HomeMy WebLinkAboutMINUTES - 04201999 - C97-C101 e �7
TO: BOARD(3P SUPERVISORS
William Walser, M.D. , Health Services Director
FROM: By: Ginger Ma.rieirc, Contracts .Adm4 n4 stra.tor � =�`� Contra
Costa
DATE: April 7, 1-999 County
SUBJECT: Approval of Contract Amendment Agreement #26-311- wi
Stephen D. Rader, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMPMATION(S) :
Approve and authorize the Health Services Director, or his
designee (Frank Buglisi, Jr. ) , to execute on behalf of the County,
Contract Amendment Agreement #26-311-3 , with Stephen D. Rader,
M.D. , effective April 5, 1999, to amend Contract 26-311-2, to
increase the contract payment limit by $2`1,487 fr $96, 754 to a
new Contract Payment Limit of $124 , 241 .
FISCAL IMPACT:
Tahis Contract is funded in the Health Services Department Budget
by County/Realignment funding, off--set by Medi-Cal, Medicare,
private insurance and patient fee collections .
BACKGROUND/REASON(S) FOR RECOMMENDATION(S) :
On June 2, 1998, the Beard of Supervisors approved Contract 26-
311-2 with Stephen D. Rader, M.D. , for the period from July 1,
1998 through June 30, 1999, for the provision of administrative
and psychiatric services to County patients .
Approval of Contract Amendment Agreement x+26-311-3 will allow the
Contractor to provide additional hours of psychiatric services to
patients at Centra Costa. Regional Medical Center and Contra Costa,
Health Centers through June 30, .-999 .
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N ATTACHMENT; SIGNATURECONTINUED Or
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
SIGNATURELQ,Z
ACTION OF BOARD ON &2All
�,c APPROVED AS RECOMMENDED I�
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT-4L, , AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF's HE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED ' 3 �
PHIL B CHELbR,CLERK 6F THE BOARD OF
SUPERV,$ORS AND COUNTY ADMINISTRATOR
Contact Person: Frank Puglisi, jr. (370-5100)
CC: Health Services(Contracts) q
Risk Management
Auditor ControllerBY ` "� � � �t --� '� � DEPUTY
Contractor ``
TO: BOARD OF SUPERVISORS
VP
FROM: William Walller, M.D. , Health Service Director Contra
By: Ginner Marieiro, Contracts Administrator
Costa
DATE: April 7, 1999 County
SUBJECT: Approval. of Contract 427-426 with Hilltop Pediatric Group
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee gist Camhi) ,
to execute on behalf of the County, Contract #27-426 with Hilltop Pediatric Group,
for the period from June 1, 1998 through December 31, "999, for provision
professional primary care services for Contra Costa Health Plan members, to be
paid as follows :
For Medl-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set ford:in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%. 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. County will pay a quarterly case management fee,as follows:
Panel Size` Ouarteriy Fee
I to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Famfly Program Members. County will pay Physicians for covered services,those rates set forts:in the Med;-Cal Schedule of Ivlaxintutn Allowances
in effect on August 1, 1998 plus 10%. hi the evert rate increases are subsequently approved by the State of California and are included in the County's Health Pian
capitated payment,County will thereafter increase the rates County pays to Contractor accordingly.
1 For Plan B Commercial Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. In the event rate increases are subsequently approved by the State of California and are included in the County's Health Sian
capitated payment,County will thereafter increase the rates County pays to Contractor accordingly.
FISCAL IMPACT:
This Contract is funded by Contra. Costa Health Plan member pre mums . Costs depend
upon utili zat.i on. As appropriate, patients and/or third party payors will be
billed for services .
BACKGROUND/REASON(S) FOR RECOMIIENDA•TION (S) :
Cr_• February 1, 1997 the Local Initiative for Medi-Cal managed care in Contra. Costa
County was implemented. Local Initiatives are required to include traditional
Medi-Cal providers from the community in their provider networks . This Contract
is necessary to meet State mandates to expand the number o: community providers
for the Local Initiative, along with a Department of Corporations audit finding
that requires formal contracts with low volume providers,
Under Contract #27-426, the Contractor will provide professional primary Care
services to Health Plan members through December 31, 1999 .
C T`s NUED ON ATTACHMENT: SIC$Iti °PURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE _OTHER
MNAI >
ACTION OF BOARD ON APPROVED AS RECOMMENDED �?
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
alC UNANIMOUSABSENT.tti.. � AND CORRECT COPY OF AN ACTION TAKER!
AYES: NOES. — - — AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN:-- OF SUPERVISORS ON THE DATE SHOWN.
g
ATTESTED `� �r.
P;IiL. TCHELOR,CLERK-'6F aF
SUP eRVISORS AND COUNTY ADMINISTRATOR
ContactPerson: Milt Cama i (313-6004)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY DEPuT'
Contractor �
W11 I[Am B. WAI KI It, M_ D. CONTPLA, COS—IA.
Hr-,1 d SIRV'Cfs DIKrCTOR
H SALT H PLAN
M11 I CA&II'l
CHIFF EXICLHIV 0ii1(_-R PROVI DER A FF.A IRS
RICIIAR�) T. HARRISON
' ONTRA COST
DA 595 Center Avenue, Suite 100
,'P,;TY Ex�,,_;Iii -!vDwcto� Martinez, California 94553
H EALH S E kVIC ES Ph (925) 31113-6008
Fax (925) 313-6002
INTEROFFICE MEMORANDUM
To: William B. Walker Y Health Services Director
d 4
From: Richard T.HarnExecutive Director
d'#7
Subject: REQUEST FOR RETROACTIVE DATE ON CONTRACT
Date: January 27, 1999
------------------------------------------------------------------------------------------------------------
We are requesting a retroactive effective date of June 1, 1998, for Contra Costa Health
Plan's(CCHP)contract with Hilltop Pediatric Group(a Local Initiative Primary Care
Pediatric Medical Group).
The Group has been providing services to CCHP's LII members since August 1997. In
accordance with the State Department of Health Services' guidelines, CCHP attempted to
contract with the Group's Management. The Primary Care Doctors in this Group have
continued to serve our members in spite of significant organizational changes in the
Group's Management. This period of uncertainty directly impacted the doctors' ability to
sign a contract.
We are pleased to advise that the problems have all been resolved and the new Group is
ready to complete the contracting process with CCHP. .
Because there was no executed contract we were unable to pay the doctors the quarterly
case management fees and annual bonus.
We are,therefore, requesting your agreement to have an effective date of June 1, 1998, so
that we may pay the doctors their hard earned and well-deserved bonuses.
This Group has also agreed to see CCHP members in the other CPN plans (County Plan
B and Healthy Families) for both primary care and specialty services, and this gesture of
goodwill will assure their continued participation with CCHP.
RTH/dm/smp
Cc: Ginger Marieiro, Contracts Administrator
J,4JX, Contra Costa Corrrrinity Suhatarce Abuse SeTwces Contra Costa=mergency Medical Servires s Cortra Costa En�,i,onrrental Health t Curtra Costa Health Par
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Contra Costa Hazardous Mate,als Programs o Cni-va Cc)5,a Mertai death Contra Costa Public Health e Cont,a Costa Regional Ved!ca!Center Contra Costa deait,)Centers
TO: BOARD OF SUPERVISORS
v
FROM: William Waller, M.D. , Health Services Director .' � '.�.. Contra
By: Ginger Marieiro, Contracts Administrator
April 7 , 1999 costa
DATE. April
SUBJECT: Approval of Novation Contract #24-818-4 with Bonita House
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S) :
Approve and authorize the Health Services Director or his designee
(Donna Wigand) to execute on behalf of the County, Novation Contract
24-818-4 with Bonita House, for the period from April 1, 1999
through March 31, 2000, in the amount of $127,837, for the prevision
of dual diagnosis social rehabilitation residential services. This
contract includes a six-month automatic contract extension through
September 30, 2000, in the amount of $63 ,919.
FISCAL IMPACT:
This Contract is included in the Health Services budget and is
funded by County/Realignment funds.
BACRGROUNDIREASON(S) FOR RECOMMENDATION(S) :
It is estimated that as many as 80 of persons with 'a serious mental
illness also have a substance abuse problem, making this contract
crucial under managed care. Benita House is the only program of its
type in the Bay Area and has received national recognition.
On April 28, 1998, the Board of Supervisors approved Novation
Contract x`24-818-2 (as amended by Contract Amendment Agreement
#24-818-3) with Bonita House, for the period from April 1, 1998
through March 31, 1999, which included a six-month automatic
Contract extension through September 30, 1999, for the provision of
dual diagnosis social rehabilitation residential services.
Novation Contract ,#24-818-4 replaces the six-month automatic
extension under the prior Contract, and allows Contractor to
continue providing services through March 31, 2000.
�QQQNINUEQ ONATTA
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE —OTHER
ACTION OF BOARD ON APPROVED AS RECOMMENDED _ 4
VOTE OF SUPERVISORS
I HERESY CERTIFY THAT THIS IS A TRUE
UNANIMOUS {ABSENT sL__ 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,CLEfk#(OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Cf7ntr�Ctl�eCSrJ1'r: Donna Wigand, L.G.S.t*7. (313-6411)
CC: Heelttr Services(Contract) �.
Auditor-Controller
Risk Management BY rt~� DEPUTY
Contractor Y
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services DirectorContra
By: Ginger Marieiro, Contracts Administrator Costa
DATE: April. 7 , 1999 County
SUBJECT: Approval of Contract #22-725 with AIDS Community Network
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENUAT I+ON(S)-:
Approve and authorize the Health Services Director, or his designee
(Wendel Brunner, M.D. ) to execute on behalf of the County, Contract
#22-725 with AIDS Community Network, for the period from April 1,
1999 through. February 29, 2000, in the amount of $41,250, to provide
HIV/AIDS case management services for Centra Costa County residents
with HIV disease.
FISCAL IMPACT`
This Contract is funded by the State (Federal funds) through the
Ryan White CARE Act. No County funds are required.
BACKGROUND/REASON(S) FOR RECOMMENDATIONS)
Linder Contract #22-725, AIDS Community Network will provide HIV/AIDS
case management services to Contra Costa County residents with HIV
disease through February 29, 2000.
CQNTINUED ON AC M Y SIGNATUR��
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE _OTHER
lG
ACTION OF BOARD ON��� - . ��-- — APPROVED AS RECOMMENDED
VOTE OF SUPERVISORS
I HEREBY 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.
ATTESTED F ''
PHILBOCHELOR,CLERK Cf THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Wendel Brunner, Ma D. (313-6712)
CC: Health Services(Contract) ,
Auditor-Controller
Risk Management DEPUTY
Contractor
TO BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator Contra
Costa
DATE: April 7, 1999 County
susJEcT:
Approval of Standard Contract x#23-256 with Tellez & Associates, Inc.
SEECrFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECO MKXNOED ACTION:
.Approve and authorize the Health Services Director, or his
de j'-gnee ,Lee Ann Adams) , to execute on behalf of the County,
Contract ##23--256 with Tellez & Associates, Inc . , in the amount of
$3-5, 000, for the period from April 1 , : 999 through December 31,
1999, for recruitment of two Nursing program Managers .
FINANCIAL IMPACT:
Funding for this Contract is included in the Health Services
Department " s .enterprise I Pudaet .
REASONS FOR RECOMMENDATIONS/BACKGRC3€ND—.
Under Contract #23-256, Tellez & .Associates, Inc . will provide
recruitment services necessary to fill two full-time Nursing
Program. Manager positions at Contra Costa Regional Medical Center.
CONTINUED ON ATTACHMENT: Y SI G NATUR '
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
a1QNATQSF.(_�) Z16�z L�4t4�
ACTION OF BOARD t N_- - ' APPROVED AS RECOMMENDED
t
VOTE OF SUPERVISORS
UNANIMOUSABSENT I HEREBY CERTIFY THAT THIS IS A TRUE
( a `' 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.
ATTESTEDb' y
PH#IL`BA&# L ikk t F THE 66ARD OF
Lee Ann Adams (313-6610) SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY k
DEPUTt
Contractor