HomeMy WebLinkAboutMINUTES - 04201999 - C82-C86 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , :health Services Director �` =.+�� Centra
By: Ginger Marie?ro, Contracts Administrator
Costa
DATE: April 1., 1999 County
SUBJECT:
Approva`i of Contract 424-950-11 with Nestor Vaschetto, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)S BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION"
Approve and authorize the Health Services Director, or his designee
(Donna ',ligand) , to execute on behalf of the County, Contract 424-954-11
with Nestor Vaschetto, M.D. , for the period from March 1, 1999 through
June 30, 2004, to provide Medi-Cal trental 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 .
BACKGROUND/REASON(S) FOR RECOMMENDATIONS:
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 Med -Cal specialty metal health services as of July
1, 199"7 . Responsibility for outpatient specialty mental health services
involves contracts with individual, group and organizational providers to
deliver these services .
Approval of Contract #24-950-11 will allow the Contractor to provide
menta' health specialty services through June 30 , 2000 .
ATTACHM NT' YES XX -, SIGNATURE -"" "4_.
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE -OTHER
F
ACTION OF BOARD ON _ APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT LQ1' 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
P 148AHELOR,CLER THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand (313-641.1.)
Cc: Health Services(Contracts)
Risk Management
AUd€tor Controller BY `� J �, -,DEPUTY
Contractor
Board Ceder
Paye 2
€ PHYSICIAN REIMBURSEMENT TABLE
E LEVEL CPT CODE PROCEDURE TIME RATE ?
LEVEL i CODES 99204 Initial Outpatient Psychiatric Assessment 60 min. $90
90862 Medication Management 20 min. $45
a 99242 Child Consultation 30 min. $60
99244 j Child Consultation 60 min. $ 0_
EMERGENCY DEPARTMENT 99284 Emergency Department Mental Health Services 45 min. j $45
HOSPITAL INPATIENT 9,9222 Hospital Care - Initial 60 min. $60
SERVICES 99232 Hospital Care-Subsequent — 30 min. ;� $30-
99233 Hospital Care- Subsequent 60 min. $60
NURSING FACILITY 99301 i Evaluation and Management 30 min. $30
ASSESSMENT
99303 Evaluation and Management 60 min. $60 i
99311 Subsequent Nursing Facility Care 15 min. $15
99313 Subsequent Nursing Facility Care 30 ruin. $30
REST HOME 99323 Evaluation of Neve Patient 60 min. $60
99333 - Evaluation of Established Patient _�. 30 ricin. $30
HOME SERVICES 99341 I Evaluation of New Patient �� + 60 mica. � $60
]=valuation
s L99353 of Established Patlent 30 min. $30
t
f,3
TO: BOARD OF SUPERVISORS `✓`' ��
FROM: William Walker, M.D. , Health Services Director =, ContraHy: Ginger Marieiro, Contracts Administrator
Costa
DATE: April 1, 1999 County
SUBJECT:
Approval of Contract #27-265-2 with Marrs Drucker, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or Inis designee
(Milt. Camhi) , to execute on behalf of the County, Contract #27-265-2
with Mark Drucker, M.D. , for the period from February 1, 1999 through
January 31, 2000, for the provision of professional health Care
services for the Centra Costa Health Plan, to be paid as follows :
a. For Medi.-Cal and Commercials Members:
County shall pay Contractor those rates set forth in the Medi-Cal
Schedule of Maximum Allowances in effect on August 1., -1998. in the event
rate increases are subsequently approved by the State of California and
are included in the County's Health Plan capitated payment, County will
thereafter increase the rates County pays to Contractor accordingly.
b. For Medicare members:
Services for members who are Medicare recipients will be reimbursed at
the Medicare rate of payment. Physician will rill Medicare as primary
payor and County will pay Medicare--required copayments and deductibles
for Medicare approved. services.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan, (Health Plan)
member premiums. Costs depend upon utilization. As appropriate,
patients and/or third party payors well be billed for services.
BACKGROUND/REASON(S) FOR RECOMMENbATICPN(S) :
On January 27, 1995, the Hoard of Supervisors approved Contract #27-
265-1 with Mark Drucker, M.D. , for the period from February 1, 1993
through January 31, 1999, for- provision of professional health care
services to the Health Plan.
The b.Tealth Plan has an obligation to provide certain. specialized
prof essilonahealth care services for its members lender the teras of
their Individual and Croup Health Plan membership Contracts with the
County.
.Approval of this Contract #27-265-2 will allow the Contractor to
continue to provide professional health care services through January
31, 2000 .
CONTINUED ON TTACHMEN : y2f SIGNATURE-
RECOMMENDATION
IGNATUR RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
$1 NAM
ACTION OF BOARD ON 147_,1 r_t` APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
a
UNANIMOUS (ABSENTI HEREBY CERTIFY THAT THIS Is A TRUE
,¢ '. .s, ) 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
P1qiELOR,CLERK'OF THE BOARD OF
Milt Camhi (31.3-6004) SUFE. VISORS AND COUNTY ADMINISTRATOR
Contact Iverson: t
CC: Health Services(Contracts) <'>
Risk Management
Auditor Controller BY �' � � DEPUTY
Contractor
TO. BOAR}OF SUPERVISORS
-= lker, M.D. Health Services Director ti.
FI2C9MI: vY.;.l.ilain VYa , , .`f
Contra
By: Ginger Marieiro, Contracts Administrator '
Costa
DATE: April 1, 1999 County
SUBJECT: Approval of Contract 427-239-2 with V. Arek Keledjian, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDEDACTION:
Approve and autnorize the Health Services Director, or his designee
(Milt Ca.m.hi) , to execute on behalf of the County, Contract #27-239-2
with V. Arek Keledjian, M.D. , for the period from February 1, 1999
through •January 31, 2000, for the provision of professional health care
services for the Contra Costa Health Flan, to be paid as follows :
a. For Medi-Cal and Commercials Members:
County shall pay Contractor those rates set forth in the Medi-Cal
Schedule of Maximum. Allowances in effect on August 1, 1998. In the event
rate increases are subsequently approved by the State of california and
are included in the County's health Plan capitated payment, County will
thereafter increase the rates County pays to Contractor accordingly.
b. For Medicare members:
Services for members who are Medicare recipients will be reimbursed at
the Medicare rate of payment. Physician will bill Medicare as primary
payor and County will pay Medicare-required copayments and deductibles
for Medicare approved services.
FISCAL IMPACT:
This Contract 1s funded by Contra Costa Health Plan (Health plan)
memberpremiums. Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
BACKGROUND/REASON(S) PCXR RECOMMENI?ATION(S) :
On jan`aary 27, 1998, the Board of Su-Dervlsors approved Contract #27-
239-1 with V. Arek Keledjian, M.D. , for the period from February 1,
1998 through January 31, 1995, for provision of professional hearth
care services to the Health Plan.
The Health Plan has an obligation to provide certain specialized
rcfessional health care services for its members under the terms of
their Individual and Croup Health flan membership contracts with the
County.
Approval of this Contract #27-239-2 will allow the Cc-ntractor to
continue to provide professional health care services through January
31, 2000
C,;,0NIA, l;E O ATTR E, T, IO N ATUR f =-¢ _
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
ACTION OF BOARD ON ,�, V � APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
E HERESY 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.
� z
ATTESTED
Milt Ca zii (313-6004) PHIL I CHELOR,CLERK QfF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Risk Management fi
Auditor Controller BY DEPUTY
Contractor
b
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director a
������
By* Ginger Marieiro, Contracts Adminrystrator
Costa
DATE. April 1, 1999 County
aueaECT:
Approval of Contract ##27-240-2 with Colleen Kenney, DPN:
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, car his designee
(Milt Caroni) , to execute on behalf of the County, Contract #27-240-2
with Colleen Kenny, DPM, for the period from February 1, 1999 through
January 31., 2000, for the provision of professional health care
services for the Contra Costa Health Plan, to be paid as follows :
a. For Medi-Cal and Commercials Members:
County shall pay Contractor those rates set forth it the Medi-Cal
Schedule of Maximum Allowances in effect or. August 1, 1998. in the event
rate increases are subsecuentlyy approved by the State of California and
are included in the County's Health Plan capitated paym=ent, County will
thereafter increase the rates County pays to Contractor accordingly.
b. For Medicare members
Services for members who are Medicare recipients will be reimbursed at
the Medicare rate of payment. Physician will bill Medicare as primary
payor and County will pay Medicare-required copayments and, deductibles
for Medicare approved services.
FISCAL IMPAC`
This Contract is funded by Centra Costa Health Plan (Health Plan)
member premiums . Casts depend upon utilization. As appropriate,
patients and/or third party payors will be billed .for services .
BACXOR0U=/REAS0N(S-) FOR RECOMMENDATION(S) :
(--'In January 27, 1998, the Board of Supervisors approved. Contract 427-
240-1 with Colleen Kenney, DPM, for the period from February 1, 1.998
through January 31, 1999, for provision of professional health care
services to the Health Plan.
The Health Plan has an obligation to provide certain specialized
professional, heath care services for its members under the terms of
heir Individual and Group Health Plan membership contracts with the
county.
Approval of this Contract #27-240-2 will allow the Contractor to
continue to provide professional health care services through January
31, 2000 .
r
CONTINUED ON ATTACHMENT: SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR _ RECOMMENDATION OF BOARD COMMITTEE
i APPROVE // OTHER
I } ,y'1,' _
ACTION OF BOARD ON W APPROVED AS RECOMMENDED
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
M41t Ca.mhi (31.3-6800 PHI BA HELOR,CLERKO THE BOARD
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts) �
Risk Management
Auditor Controller BYr DEPUTY
Contractor 6;7-
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D., Health Services Director � �����
By: Ginger Marieiro, Contracts Administrator
ota
BATE: Apr'L l 1 , 1999 County
SUBJECT: Approval of Contract X27-260-2 with ephen Lewis, M.
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 #27-260-2
With Stephen Lewis, M.D. , for the period from February 1, 1999 through
January 31., 2000, for the provision of profession-al health care
services for the Contra Costa Health Plan, to be paid as follows :
a. For Medi-Cad. and Commercials Miers:
County shall pay Contractor those rates set forth in the Medi-Cal
Schedule of SI aX::`i1uLF Al owances in effect on August 1, 1998. in the event
rate increases are subsequently approved, by the State of California and
are included in the County's Health Plan. capitated payment, County will
thereafter increase the rates County pays to Contractor accordingly.
b. For Medicare members:
Services for members who are Medicare recipients will be reimbursed at
the Medicare rate of payment. Physician will bill Medicare as primary
payor and County will pay Medicare-required copayments and.. deductibles
mor Medicare approved services.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan (Health Plan)
member premiums . Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
BACKGROUND IREASON(S) FOR RECOMMENDA'T'ION(S) :
":n January 27, 1-998 , the Beard of Supervisors approved Contract #27-
26101-1 with Stephen Lewis, M.D. , for the period from February 1, 1998
through January 3m, 1999, for provision of professional health care
services to the Health Plan.
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.
Approval of this Contract ##27-260-2 will allow the Contractor to
continue to provide professional health care services through January
31, 2000 .
CONTINUED ON ATTACHMENT. Xd SIGNATUREa �,w
LRECOMMENDATION OF COUNTY ADMINISTRATOR _ _ RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON ' ' �`' _ APPROVED AS RECOMMENDED �, Off_
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT _j a_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.
ATTESTED � �'� t �� Z 7
Milt Camni (313-6044) 'H ELOR,CI-EFtKOF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: �
CC. Health Services(Contracts)
Risk Management
x
Auditor Controller BY > DEPUTY
Contractor