HomeMy WebLinkAboutMINUTES - 06021998 - C105-C109 BOARD OF SUPERVISORS to"^ e
FROM: William Walker, M.D. , Health Services Director '`_.- Contra
By: Ginger Marieiro, Contracts Administrator Costa
DATE: May 21, 1996 County
SUBJECT:
Approval of Contract #24-939-67 with Rudolph Cook, Ph.D.
SPECIFIC REQUESTS}OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION
I . RECO Ml ENI3ED ACTION:
Approve and authorize the Health Services Director, or his designee
(Donna Wigand) , to execute on behalf of the County, Contract
#24-939-67 with Rudolph Cook, Ph.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.
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--67 will allow the Contractor to provide
mental 'health specialty services through June 30, 1999 .
f
CONTINUED O T C YgFi XX SIGNATURA
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION of BOARD ON JUN - 2 1998 APPROVED AS RECOMMENDED ,f OTHER
VOTE OF SUPERVISORS
/ I HEREBY CERTIFY THAT THIS IS A TRUE
J 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 1998
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand (313-641.1)
CC: Health Services(Contracts)
Risk Management j
Auditor Controller BYr � �kAa �. a DEPUTY
Contractor
Beard Order
page two (2)
CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 12!9187.
CPT CODE PROCEDURE M.D Ph.D L.C.S.W. M.F.C.C.
Level iCodes 90830 Test Administration- 1 hour max 6 $30
90887 Test Scoring- ihour max 2 $30
90943 individual Ps chothera - 112 hour $30
90844 Individual Psychotherapy- 1 hour $60 $30 $30 $30
90848 Family Thera -without patient $30 $30 $30
90847 Family Therapy-conjoint $30 $30 $30
90853 Group Thera r person-per visit-1 112hr max ;$12 $12 $12
908x2 Pharmacological management $30
90970 ECT-Sin le Seizure $60
X8644 Case Conference- 112 hour $30 $15 $15 $15
X9546 Case Conference- Ihour $60 $30 $30 $30
Hospital hipt.Service 99221 Hospital Care Visit-Initial-30 minutes $30
99222 Hospital Care 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 Patlent-60 minutes $60
Inpatient Consults _ 99251 inpatient Consultation New Patient-35 minutes $30
_ 99253 Inpatient Consultation New Patient-60 minutes_— $60
Nursing Fac Assess 99301 Evaluation and Management-30 minutes $30
99303 Evaluation and Mann ement-60 minutes $60
99311 Subsequent Nursing Facility Care-15 minutes $15
99313 Subsequent Nursing Facility Care-30 minutes $30
Rest Borne et At Svc. 99323 Evaluation of New Patient $60
_ 99333 Evaluation of Established Patient $30
Nome 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.
" + : BOARD OF SUPERVISORS
FROM-
William Walker, M.D. , Health Services lerector - ► Contra
By: Ginger Marieiro, Contracts Administrator Costa
MATE: County
May 21, 1998
SUBJECT:
Approval of Contract #24-939-68 with Robert Matlow, Ph.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)a BACKGROUND AND JUSTIFICATION
I . RECOI~s Zn ACTION
Approve and authorize the Health Services Director; or his designee
(Donna Wigand) , to execute on behalf of the County, Contract
#24-939--68 with Robert Matlow, Ph.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.
II . FINANCIAL YMPACT:
This Contract is funded. by State and Federal FFP Medi-Cal Funds .
III . REASOR'I'S FOR RECOFZ1:NDATIONSIBAGKgRC3UNI3:
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 #24-939-68 will allow the Contractor to provide
mental health specialty services through June 30, 1999.
UE O AC YES 19ATU
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
t`
APPROVE OTHER
'
ACTION OF BOARD ON JUN " 2 1998 APPROVED AS RECOMMENDED OTHER _
VOTE OF SUPERVISORS
j I HEREBY CERTIFY THAT THIS IS A TRUE
J UNANIMOUS (ASSENT ) 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.
ATTESTED JUN - 2 199%
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 .� b��. a� p ��;.. DEPUTY
Contractor �,
Beard order
page two (2)
CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 12/9/97.
CPT CODE PROCEDURE M.D PhM L.C.S.W. M.F.C.C.
Level lodes 90830 Test Administration- 1 hour(max 6) $30
90587 'Test Scoring- lhour max 2 $30
90843 Individual Psychotherapy- 1/2 hour $30
90844 individual Psychotherapy- 1 hour $60 $30 $30 $30
90946 Family Thera without 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 $3o
90870 ECT-Sin Ie Seizure $60
X9644 Case Conference- 1/2 hour $30 $15 $15 $15
_ X9546 Case Conference- Ihour $60 $30 $30 $30
Hospital lopt.Service 99221 Nos 'ta!Care Visit-Initial-30 minutes $30
99222 jj2Asital Care Visit-initial-50 minutes $60
_ 99332 Hospital Care Visit-Subsequent-30 minutes $30
outpatient Consults 99242 Office Consultation New Patient-30 minutes $30
_ 99244 office Consultation New Patient-60 minutes $50
fit patlent Consults 99251 Inpatient Consultation New Patient-30 minutes $30
99253 inpatient Consultation New Patient-60 minutes $60
Nursing Fac Assess 99301 Evaluation and Management-30 rnlitutes $30
99303 Evaluation and Mana etnent-60 tninutes $60
99311 Subsequent Nursing Facility Care-I5 rrtinutes $15
99313 Subsequent Nursing Facility Care-30 minutes $30
Rest Horne et At Svc. 919.323 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 h BOARD OF SUPERVISORS
FROM: William Walker, M.D. 1t�h` rc* ,r
rector __ Contra
By: Ginger Marieiro, Contracts Administrator Costa
DATE: May 21, 1998 County
SUBJECT:
Approval. of Contract #24-939--70 with William Barker, MFCC
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKBRC►UND AND JUSTIFICATION
I . RECt?MMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
{Donna Wigand} , to execute on behalf of the County, Contract
#24-939-70 with William Barker, MFCC, 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 IMPACT:
This Contract is funded by State and Federal. FFP Medi-Cal Funds.
III . REASONS FOR REC{)l MENDATICtN'S/BACKGRC?M:
On January 14, 1997, the Board of Supervisors adopted Resolution
#57/17, 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 specially mental health
services as of July 1, 1597. 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--70 will allow the Contractor to provide
mental health specialty services through June 30, 1999.
20N U TTAC YES XX
si NA U .s. '-
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATIONOF BOARD COMMITTEE
APPROVE —OTHER
SIG T1 RE(S)t�r_0%49�A� AO&
ACTION OF BOARD ON JUN ` 2 19 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
PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: Donna Wigand {313-6411} SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management U ,
Auditor Controller BYd.sA. P tL `4 .� al�. DEPUTY
Contractor
J
Board order
page two (2)
CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 1219197.
C DT CODE PROCEDURE M.D Ph.D L.C.S.W. M.F.C.C.
Levet 1Godes 90830 Test Administration- 1 hour max 6 $30
90887 Test Scorn - lhour Linax 2 $30
90843 Individual Psychotherapy- 112 hour $30
90844 Individual Psychotherapy- i hour $60 $34 $34 $30
90846 Family Therapy-without patient $30 $30 $30
90847 Family Thera -con pint $30 $30 $30
90853 Group Thera Ler person-p2r visit-1 112hr max $12 $12 $12
90862 Pharmacological management $30
90870 ECT-Single Seizure $60
X9544 Case Conference- 112 hour $30 $15 $15 $15
X9546 Case Conference- lhour $60 $30 $30 $30
Hospital ttipt.Service 99221 Hospital Care Visit-Initial-30 minutes $30
99222 Hospital Care Visit-Initial-50 rninutes $60
_ 99232 Hospital Care Visit-Subsequent-30 minutes $30
qutpatiertt Consults 99242 Office Consultation New Patient-30 minutes $30
_ 99244 Office Consultation New Patient-60 miiiutes $60
Inpatient Consults 99251 Inpatient Consultation New Patient-30 nunutes $30
99253 Inpatient Consultation New Patient-60 minutes $60
Nursing Fac Assess 993111 Evaluation and Management-30 minutes $30
99303 Evaluation and Mama er nent-60 minutes $60
83331 Subsequent Nursing 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 Evaluation of Established Patient $30
Hvrne Services 99341 Evaluation o€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.
L 4 b
TO: BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director i
FROM: By: Ginger Marieiro, Contracts Administrator '',� ` ontra
Costa
DATE: May 13, 1998 County
suEuEcT: Approval of Contract #27-342 with Smile Saver (by Greater
California Dental)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Milt 'Camhi) , to execute on behalf of the County, ';Contract #27-342
with Smile Saver (by Greater California Dental) , for the period from
March 1, 1998 through October 31, 1999, at the rates set forth in
the Contract, for the provision of Dental services.
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 . REASONS FOR REC0MMEN,UAT1ONS/BACKQRQUND:
Approval of this Contract will allow the Contra Costa Health Plan
(Health Plan) to add Smile Savers dental coverage'; to its benefit
package and to market dental services to commercial members at the
lowest possible rates .
Approval of Contract #27-342 will allow the Contractor to provide
dental coverage for Health Plan Members through October 31, 1999 .
CONTINUED ON ATTACHMENT: YES SIGNATURE `
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE —OTHER
8 GNATUREf . Ze Z/� '(�
ACTION OF BOARD ON O'j APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
f UNANIMOUS (ASSENT------) 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 - 21998
ATTESTED
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Milt Ca h i (313-6004)
CC: Health Services{Contracts}
Risk Management
Auditor Controller BY �' 1 w L,, �._ k �,DEPUTY
Contractor F'"
TO: BOARD OF SUPERV15flRS
FROM: William Walker, M.D. , Health Services Director • _=}" Contra
By: Ginger Marieiro, Contracts Administrator
DATE: May 15, 1998
County
SUBJECT:
Approval of Contract #26-330 with Alan Jay Spain, M.D.
SPECIFIC REQUE S'TJS)OR RECOMMENDATION(S)a BACKGROUND AND JUSTIFICATION
I . RECOMMENDATI N(S) :
Approve and authorize the Health Services Director, or his designee,
(Frank Puglisi, Jr. ) to execute on behalf of the County, Contract
#26-330 with Alan Jay Spain, M.D. , in the amount of $660, 000, for
the period from May 1, 1998 through April 30, 2001, for the
provision of direct clinic coverage, teaching, and professional
administrative services, for the Contra Costa Regional Medical
Center Emergency Department .
II . FISCAL IMPACT:
Cast to the County depends upon utilization. As appropriate,
patients and/or third party payors will be billed for services.
III . BACKGROUND/REASON(S) FOR RECOMMENDATIONS:
Staffing of the Emergency Department at ContraCosta Regional
Medical Center historically has been difficult. The hospital has
had to rely on "moonlighting" physicians to complete weekly
schedules. Dr. Alan Jay Spain is board certified in Emergency
Medicine and has fifteen years of experience in Emergency Medicine
and administration.
Approval of Contract #26-330 will allow Dr. Spain to provide direct
clinical coverage, teaching and professional administrative services
to the Department ' s Emergency Department through April 30, 2001.
CONTINUED ON ATTACHMENT: YES ! ATUR
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE _r OTHER
SIGN WSE(Sl*
ACTION OF BOARD ON JUN r 21998 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
j I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT l 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 COUNT/ADMINISTRATOR
Contact Person: Frank Puglisi, Jr. (370-5100)
CC: Health Services(Contracts)
Risk Management (�
Auditor Controller BY \ ', DEPUTY
Contractor ``�� "—""r