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HomeMy WebLinkAboutMINUTES - 03231999 - C62-C66 TO: BOARD OF SUPERVISORS � FROM William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator '" Contra DATE., March 4, 1999 Costa County SUBJECT: Approval of Contract #22-698-1 with The Hawkins Center SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS S} Approve and authorize the Health Services Director or his designee (Wendel Brunner, M.D. ) to execute on behalf of the County, Contract #22-698-1 with The Hawkins Center in the amount of $43, 241, for the period from March 1, 1999 through February 29, 2300, to provide client advocacy and legal services for people with HIV. FISCAL IMPACT. This Contract is funded by the State (Federal funds) through the. Ryan White CARE Act. No County funds are required. BACKGROUNDLREASON(S) FOR RECOMMENDATION(S) - In ECOMMENDATION(S) tIn December 1998, the County Administrator approved, and the Purchasing Services Manager executed Contract #22-698 with The Hawkins Center for the period from November 1, 1998 ',through February 28, 1999 for the provision of client advocacy and legal services for people with HIV. Approval of Contract #22-698-1 will allow the Contractor to continue providing service through February 29, 2000. � s CONTINUED ON ATTACHMENTS SIGNATURE > RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER 8QNU ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY 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. lot r . ATTESTED P IL BATCHELOR,CLERK CW THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Wendel Brunner, M.D. (313-6712) CC: Health Services(Contract) Auditor-Controller Risk Management By DEPUTY Contractor , TO: BOARD OF SUPERVISORS ' FROM: William Walker, M.D. , Health Service Director � � Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: march 9, 1999 County SUBJECT: Approval of Contract #22-716 with the City of Pittsburg SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS) : : Approve and authorize the Health Services Director or his designee (Wendel Brunner, M.D. ) to execute on behalf of the County, Contract 422-716 with the City of Pittsburg, in the amount of $36, 800, for the period from January 1, 1999 through June 30, 2000, to provide consultation and technical assistance to the Department with regard to the Lead Risk Reduction Project . FISCAL IMPACT: This Contract is 100% State funded. No County funds are required. CHILDREN'S IMPACT STATEMENT: The Lead Poisoning Prevention Project supports two of the Board of Supervisors community outcomes : 1) Families that are safe, stable and nurturing; and 2) Communities that are safe and provide a high quality of life for children and families . It is anticipated that the outcome of this project wound lead to maintaining a sustainable lead-safe community. BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : in 1.995-1596, Time County Dead Poisoning Prevention'' Project awarded a. mini grant to the wealthy Cities Project to provide community- based lead poisoning prevention outreach. This effort provided awareness and education to over a thousand individuals in the Pittsburg area through contacts in neighborhood, churches, schools, and business groups . Under Contract #22-716, the City of Pittsburg will provide consultation and technical assistance to the Department with regard to the Lead Risk Reduction Project through June 30 2000 . 1 CONTINUED QN AT C H EN�,--_ Y29, SIGNATURE �� RECOMMENDATION OF COUNTY ADMINISTRATOR N 4LOMMENDATION OF BOARD COMMITTEE t APPROVE ®OTHER SIGNATURE t ACTION OF BOARD ON '.. APPROVED AS RECOMMENDED .- OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT F 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. ATTESTEL? ,,✓� z `' r", PHIL BATCHELOR,CLERK OP'THE BOARD OF Wendel Brunner, M.D. (313-67?2) SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: CC: Health Services(Contracts) Risk Management ' Auditor Controller BY 01100,0AR s� DEPUTYContractor TO: BOARD OF SUPERVISORS FROM: William Walser, M.D. , Health Services Director ContraBy: Ginger Marieiro, Contracts Administrator { Costs DATE: March 9, 1-999 County SUBJECT: t-A Approval of Coni- acs. #27-21-5-1 with Philip Shain, M D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Milt, Camhi; , to execute on behalf of the County, Contract #27-215-1 with Philip Shain, M.D. , for the period from January 1, 1999 through December 31, 1999, for the provision of psychiatric services for the Contra Costa Health Plan, to be paid as follows : S110.00 Der initial evaluation session; $95.00 for each of the first two (2) follow-up therapy sessions for adolescents; $95.00 for each of the first three (3) follow-up therapy sessions for children under the acre of twelve (12) ; $90.00 for each subsequent follow-up therapy session (45--50 minutes) for children and adolescents; and $55.00 for each subsequent follow-up therapy session (15-30 minutes) for children and adolescents; FISCAL 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 . BAQKGRfl`[�.EASON(S) FOR RECOMMENDATION(S) : The Health Plan has an obligation to provide professional psychiatric services for Health Plan nembers with mental health therapy services as a covered benefit . This population includes Medi.-Cal , Medicare and Commercial members enrolled in the Health Plan. Approval of Contract #27-215-1 will allow the Contractor to provide mental health .services to Health Plan members through December 31, 1999 . CONTINUEp ON ATTACHMENT; XJ - SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER REM: &&-Zh ACTION OF BOARD ON,, ? --- ;' 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 7,°' %,eA r» PHIL BATCHELOR,CLERK OF-THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Milt Card 1,313-6004) f� CC: Health Services(Contracts) Risk Management � Auditor Controller BY DEPUTY Contractor ell TO: BOARD OF SUPERASORS � FROM: William Walker, M.D. , Health Services Director � .. ..�.. Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: Mach 9, 1999 County SUBJECT: Approval of Contract ##27-204-2 with Comprehensive Psychiatric Services SPECIFIC REQUEST(S)OR RECOMMENDATION(s)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on be'ralf of the County, Contract 27-204-2 with Comprehensive Psychiatric Services, for the period from January 1, 1999 through December 31, 1999, for the provision of professional psychiatric services for the Contra Costa Health Plan, to be paid in. accordance with t_-e rates set forth below: $100 . 00 per initial evaluation session; and $70.00 for each additional therapy session. FISCAL IMPACT: This Contract is funded by Contra Costa aaealth Plan member premiums . Costs depend upon utilization. As appropriate, patients anal/or third party payors will be billed for services . BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : On March 24, 1998, the .Board of Supervisors approved Contract 4127-204-" for the period from January 1, 1998 through December 31, 1998, for psychiatric services for Contra. Costa. Health Plan ' (Health Plan) members . The Health Plan has an obligation to provide profession-al psychiatric services for Health Plan me-,bers with mental health therapy services as a covered benefit . This population includes Medi-Cal, Medicare and Commercial members enrolled in the Health Pian. Approval of this Contract will. allow tioe Contractor to continue to provide mental health services to Health Plan members through December 31, 1999 . CO 'TLNUEQ O A ACH NT: Y SICNATU RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE s APPROVEOTHER t/ anNMURE( S : ACTION OF BOARD APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE 19— UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES. �NOAND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ,r ATTESTED L? L47x� ss PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Milt Gamhi (313-6004) J CC: Health Services(Contracts) Risk Management � Auditor ControllerDEPUTY Contractor TO: 1k3C3ARD OF SUPERVISORS FROM: William Walmer, M.D. , Health Services Director Contra Dy: Ginger Marleiro, Contracts Administrator Costa DATE: Mardh 9, 1999 County SUBJECT: Approval of Contract #24-949-26 with Comprehensive Psychiatric Services SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the .'ealth Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-26 with Cornprehensive Psychiatric Services, for the period from January 1, 1999 through June 30 , 1599, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule . FISCAL IMPACT: This Contract is funded by State and Federal FFP Medi--Cal Funds . RACKGR.OUND/REASOXS) FOR RECOMMENDATIONS- On ECOMMENDATIONS-Or_ 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 :rental health services as of July 1997 . �'he implementation date was since been changed to April 1, 11998 . Responsibility for outpatient spec®alty mental health services involves contracts with individual, group and organizational providers to deliver these services . Approval of Contract 4124-949-26 will allow the Contractor to provide mental health specialty services through June 30, 1999 . ' CONTINUED ONATTACHMIgNT: Y. _ SIGNATURE. e' X_ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD ON f ✓ v'° 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 PHIL BATCHELOR,CLERK OlrTHE BOARD OF Contact Verson: SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor I ward order Paige 2 PHYSICIAN REIMBURSEMENT TABLE LEVEL CPT CODE PROCEDURE TIME RACE LEVEL I CODES 99204 fntitat qulpeEient Psychiatric Assessment 60 min. $90 90862 Medicallon Management 20 min. $45 99242 Child Consultation h 30 min. $60 99244- Child Consultationp�________ _ 60 rain. $90 EMERGENCY DEPARTMENT ergency Department Mental ilea#th Services 45 min. # $45 HOSPITAL INPATIENT 98222 i Hospital Care- �€fiat MIM $60 SERVICES t .... --±60 33232 y„ Nospllai Care-Subsequent 30 min. $30 1 99233 _ Hospital Care-Subsequent 3 60 min. �$60 NURSING FACILITY 99301 Evaluation and Management i 30 min. $30 i ASSESSMENT 99303 Evaluation and Management 60 min. $60 99311 Subsequent Nursing Facility Care 16 min. $15 v99313 Subsequent Nursing Facility Care 30 min. $30 # REST HOME 99323 Evaluation of New Patient 60 min. $60 99333 Evaluation of Established Patient 30 thin. $30 HOME SERVICES 993411 Evaluation of New Patient $60 -- 99353 i Evaluation of Established Patient 30 min. $30 PhO REIMBURSEMENT TABLE € LEVEL CPT CODE PROCEDURE TIME RATE LEVEL I CODES X9514 Test Adminishratton(max 6 hours) y��V~y80 min. $30 c X9532 Test Scoring(max 2-hours) 60 mIn $30 i X9538 Test Report Writing(max 2 hours) 60 min $30 i X3502 Individual Psychotherapy Inpatient Setting 60 min. $30 99205 Outpatient Assessmew visit-New Patient 60 min $30 } 3 90844 Individual Psychotherapy E 60 rain. $30 } X9508 Family Therapy 60 min. $30 90853�y 'Group Therapy-per persontper visit 90 min, $12 w I X9544 Case Conference Y 30 min. $15 X9546 Y Case Conference 60 min. $30 EMERGENCY DEPARTMENT 99284 Emergency Depart€neral#vienla#Health Services 45 min. i $22,50 INPATIENT CONSULTS 99251 inpatient Cali sultation New Patlent`4_ -___ X30 mi€ice �$15— E 99253 Inpatient Consultation New Patient ° 60 min. $30 MFCC REIMBURSEMENT TABLE LEVEL CPT CODE PROCEDURE TIME RATE ° LEVET.I CODES 99205 Outpatient Assessment Visit-New Patient 60 min. $30 590844 individual Psychotherapy 60 in. i $30 X9506 Family Therapy y 80 min. $30 90853 i Group Therapy-per personlper visit 90 min. W. i X9544 'Case Conference 30 min $E5 X9546 Case Conference 60 thin. $30 LCS`N REIMBURSEMENT TABLE � LEVEL CPT CODE PROCEDURE TIME RATE LEVEL I COOPS 99205 Outpatient Assessment visit-Naw Patient 60 min. $30 py i 94644 Individual Psychothera ;0-' in. X9506 {Family Therapy_.. _ 60 min. �$30 30853 �Gro€€p Therapy. pas rersonlparvisit^-__�� ~' 90 m#n ,$12 . v X9544 `Cas e C o nference 30 min, , $15 _ d_.,_ .. ! X9546 Case Con( a=encs f 80 min. $30 25814 EPSDT S€€pplemantat Services delivered by an LCSW �$30 EMERGENCY DEPARTMENT 09284 Emergency Department Mental Health Services46 min. ( $22.50 1