HomeMy WebLinkAboutMINUTES - 04201999 - C87-C91 it
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TO: BOARD OF SUPERVISORS
FROM: William ;balker, M.D. , Health Services Director Contraspy: Ginger Marieiro, Contracts Administrator
Costa
DATE: April 1, 1999 County
SUBJECT.
Approval of Contract 27--241-1 with Robert L=owitz, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION
Approve and authorize the Health Services Director, or his designee
(Milt. Carra-i) , to execute on behalf of the County, Contract- 427-241-1
with Robert Lowitz, 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 Plan, to be paid as fol Lows
a. For Medi-Cel and Commercials Members:
County shall pay Contractor those rates set forth in the Medi-Cal
Schedule of Maximum Allowances -.n effect on August 1, 1.998. in the evert
rate increases are subsequently approved by the State of California and
are included in tate 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 is funded by Contra Costa Health Plan (Health Flan)
member premi-,Ms. Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services.
SACKCRO NL7/REASC7N(S) FOR RECOMMENDATION(S)_:
On January 27, 1998 , the Board of Supervisors approved Contract #`r27-
241 with Robert Lowitz, M.D. , for the period from February 1, 1998
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 health case services for its members under the terms of
their Individual and Group Hearth Plan membership contracts with the
County.
Approval of this Contract x#27-241-1 will allow the Contractor to
continue to provide professional health care services through January
31, 2000 .
CONTINUED ON ATTACHMENT' Y5 GNRTUR
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE —OTHER
AC-90N OF BOARD ON, 15 _ APPROVED AS RECOMMENDED
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS {ABSENT l 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 .s' _,-J
Milt Camhi 1,313-6004) PHILBA HEL70�CRE7K-O THE '
BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health SeNoes(Contacts)
Risk Management ~°
Auditor Controller BY DEPUTY
Contractor
i
i
TO: BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator Contin
Costa
DATE: April 1, 1999 County
SUBJECT, Approval of Contract Amendment Agreement #26-91.2-9 with
Thomas B. Hargrave III, M.B.
SPECIFIC REQUEST(S)OR RECLtMMENDATtt3tiON(5)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONW :
Approve and authorize the Health Services Director or his designee (Frank
Puglisi, Jr. ) , to execute on behalf of the County, Contract. Amendment Agreement
#26-911-9, with Thomas B. Hargrave III, M.D. (Specialty: Gastroenterology)
effect.;ve February 1, 2999, to amend Contract #26-921-8 , to modify the Contract
payment provisions to reduce Contractor' s monthly rate from $6,720 to a new
monthly rate of $4,750 .
FISCAL IMPACT:
Approval of Contract Amendment Agreement #26-922-9 will modify the Fee Schedule
set forth in the Additional Provisions Paragraph 2 . (Payment) subparagrap1:. a . ,
to read as follows :
°'a. ",750 per month for professional gastroenterology services, not to
exceed 954, 625; " and
Cast of Dr. Hargrave ' s services to the County depends upon utilization. As
appropriate patients and/or third party payors will be billed for services .
REASONS FOR RECOMMENDATIONS/BACKGROUND:
On January 5, 1.999, the Board of Supervisors approved Contract #26-922®8 with
T-110mas B. Hargrave, M.D., for the period from January 25, 1999 through January
31., 20001, to provide gastroenterology services for Contra Casts. Regi anal
Medical Center and Contra Costa Health Centers.
In consideration of Contractor' s agreement to provide a reduction in the number
of scheduled gastroenterology clinic services, County and 'Contractor agree to
modify the Contract Payment Provisions.
Approval of Contract Amendment Agreement #26-91.1.-9 will allow Co retractor to
continue providing gastroenterology services at a reduce monthly rate through
January 31, 2000 .
QON"r.NUED ON ATTACHMENT: SIGN TURF r
� RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON - � '` APPROVED AS RECOMMENDED
P
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT `$t 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 ``` �THEBO�ARDOF PHIL,BA HELORCLERK O
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Persian:
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY a� DEPt3TY
Contractor
r
TO. BOARD OF SUPEWSORS
William walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator Contra
Costa
DATE: April 7, 1999 � County
sul3eT Approval of Emergency Residential Care Placement Agreement 424 -113 (3) with
Winnie Harrison dba Harrimon House (Adult Mental Health Program)
SPECIFIC REQUEST(S)OR RECOMMENDATtON(S)&BACKGROUND AND JUSTIFICATION
RBCOb NDATION(S)
a. Approve and authorize the stealth Services Director or his designee (Donna M. Wigand)
to execute on behalf of the County Standard Form Emergency Residential rare Placement
Agreement #24-086-113 (3) with Winnie Harrison dba Harrimon House, for the period from
March 1, 1999 through February 29, 2000, to provide emergency residential care to
mentally disturbed adults who are potentially eligible for SSI/SSP, in an amount not
to exceed $731 per client per month through December 31, 1999, and in an amount not to
exceed $767.55 per client per month beginning January 1, 2000; and
b. Authorize the Auditor-Controller to pay an amount not to exceed $96 per month through
December 31, 1999, and an amount not to exceed $100.80 per month beginning January 1,
2000, to clients who are placed in the board and care facilities under said Emergency
Residential Care Placement Agreements for incidental expenses and personal needs.
FISCAL 1XPACT:
Under this program, the County ways the State-established rates for the residential care of
mental health clients who are not vet receiving SS-T/SSP (but who are potentially eligible and
have made formal application to the Social Security Administration for SSI/SSP) , contingent
upon the client's signing an agreement with the County to reimburse the County from the
SSI/SSP money, once it is finally granted by the federal government (usually 3 to 6 months
retroactively ;pack to the month of application) .
For those mental health clients who are not granted SS?/SSP (i.e. , are found ineligible) , the
County covers the residential care payments to the facility operators through the County's
established Mental Health Program Funding. Initially, ten to twenty percent of the clients
are found ineligible by the Federal Social Security Administration, depending on changes in
Federal guidelines, and then some of these are ultimately found eligible through appeal
processes.
BAC&G-I C UNDZRZASON(S) FOR REf'(31 WNDAT1ON(S) :
For several years, the County's Mental Health Adult Services Program has used these
Agreements as an interim financing mechanism to facilitate the residential care of mentally
disabled clients and movement of clients, who are deemed eligible for SS`/SSP, from State or
local inpatient facilities to community-based facilities. Phis Program provides residential
care for 40 :.o 50 clients per year.
Under Emergency Residential Care Placement Agreement #)24-096-113 (3) Contractor will provide
services through February 29, 2000<
s
CONTINUED ON ATTACHMENT: Yk, SIONAT RWA 01E
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE —OTHER
, R
ACTION OF BOARD ON, x APPROVED AS RECOMMENDED I�
41
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT_,`; r°i AND CORReCT COPY C7# AN AvTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT . ABSTAIN:_ OF SUPERVISORS ON THE DATE SHOWN,
ATTESTED � �
PHIL BA HELL R,CLE tK C3 THE St)ARI I}F
SUPERVISORS AND COUNTY ADMINISTRATOR
ContactPerson: Donna iganc� (313-6411)
CC: Health Services(Contracts) ;x
Risk Management {`
Auditor Controller BY �z � � f DEPUTY
Contractor �'
TO: BOARD OF SUPERVISORS
William. Walker, M.D. , Health Services Director
FROM. By: Ginger Marieiro, Contracts Administrator :; ,�. Contra
y Costa
l g 193 �-«'�a
DATE: April ����
ty
SUBJECTS Approval of Non -Physic) ar Services Contract #27-136- 1th
Touchstone Counseling
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMFMED ACTION:
Approve and authorize the Health Services Director or his desi
S•
• rfi.s4y:� T
TO: BOARD OF SUPERVISORS V
FROM: Will-Lam walker, M.D. , Health ,services Director �a ContraHy: Gin ger Ma.rieiro, Contracts Administrator
Casts
DATE: April 7, 1999 County
SUBJECT:
Approval of Contract 427-275-2 with California Heart Medical Group
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
.Approve and authorize the Health Services Director, or his designee
(Milt Car:mhi) , to execute on behalf of the County, Contract #27-275-2
with California Heart Medical Group, for the period from February 1,
1939 through January 31, 2008, .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 in the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, 1998. Tn 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 i