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Home My WebLink AboutMINUTES - 03231999 - C67-C71 ` A,rte, F11 x TO: BOARD OF SUPERVISORS FROM. Will alTm Walker, M.D. , health Services Director Contra By: Ginger Mari.eiro, Contracts Administrator Costa DATE: Marc 9, 1999 County SUBJECT: Approval of Contract #24-950-7 with Central California Faculty Medical Group SPECIFIC REQUEST(S)OR RECOMMENDATION($)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract ##24--950-7 with Central California Faculty Medical Group, for the period frog January 11 1999 through June 30, 1999, to provide Medi.-Cal mental health specialty services, to be paid in accordance with tate rates set forth �n the attached fee schedule. FISCAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . HAC GRC3ZTN f REASC3N( Fe�R RECC7MMENIaATIONS : On January 14 , 1997, the Board of Supervisors adopted Resolution ##97/17, authorizing the Health Services Director or his designed (Donna Wigand, 1...,CSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of July 1, 1-997 . Responsibility for outpatient specialty mental, Health services involves contracts with individual, group and organizational providers to deliver these services . Approval of Contract #24-950-7 will allow the Contractor to provide mental health specialty services through June 30, 1999 . f CONTINUED ON ATTACHME : Y SIGNATURE � RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HERESY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSENT F 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. ATTESTEDt PHIL BATCHELOR,CLERIC OF THE WARD F SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: r_na W Band (313-641:1) CC: Health Services(Contracts) Risk Management Auditor Controller BY � � .. r - w � DEPUTY Contractor ti Board order pace two (2) .CCMIIP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE—Revised 1219/97, CPT 0009 PROCEDURE M.D Ph.D L.C.S.W. M,F.C.C, Level Modes 90830 Test Administsatlon- 1 hour(max 6) $30 90887 "fest Scott - I110(Max 2) � $30 - 90843 IndividuatPsyctsotEtera y 1/2 ttotsr $30 90844 Individual Fsychothesapt- 1 hom _d$60 $30 $30 $30 90848 Fasrttl fttera 3 -w:ttyottl stent __. _ 1_ $30 $30 $30 08 947 Farr}flyTheralty-cott�lt _ _ $30 $311 $30 90853 Gfoup Thera ate+-Icer Kers st Per visit-1 1121tr max $12 $12 $12 90862f'ttarsttac„rls ick c;ai:ttas esriest4 $30 - - 90870 ECT-Sister Seizure $60 - - _ X9544 Case Co-t feresice- 112 hour $30 $1s $1a $1s __ X9s46 Case Conference- 1 hour I $60 $30 $30 $30 llospital hrpt. Service 9_9221 Hos ital Carr:Visit_hiMal-30 minutes $30 99222 Hospital Case Visit-initsal 5C7 s tt�ittfes _� � $60 99232 tiosltitait Gate Visit Subsequent-30 minutes �$30 Outpatient Consults 99242 Office Cousullation New Pallessl 30 minules _$30_ 999244 Office Gonststtat`son New Patient-60minutes $60 Inpatient consuits —,99261 Inp tw ill Consultation New P item•30 minules $3o a 99253 lnhatient Consultation New Palitsnt 60 mitmlus�- ��- fsctrsinr Fac Assess 99301 Evaluation and Manacgemenf�30 misrules $30 99303 Ev lualion and Management-60 minutes $60 99311 Subsequent Facility Care 15 minutes $15 99313 Subsequent Nursing Facility Care-30 minutes ' $30 Rest tlorcte et At Svc. 99323 Evaluation of New Patient $60 99333 Evaluation of Established Patient $30 ! 19onre Services 99341 Evaluation_of New Patient $60 99363 Evaluafiost o�Estatrtlslted�atiestl �e��_ �$30 - - -- - kmomi'"• These are the only outpatient services whish CCM11P will authorize and the only codes for which providers will be reimbursed. I TO: BOARD OF SUPERVISORS " d William Walker, M.D. , Health Services Director FROM., By: Ginger Marieiro, Contracts Administrator t'`r Contra Costa DATE. March 9, 1999 County SUBJECT: Approval of Contract #24-939-39 (1) with Kiran Koka, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-939- 39 (1) with Kiran Koka, M.D. , for the period from January 1, 1999 through June 30, 2000, to provide Medi-Cal mental health specialty services, to be r)aid 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 . BACKC,ROUND/REASPN S) FOR RE; OMMENDATIONS: On January 14, 1997, the Board of Supervisors adopted. Resolllt ion #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract wl th the State Department of Mental -ealtrh to assume responsibility for Medi-Cal specialty mental health services as of July 1997 . Responsibility for outpatient specialty menta:' health services involves contracts with individual, group and organizational providers to deliver these services. On April 28, 1998, the Board of Supervisors approved Con_:ract #24-939-39 with. Kiran Koka, M.D. , fo-r the period from April- 1, 1998 through Jure 30, 1999, for provision of mental health specialist services . TJpon approval County and Contractor mutually agree to terminate Contract. #24-939-39 and subst-tute this Contract #24-939-39 (1) to allow t.:e Contractor to continue providing mental health specialty services in accordance with the revised fee schedule, through June 30, 2000 , �4 Mrd ¢ .Ne, COPiTINU j�Q ATTACHMENT: S GNATUR RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE —OTHER ACTION OF BOARD OAPPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSEN �7 C—) 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 r s "u ', s .75V PHIL BATCHELOR,CLERK OK THE,BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Dorm Wigand 1,313-6411) CC: Health Services(Contracts) Risk Management ILI igtlditbC Controller BY —,DEPUTY Contractor ,�" Board Order Pace 2 PHYSICIAN REIMBURSEMENT TABLE -�-®--, i LEVEL CPTCODE PROCEDURE TIME RATE 3 LEVEL I CODES 99204 initial Outpatient Psychiatric Assessment 60 rein. $90 E 90862 Medication Management _ 20 min. $45 99242 Child Consultation 30 min. $60 j 99244 Child Consultation 60 ruin. $90 g EMERGENCY DEPARTMENT 99284 Emergency Department Mental Health Services 4v min, $45 HOSPITAL !NPATIEN T 99222 Hospital Care- Initial 60 min. $60 SERVICES` ! e 99232 Hospital Care - Subsequent i 30 min. $30 ( 99233 Hospital Care- Subsequent 60 min. $60 NURSING FACILITY 99301 Evaluation and Management 1 30 min. $30 ASSESSMENT 99303 Evaluation and Management 60 min. $60 99319 Subsequent Nursing Facility Care 15 min. $15 99313bsequent Nursing Facility Care 30 min. $30 FEST HOME 99323 Evaluation of New Patient 60 min. $60 I 99333 Evaluation of Established Patient 30 min. $30 HOME SERVICES 99341 Evaluation of New Patient i 60 min. $60 99353 Evaluation of Established Patient 30 mite. I $30 TO: BOARD OF SUPERVISORS f y FROM: William Calker, M.D. , Health Services Director � By: Ginger Marieiro, Contracts Administrator Contra March 9, 1999 Costa DATE. County SUBJECT: Approval of Non-Physician Services Contract 427 .056-8 with Robert Turcios, O.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, Non-PhysicianServices Contract 427-056-3 with Robert Turcios, G.D. , for the period from January 1, 1999 through December 31, 1999, for provision of professional optician services, to be paid as follows : 1. For Commercial members, County shall pay Contractor as follows: Vision Exams 550 .00 Contact Lens Vision Exams $83.00 Single Vision Lenses $25.00 ?ifocal Lenses $40.00 'trifocal Lenses $55.00 Lenticular Lenses $65.00 Frames $40.00 Contact Lenses $55.00 The maximum payment for combined lenses and fames or contacts lenses is $65.00 per year, per commercial Health Plan member. 2 . For Medi-Cal and Medicare members, County shall pay Contractor in accordance with the rates provided in the Medi-Cal Schedule of Maximum Allowances in effect on the date professional health care services are rendered. FISCAL IMPACT: This Contract is funded by Contra Costa Health Plan member premiums . Costs depend uioon utilization. As appropriate, patients and/or third party payors will be billed for services . SACXGRQUND REASON(S) FOR RECOMMENDATIONS/BACKGROUND: For many years the Contra. Costa Health Plan has been obligated to provide professional optician services, including eyewear, for Health Plan patients with optician services as a covered benefit . Approval of Non-Physician Services Contract #27-0.56-8 will allow the Contractor to continue to provide optician services through December 31, 1999 , CO NTIIJi�I ON ATTACHMENT: SIGNATURE� , RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE JOTHER fp� tyy' 6 i 43 ACTION OF BOARD ON APPROVED AS RECOMMENDED �� OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN, ATTESTED PHIL BATCHELOR,CLI~RK O THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Mi ry t Carc��i (313--6004) CC: Health Services(Contracts) Risk Management ter. Auditor Controller BY DEPUTY TO: BOARD OF SUPERVISORS William, Walker, M.D. , :Health Services Director FROM. By: Ginger Marieiro, Contracts Administrator '` = �� Centra Carta DATE* March 10, 1999 County SUBJECT: Approval of Contract #26-300-2 with Stephen Dossick, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION($)&BACKGROUND AND JUSTIFICATION i4rs4+i.lP.fi'i�Ci1V d A IO (S) Approve and authorize the Health Services Director, or his designee ('rank Puglisi, Jr. ) , to execute on behalf of the , County, Contract #26-300-2 with Stephen Dossick, M.D. (Specialty: Psychiatry) , in the amount of $148, 200, for the period from April 1, 1999 through March 31, 2000, for the provision of psychiatric and on-caul services to the adult inmate papulation for Contra Costa regional Medical Center and Contra Costa Health Centers . FISCAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services . REASONS FoR RECCi1+MENpATIO+TS/BACRCRCI"[7I+7I3: On Ajoril 14, 1998, the Board of Supervisors approved Contract #26-300- 1. 26-3001, with Stephen Dossick, M.D. , for the prevision of temporary psychiatric services to the adult inmate population, as required by the Jail Medical Services section of the Departmnt5s Division of Hospitals and Health Centers, for the period from April 1, 1998 through March 31, 1999 . Approval of Contract 4,26-300-2 will allow Contractor to continue providing services through March 31., 2000 . CONTINUED ON ATTACHMENT;: ySIGNATURE �X RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE. OTHER IGN U R (S): '6� ACTION OF BOARD ON `. - _ APPROVED AS RECOMMENDED OTHER _ VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENTS AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ASSENT: ABSTAIN. OF SUPERVISORS ON THE DATE SHOWN. ATTESTED P w s PHIL BATCHELOR,CLERK OF T18E BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Frank Ptiglisi, Jr. (370--5100) CCa Health Services(Contracts) Risk Management Auditor Controller DEPUTY Contractor ,r f ti TO: BOARD CSP SUPERVISORS William Walker, M.D., Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator 01 SPECIFIC Contra Costa DATE. March 1.0, 1999 County SUBJECT: Approval of Contract #26-,951- with Marshal I3la.tREQUESTS)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION($) : .Appr=ove and authorize the Health Services Director, or his designee, (Frank PUgl_lsi, jr. ) to execute on behalf of the County, Contract #26- 951®2 with Marshal Bi.att, M.B. (Specialty: Psychiatry) , for she period from April 1, 1999 through March 31, 2000, to be paid as follows : a. X1.3.704 per month, for provision of Inpatient Psychiatric services; b. In addition, $55.00 per hour, for Emergency Psychiatric services! C . 500 per weekend day, for Inpatient Psychiatric coverage services, as requested by County, when the regularly scheduled psychiatrist is not available; and d. 180 .00 per hour, for evening Outpatient Psychiatric coverage services at the Concord Menta.? Health Clinic, as requested by County. FISCAL IMPACT: Cast to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. EACXGROITkM/REASON(S) FOR RECOMMENDATION(S)_: On May 5, 1998, the Board of Supervisors approved Contract #26-951 (as amended by Contract Amendment Agreement #26-951-11) , with Marshal Blatt, M.B. , for the provision of inpatient and Emergency Psychiatric services, for the period from April 1, 1998 through March 31, 1999 . Approval of Contract #26-951-2, will. allow Br. Blatt, to continue providing services for Contra Costa regional. Medical Center and Contra Costa .Health Centers through March 31, 2000 . CPNT14UEQ ON ATTACHMENT: SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER ACTION OF BOARD ON � � � � �, �. APPROVED AS RECOMMENDED OTHER -- _ VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (AB SENT V111 AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES:. _ - AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE BATE SHOWN, le ATTESTED/PHILAELO! CLERK OF�FfE BOAR OF - SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Frank P7uali s i, jr. (370-5100) CC: Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor a i