& ACTION OF BOARD ON, JUN 2 3. 998 APPROVED AS RECOMMENDED _ OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JUN 2 3 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wind (313-6411) CC: Health Services(Contracts) Risk Management , r ' r Auditor Controller BY K' -,DEPUTY Contractor Heard Carder page two (2) ,CCM14P OUTPATIENT SPECIALTY MENTAL 1IEALT14 SERVICES FEE SCHEDULE--Revised 1219197. CPT CODE PROCEDURE M.D Ph.O L.C.s.w. M.F.C.C. Level 1 Codes � 90830 Test Administration-l hour max 6 $30 90887 Test Scoring- 1 hour max 2 $30 90843 Individual Ps chothera 112 hour $30 96844 Individual Psychotherapy- 1 trour $tit) $30 $30 $30 90846 f amity Therapy-without patient $30 $30, $30 90847 Family Thera Gon"oint $30 $30 $30 < 90853 Group Theraper person-per visit-1 1121rr rmax $12 $12 $12 90862 Pliamiacol2gical management $30 90870 EC '-Single Seizure $60 X9644 Case Conference- 112 hour $30 .$1s $15 $15 X9546 Case Conference- 1 hour $50 $30 $30 $30 Hospital Inpt.Service 99221 Hospital Care Visit-krifial-30 rninutes $30 - - 99222 Nos #taI Cara Vislt-Initial-50 minutes $60 99232 Hospital Care Visit-Subsequent-30 tninutes $30 Out atient Consults 99242 Office Consultation New Patient-30 minutes $30 99244 office Consultation New Patient-60 minutes $60 Inpatient Consults 99251 Inp- nt Consultatioti New Patient-30 rninutes $30 25 993 Inpatient Consultation New Patient-fila rninutes $60 Nursing Fac Assess 99301 Evaluation and Management-30 minutes $30 99303 Evaluation and Management-60 rninutes $60 99311 SubsequentNursing Facility Care-15 minutes $15 99313 Subsequent Nursing Facility Care-30 minutes $30 Rest Horne et At Svc. 99323 Evaluation of New patient $60 99333 :valuation of Established Patient $30 Home Services 99341 Evaluation of New Patient $W 99353 Evaluation of Established Patient $30 MU*o*des These are the only outpatient services which Ct MHP will authorize and the only for which providers will be reimbursed.