HomeMy WebLinkAboutMINUTES - 06091998 - C80-C84 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director � _.- � Contra
By: Ginger Marieiro, Contracts .Administrator C{JSfa
DATE: May 20, 1998
County
SUBJECT:
Approval of Contract 26-333 with D. Scutt Schmidt, M.D.
SPECIFIC REQUEST(S)'OR RECOMIMENDATION(S)&BACKGROUND AND JUSTIFICATION
I . RECt'Wa=ATI4JN('aS'!. ) :
Approve and authorize the Health Services Director, or his designee,
(Frank Puglisi, Jr. ) to execute on behalf of the County, Contract
26-333 with D. Scott Schmidt, M.D. , in the amount of $525, 000, for
the period from May 1, 1998 through April 30, 2001, for the
provision of direct clinic coverage, teaching, and professional
administrative services, for the Contra Costa Regional Medical
Center Emergency Department .
II . FISCAL IMPACT:
Cost to the County depends upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
III . BACKGROUND/RLASOX(S} FOR RRCIQNS:
Staffing of the Emergency Department at Contra Costa Regional
Medical Center' historically has been difficult . The hospital has
had to rely on "moonlighting" physicians to complete weekly
schedules . Dr. D. Scott Schmidt is board certified. in Emergency
Medicine and will be assigned to provide thirty-two hours per week
of direct clinical coverage and eight hours per week of
administrative duties.
Approval of Contract #26-333 will allow Dr. Schmidt to provide
direct clinical coverage, teaching and professional administrative
services to the Department 's Emergency Department through April 30,
2001 .
CO TI N_ATTACHMENT: YES SIONA U
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON `SUN 0 91998 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS I$A TRUE
UNANIMOUS (ABSENT_______j AND CORRECT COPY OF AN ACTION TAKEN
AYES PES: AND ENTERED ON THE MINUTES OF THE.BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN,
JUN 0 9 1998
ATTESTED
PHIL BATCHELOR,CLERK OF THE BOARD Of
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Frank Puglisi,' Jr. (370-5100)
CC: Health SaMces,(Contracts)
Risk Management "
Auditor Controller BY ,DEPUTY
Contractor
BOARD QP SUPERVISORS y
FROM: William Walker, M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator Costa
DATE: May 20, 1998 County
SUBJECT:
Approval of Contract #26-332 with Stacy Prescott, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION
I . RRCQMMEIQN(S) :
Approve and authorize the Health Services Director, or his designee,
(`rank Puglisi, Jr. ) to execute on behalf of the County, Contract
#26-332 with Stacy Prescott, M.D. , in the amount of $525, 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
CenterEmergency Department .
II . FISCAL IMPACT:
Cost to the County depends upon utilization. As appropriate,
patients and/or third party payors will be billed for services.
III . BACKGR0UND/EA6QN(S) FOR RECOMM ATIONS:
Staffing of the Emergency Department at Contra Costa Regional.
Medical. Center historically has been difficult. The hospital has
had to rely on "moonlighting" physicians to complete weekly
schedules . Dr. Stacy Prescott is board certified in Emergency
Medicine and will be assigned to provide thirty-two hours per week
of direct clinical coverage and eight hours' per week of
administrative duties.
Approval of Contract #26-332 will allow Dr. Prescott' to provide
direct clinical coverage, teaching and professional administrative
services to the Department ' s Emergency Department through April 30
2001 .
CQNTINUED ON ATTIA-ClIMENr. YEA SIGNATURE
- RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
-Xy APPROVE OTHER
X R 0 9 ,9
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HERESY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT------j 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 t) 919%
ATTESTED
PHIL BATCHELOR,CLERK OF THE BOARD Of
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Frank Puglisi,', Jr. (370-5100)
CC: Health Services;(Contracts)
Risk Management " f
Auditor Controller BY DEPUTY
Contractor
TO: BOARD Of SUPERVMORS
FROM: William Walker, M.D. , Health Services Director *' � '.�. Centra
By: Ginger Marieiro, Contracts Administrator
Costa
DATE: May 27, 1998 County
SUBJECT: Approval of Contract #27-373 with Northern California Cancer
Specialists
SPECIFIC RIrWEST{S}OR RECOMMENDATION(S)&BACKGROUND AND JUSTWICATION
RivCUMMENI}ETi ACTIflN
Approve and authorize the Health Services Director, or his
designee (Milt Camhi) , to execute on behalf of the County,,
Contract #27-373 with Northern California Cancer Specialists, for
the period: from .April 1, 1998 through March 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.
FIXANCIAL 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.
REASONS EQR RRCgj MjM T_1ONSIEIACMRQUND—
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 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,
March 31, 1999 .
CONJINUED ON A C YES SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
n� APPROVEOTHER
ACTION OF BOARD ON ; JUN 0 9 19M APPROVED AS RECOMMENDED s✓ OTHER
VOTE OF SUPERVISORS
I HERESY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT___---j 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 0 919%
ATTESTED
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Milt Cam i (313-6004)
CC: Health Services(Contracts) _
Risk Management t +
Auditor Controller BY� DEPUTY
Contractor
''I'll.,....................................................................... ......
............................... .................
ClARD OF SUPF.RVISORS
FROM:
William Walke�, V.-D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator Costa
DATE: May 27, 1998 County
SUBJECT:
Approval of Contract #24-939-76 with Gene J. Grossman, MFCC
SPECIFIC REQUESTS)OR RECOMMENDATION($)&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
#24-939-76 with Gene J. Grossman, MFCC, 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 #24-939-76 will allow the Contractor to provide
mental health specialty services through June 30, 1999 .
CONTINLJED ORATHMENT:—TACYES XX. SIGNATURgLd-W--,:V-�-' -�ef
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
go'
SIGN URELS);
ACTION OF BOARD ON JUN 0 9 1998 APPROVED AS RECOMMENDED OTHER
VOTE F SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ASSENTj 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 0 9 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 DEPUTY
Contractor
Board Order
page two (2)
CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 12/9191.
CPT ,ODEPROCEDURE MM Ph.0 L.C.S.W. M.F.C.C.
Level lCodes 90930 Test Administration-i hour max 6 $30
90887 Test Scorin - 1 flour max 2 $30
90843 Individual Psychotherapy- 112 hour $30
90844 individual Ps chothera - 1 hour $60 $30 $30 $30
90846 Family Thera -without patient $30 $30 $30
90847 Family Therapy-conjoint $30 $30 $30
90853 Group Thera er erson-per visit-1 1/2hr max $12 $12 $12
90862 Phatmacolo Ical management $30
98870 ECT-Single Seizure $60
X9544 Case Conference- 112 hour $30 $15 $15 $15
X9545 Case Conference- !hour $60 $30 $30 $30
Hospital hfpt. Service 98221 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 Patient-60 ininutes $60
Inpatient Consults 99251 Inpatient Consultation New Patient-30 minutes $30
98253 inpatlent Consultation New Patient-60 minutes $60
Nursing Fac Assess 99301 Evaluation and Management-30 minutes $30
99303 Evaluation and Management-60 minutes $60
99311 Subsequent Nursing Facility Care-15 minutes $15
99313 Subsequent Nursing Facility Care-30 minutes $30
Rest Home et At Svc. 99323 Evaluation of New Patient $60
99333 Evaluation of Established Patient $30
Home Services 99341 Evaluation of New Patient 7 $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 SUPERVISORS
FROM: William Walker, M.D. , Health Services Director Contra
By: Ginger Mro, Contracts Administrator s
Costa
May GATE: Ma 27 1998 1�� 'k)A% County
SUBJECT:
Approval of Contract #27-382 with Victor Kerenyi, D.C.
SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION
I . RECgMb EnZD ACTIUN
Approve and authorize the Health Services Director, or his
designee (Milt Camhi) , to execute on behalf of the County,
Contract #27-382 with Victor Kerenyi, D.C. , for the period from
May 1,, 1998 through April 30, 1999, to be paid in accordance with
the rates set forth in the agreement, for the provision of
chiropractic services for the Contra Costa Health: Plan.
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 . REA3C?NS FC3I2 REL{3MMENI7ATIC3N0ZBA.CXgP.0 3=:
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 #27-382 the Contractor will provide chiropractic '
services to Health Plan members through April 30, 1999 .
COL4TINUED ON C M YES SIGL4AIURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
61 NATUREM:4��Ize4z A�&�Q�-
ACTION OF BOARD ON JUN 4 9 1998 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 Q 9 pg9a
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Milt Camh i (313-6004)
CC: Health Services(Contracts)
Risk Management'
Auditor Controller BY_µ # a�3. DEPUTY
Contractor