Loading...
HomeMy WebLinkAboutMINUTES - 06091998 - C85-C89 TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director ©l"ttic" By: Ginger Marieiro, Contracts Administrator Costa DATE: May 27, 1998 county SUBJECT: Approval of Contract #27-326-1 with Oman Alfi, M.D. (dba Alfigen - The Genetics Institute) SPECIFIC REQUEST(S)OR RECOMMENIDATION($)&SACKOROUND 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 #27-326-1 with Oman Alfi, M.D. (dba ' Alfigen - The Genetics Institute) , for the period from July 1, 1998 through June 30, 1999, to be paid in accordance with the rates set forth in the agreement, for the provision of professional health care 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 . REASONS FOR RECOMMENDATIONS/BACKGROUND: 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 . Approval of Contract ##27-326-1 will allow the Contractor continue providing professional health care services to Health Plan members' through June 30, 1999 . C NTINU D QN AMCHM—ENT: SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD ON JUN 0 9 APPROVED AS RECOMMENDED y 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. JUN 0 9 1998 ATTESTED PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Milt Cahmi (323-6004) CC: Health Services(Contracts) Risk of Controller Auclitt�r Controller BY � � h ,[3EPUTY Contractor ......... ......... ......... ......... - _ _ .....__... ._.._...._. ......... ......... ......... ......... ......... ......... ......... _ _ _......_. ...... ......... ......... . ........ ......... __ _ .. ............... TO: BOARD OF SUPERVISORS G. 60 ` ,� FROM: William Walker, M.D. , Health Servlce;� Director By: Ginger Marieiro, Contracts Administrator Contra Costa DATE: May 27, 199$ County Approval. of Contract #27-389 with Kaye Pastor, D.C. 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 #27-389 with Kaye Pastor, 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. 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 RECOMMENDATIONSIBACKGROUND: 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 #27-389 the Contractor will provide chiropractic services to Health Plan members through April 30, ' 1999 . CONTINUED ON ATTACHMENT: Y SSIGNATOR ' •' RECOMMENDATION OF COUNTY ADMINISTRATOR ~"RECOMMENDATION OF BOARD COMMITTEE APPROVE -OTHER SIGNATURE ACTION OF BOARD ON_ JUN f 9 INS APPROVED AS RECOMMENDED � OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTON TAKEN AYES: NOES. AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JUN U 91998 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR ContactPerson: Milt Camhi (.313-6004) CC: Wealth Services(Contracts) RiskManagement Audi BY_�� �\ Auditor Controller DEPUTY Contractor TO:., BOARD OF SUPERVISORS 4» Q "l F120M: William01 `,* /M^ , Health Services Director `, Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: May 28, 1998 County SUBJECT: Approval of Contract #24-939-61 with Jahn Hamel, LCSW SPECIFIC REQUEST(s)OR RECOMMENDATION(S)S BACKGROUND AND JUSTIFICATION I. RECOMMNDED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-939-61 with John Hamel, LCSW, 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 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 #24-939-61 will allow the Contractor to provide mental health specialty services through June 30, 1999. CONTINLjEj2 ON ATTAC M Y SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER ACTION OF BOARD ON jUN— 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 ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. JUN 0 91998 ATTESTED PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (313-6411) CC: Health Services(Contracts) Risk Management t -� Auditor Controller BYN( - )-.".,DEPUTY Contractor Board Order page two (2) �ZCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCNEVULE--Revised 12/9197; CPT CODE PROCEDURE M.D Ph-D L.C.S.W. M.F.C.C'. Level#Codes 90830 Fest Administration-i hour max 6 $30; 90987 Test Scoring- Ihour(max.?)_ $30 90843 individual Psychotherapy- 112 dour $30 90844 Individual Psychotherapy.- 1 hour $60 $30 $30 $30 90846 Family Thera -without patient $30 $30 $30 90847 Family Therapy-conjoint $30 $30 $30 90653 13rou "/`heroper person-per visit-1 1/21ir max $12 $12 $12 90862 Pharmacological management $30 9687.0 ECT-Sin le Seizure $60 X9544 Case Conference- 1/2 hour $30 $15 $15 $15 X.9548 Case Conference- Ihour $60 $30 $30 $30 Hospital ltipt 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 Patient-60 minutes $60 Impatient Consults 99251 Inpatient Consultation New Patient-30 minutes $30 99253 inpatient Consultation New Patient-60 minutes $60 Nursing Fac Assess 99301 Evaluation and Man etnertt-30 minutes $30 99303 Evaluation anti Maria ement-60 minutes $60 99311 Subsequent Nursin 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 $60 99353 Evatuation of Established Patient $30 *•" These are the only outpatient services which CCMHP will authorize and the only codes for which providers will be reimbursed. 00) ff To: BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator , .. Contra DATE: June 1, 1998 Costa County SUBJECT: Approval of Contract #23-074-17 with Foley & Lardner SPECIFIC R'EQUESTES) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director to execute on behalf of the County, Contract #23--074-17 with Foley & Lardner, for the period from July 1,, 1998 through June 30, 1999, for provision of legal. services'. FISCAL IMPACT: Contractor shall be paid a fee rate of not less than $75 . 00 per hour nor more than $370 . 00 per hour in accordance with the Contractor' s usual and customary hourly billing rates for its services, as approved by the Health Services Director. The Contractor will also be reimbursed for travel on behalf of the County, as approved in advance by the Health Services Director, and for miscellaneous expenses actually incurred in the provision of services under the Contract. This Contract is funded by Enterprise I in the Health Services Department ' s budget'. BACKQR0UNDZREAS0N(>S) FOR RECOMMENDATION(S) : Since 1985, this Contractor, which specializes in health care lays, has been providing legal services to the Health Services Department in the form of consultation, research, opinion, and advice with regard to Medi'- Cal appeals and other fiscal matters . On June 24, 1997, the Board of Supervisors approved Contract #23-074-16 with Foley & Lardner for the period from July 1, 1997 through June 30, 1998 . Approval of Contract #23-074-17 will allow the Contractor to continue providing legal services through June 30, 1999 . CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIG'NATURE(S) 'a vuw,� ACTION OF 130ARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 41 UNANIMOUS (ASSENT ) i HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES AND CORRECT COPY OF AN ACTION TAKEN ASSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD Pat Godley (370-5007) OF SUPERVISORS ON THE DATE SHOWN. Contact: CC: Health Services (Contracts) ATTESTED JUN 0 91998 Risk Management PhH Batchelor,(Tart Of ttt@ Board 4t Auditor-Controller Supervisors and County Administrator Contractor r# M3E2/7-89 BY ' DEPUTY ...................................................... TO: BOARD OF SUPERVISORS William Walker, M.D. , Health Servid/svrector FROM: By: Ginger Marieiro, Contracts Administrator Contra Costa DATE: May 28, 1998 County SUBJECT: Approval of Contract Amendment Agreement #24-933-1 with Crestwood Behavioral Health, Inc. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECONIMNDATION(S) : Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract Amendment Agreement #24-933-1 with Crestwood Behavioral Health, Inc. , effective January 1, 1998, to increase the payment limit by $102, 375, to a new total payment limit of $1, 725, 940 . (No change in the six-month automatic extension payment limit of $1, 650,475 . ) FISCAL IMPACT: This Contract is funded by County/Realignment . BACKGROUND TREASON(S) FOR RECOMMENDATION(S)-: On March 10, 1998 , the Board of Supervisors approved Contract #24- 933 with the Contractor (formerly known as Crestwood Hospitals, Inc. ) , for the period from January 1, 1998 through June 30, 1998, to provide admission and intensive day treatment of County-referred mentally ill persons who are in need of sub-acute skilled nursing care in an Institution for the Mentally Diseased (IMI]) . Crestwood has a number of long-term care facilities under this Contract which the County may use on an "as-needed" basis. In the event, none of these facilities are available, a client will be placed in another facility, which is added to the current contract by a formal Contract Amendment . In January, 1998, the Department' s Long-Term Care Coordinator authorized placement for one of County' s clients in the Contractor' s Modesto facility, which was not included in the original contract . During the term of the contract, services were requested as needed by County staff and provided by the Contractor in good faith. However, the Department neglected to process a formal Contract Amendment Agreement to add the new facility and increase the Contract Payment Limit . Approval of Contract Amendment Agreement #24-933-1 will reform the Contract to make the formal Contract consistent with the oral agreement which was negotiated with the Contractor. CONTINUED ON ATTACHMENT* YES SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE 2—CAPPROVE OTHER SIGN ACTION OF BOARD OR JUN 0 1998 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT 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 0 9 1998 PHJL 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 t DEPUTY Contractor