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Home My WebLink AboutMINUTES - 06021998 - C100-C104 h TO: BOARD OF SUPT R"SORS FROM: William Walker, D. , Health Services Director '`_ -, Centra By: Ginger Marieiro, Contracts Administrator Costa DATE: May 21, 1998 County SUBJECT: Approval of Contract #24-939-81 -with Dolores Sanchez, L.C.S.W. SPECIFIC REQUESTS)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION I . RECQMMEN#,�SI? ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand,) , to execute on behalf of the County, Contract #24-939-81 with Dolores Sanchez, L.C.S.W. , 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. II . FINANCIAL 2MPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds. ; III . REASONS FOR RECOMMENDATIONS/BACKGROUNII: Can 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 #24-939-81 will allow the Contractor to provide mental health specialty services through June 30, 1999 . CONTINUED ON ATTACHMENT-. Y S I G N A T U R ` z RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATWREM:,d&`�7 ;"�'�K Z/"51' ACTION OF BOARD ON JUN - 2 1998 APPROVED AS RECOMMENDED OTHER VOT OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT 1 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 1998 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Unna Wigand (3.13-6411) CC: Health Services(Contracts) Risk Management ^ t Auditor Controller BY )4)," UC' _ Q DEPUTY Contractor . Beard Order page two (2) CCMNP OU PATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE—Revised 1219197. CPT CODE PROCEDURE M D Ph-D L;C,S.w. M.F.C.C. Level 1Codes 90830 Test Administration- 1 hour max 6 $30 90887 Test Scoring- 1 hour max 2 $30 901143 Individual Psychotherapy- 112 hour $30 90844 Individual Ps chotheta - 1 hour $60 $30 $30 $30 90845 Family Thera -without patient $30 $30 $30 90847 Family Thera conjoint $30 $30 $30 90853 Group Therapy-per person-per visit-1 112hr max $12 $12 $12 90662 Pharmacological man ernent $30 90870 ECT-Sin le Selzure $60 X9644 Case Conference- 112 hour $30 $15 $15 $15 X9546 Case Conference- thour $60 $30 $30 $30 Hosni#at InL# Service 99221 ltos itaf Gare Visit-fni#lal-30 minutes $30 99222 Hospital Care Visit-Initiaf-50 minutes $60 99232 Hospital Care Visit-Subsequent-30 minutes $30 Outpatient Consults 99242 Office Consultation New Patient-30 minutes $30 99244 dffive Consultation New Patient-60 minutes $60 Ittpatierrt Consults 98251 inpatient Consultation New Patient-30 minutes $30 99253 inpatient Consultation New Patient-60 minutes $60 Nursing Foe Assess 99301 Evaluation and Mana ernent-30 minutes $30 893Q3 t valuation and Mana ernent-60 minutes $60 99311 Subsequent Nursing Facilit Care-15 minutes $15 99313 Subsequent Nursing f=acility Care-30 minutes $30 Rest Nome et At Svc. 89323 Evaluation of New Patient $60 99333 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 codes for which providers will be reimbursed. ..................................................................................................................................................................................... TO: BOARD OF U RVISOlts C.A FROM: William Walker, M.D. , Health Services Director Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: May 21, 1.998 County SUBJECT: Approval of Contract #24-939-73 with Kevin Kappler, Ph.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&13ACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-939-73 with Kevin Kappler, Ph.D. , for the period from April 1, 1.998 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 RECOMMENDATIONS/BACKGROUND: 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 #24-939-73 will allow the Contractor to provide mental health specialty services through June 30, 1999. CONTINUED ON AT XX ENT: YES StGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SQN URE(S)A&e ACTION OF BOARD ON JUN - 2 1998 APPROVED AS RECOMMENDED V/ OTHER VOTE OF SUPERVISORS UNANIMOUS (ASSENT I HEREBY CERTIFY THAT THIS IS A TRUE 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 1998 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Dnn o Wi �and (313-6411) CC: Health Servicestcongacts) Risk Management Auditor Controller BY ,DEPUTY Contractor dr Heard Order page two (2) .CCMNP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCtIEDULE--Revised 12/9197. CPT CODE PROCEDURE M.D Ph.D L.C.S.W. M.F.C.C. Level MiCodesW90830 Test Administration- 1 hour max 6 $30 90887 Test Scotln - 1 hour max 2 $30 90843 trtdiv#dual Ps chothera 1/2 hour $30 90844 Individual Ps choihera - 1 hour $60 $30 $30 $30 90846 Family Thera witbout patient $30 $30 $30 90847 Family Therapy-conjoint $30 $30 $30 90853 Group Therapy-per person.-per visit-1 1/2hr max $12 $12 $12 90862 Pharmacological management $30 90870 ECT-Sin le Seizure $60 X9544 Case Conference- 1/2 hour $30 $15 $15 $15 X9546 Case Conference-lhour $Bo $30 $30 $30 Hospital hs t.Service 99221 Hospital are Visit-Initial-30 minutes $30 99222 tion #tat Care Visit-Initiat-50 minutes $60 99232 Hospital Care Visit-Subsequent-30 minutes $30 Outpatient.Consults $9242 Office Consultation New Patient-30 minutes $30 99244 Office Consultation New Patient-60 minutes $60 t►spat"sent Consults 99251 In atient Consultation New Patient-30 minutes $30 99253 inpatient Consultation New Patient-60 minutes $60 Nursing ac Assess 99301 Evaluation and Management-30 minutes $30 99303 Evacuation and Management-60 minutes $60 99311 Subsequent Nursing Facility Care-15 minutes $15 99313 Subsequent Nursing Facility Gare-30 minutes $30 #Zest-tome et At Svc. 99323 Evaluation of New Patient $60 99333 Evaluation of Established Patient $30 Horne Services 99341 Evaluation of New Patient $60 99353 Evatuation of Established Patient $30 """These are the only outpatient:services which CCMHP wi#t authorize and the only t:odes for which roviders will be reimbursed. To: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director Centra By: Ginger Marieiro, Contracts Administrator Costa GATE: May 21, 1998 County SUBJECT: Approval. of Contract #27-386 with Diane Chow, DPM ` SPECIFIC REQUESTS)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I . RECQMMEN 9D ACTIC7N: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract ##27-386 with Diane Chow, DPM, for the period from May 1, 1998 through April 30, 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. I I . FINANCIAL IMPACT: This Contract is funded by Contra Costa Health Plan member premiums'. Casts depend upon utilization. As appropriate, patients and/or third party payors will be billed for services. III . R.LpASONS FOR RECOMMENi"3ATIC?Nu lSACICGRL7t3ND The Health Plan has an obligation to provide certain specialized professional health care services for its members under the terms o 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 other 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 April. 30, 1999 . CONTINUED T C S SI A % RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER 10 ACTION OF BOARD ON V )998 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT 3 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 ?9 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Milt Camhi: (313-6004) CC: Health Services(Contracts) , Risk Management Auditor Controller BY 'I.y J, f 12, DEPUTY Contractor TO: 'BOARC!OF SUPERVISORS FRC►M: , William Walker, M.D. , Health Services Directory- + Contra By: Ginger Marieiro, Contracts Administrator C3S ta �. . DATE: May 21, 1:998 County SUBJECT: Approval of Contract #27--388 with Richard Palaski, D.C. SPECIFIC REQUEST{SI OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I . REC - XD &CTION: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract #27-388 with Richard Palaski, D.C. , for the 'period from May 1, 1998 through April 30, 1999, for the provision of chiropractic services for Contra Costa Health Plan members, to be paid as follows: 20 per member, per visit, not to exceed 10 visits per member, per year. I I . FINANCIAL SMPACT: 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 . RLASONS FOR RECOM-toll 3ATIOI S ZBACKGROMM: 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. Under Contract #27-388 the Contractor will provide chiropractic' services to Health Plan members through April 30, ; 1999 . CONJINUED QN ATTA CHMENT: Y S RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER I ACTION OF BOARD ON .SUN � � 1"s APPROVED AS RECOMMENDED v'� 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 ASSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. JUN - N ATTESTED PHIL BATCHELOR,CLERIC OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Milt Camh i (313-6004.), CC: Health Services(Contracts) Risk Management Auditor Controller By rg � --1,�c _ I)EPUTY Contractor ,-(- TO: BOARD OF SUPERVISORS C. e /,9//.' FROM: William Walker, M.D. Health r �es I3irectar `f ' t" By: Ginger Marieiro, Contracts Administrator C411 Caste ta DATE: may 21, 1998County SUBJECT: Approval of Contract #24-939-69 with Peter Greenberg, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)A BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION Approve and authorize the Health Services Director, or his designee (Donna Wigand)', to execute on behalf of the County, Contract #24-939.69 with Peter Greenberg, M.D. , for the period from April 11 1998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates sets forth in the attached fee schedule. II . FINANCIAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds. III . REASONS FOR RECOMMENDATIONS/BACKGROUND: 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 #24-939-69 will allow the Contractor to provide mental health specialty services through June 30, 1999 . -CONTINUED-ONA AC T: YES XX SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIQNA UREM:Zy'/-?� 'r, I law �7� ACTION OF BOARD ON 1998 APPROVED AS RECOMMENDED _ OTHER O7F SUPERVISORS V I HERESY 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 PHIL.BATCHELOR,CLERK OF THE BOARD OF Contact Person: Donna Wigand (313-64I1) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Heath Services(Contracts) Risk Management Auditor Controller BY �n�� ,��_. J DEPUTY Contractor Beard Order page two (2) CCM P OUTPATIENT SPECIALTY MENTAL.HEALTH SERVICES FEE SCREDULE--Devised 1219/97. CPT CODE PROCEDURE, M.0 Ph.D L.C,S.W. M.F'.C.C. Level 1Codes 90830 Test Administration- 1 hour max 6 $30 90887 Test Scori - I hour max 2 $30 90843 individual Ps chothera -1/2 hour $30 90844 Individual Ps chvlhera - 1hour $60 $30 $30 $30 90846 Family Therapy-without patient $30 $30 $30 90847 Family Thera -cont pint 30 $30 $30 90853 Group Therapy-per person-per visit-1 112hr max $12 $12 $12 90862 Pharmacological mane ernent $ail 90970 ECT-Single Seizure $60 X9644 Case Conference- 1/2 hour $30 $15 1 $15 $15 X9546 Case Conference- lhour $60 $30 $30 $30 Hospital lopt.Service 99221 t-los ital Care Visit-Initial-30 minutes $30 99222 Hospital Care Visit-Initial-50 minutes $60 _ 99232 Hospital Care Visit-Subsequent-30 minutes $30 Outpatient Consults 99212 Office Consultation New Patient-30 Minutes $30 99244 Office Consultation New Patient-60 rninules $60 Inpatient Consults_ 99251 Inpatient Consultation New Patient-30 minutes $30 _ 99253 Inpatient Consultation New Patient-60 minutes $60 Nursing Fac Assess 99301 Evaluation and Mann ement-30 minutes $30 99303 Evaluation and Management-60 minutes $60 99311 Subsequent Nursir Facility Care-15 minutes $15 99313 Subsequent Nursing Facility Care-30 minutes $30 Best Home`et At Svc. 99323 Evaluation of New Patient $60 99333 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 codes for which providers will be reimbursed.