HomeMy WebLinkAboutMINUTES - 04271999 - C58-C62 ( ` r
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TO: BOARD OF SUPERVISORS
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator ;
Contra
Costa
DATE: April 1.4, 1999 County
SUBJECT: Approval of Contract #24-939-�71 (1} with Ging-Long rang, V.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize t1ne Health Services Director, or his designee
(Donna Wigand) , to execute on behalf of the County, Contract #24-939-
71 (1) with Ging-:long Wang, M.D. , for the period from January 1, 1999
through June 30, 2000, 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 .
BACKGROUND/REASON{S j FOS. 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 Medi-Cal specialty mental health services as of July
1 1997 . Responsibility for outpatient specialty mental health services
involves contracts with individual, group and organizational providers to
deliver these services .
On July 2€3, 1998, the Board of Supervisors approved Contract #24-939-71
w- 't- Ging-Lonox Wang, M.D. , for the period frog: April 1, 1998 through June
30, 1999, for provision of mental health specialist services .
Upon approval County and Contractor mutually agree to terminate Contract
#24-939-71 and substitute this Contract #24-939--71 (1) to allow the
Contractor to continue providing mental health specialty services in
accordance with the revised fee schedule, through June 30, 2000 ,
Zi11
ATTACHMENT: £�' _-- SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR � R OMMENDATION OF BOARD COMMITTEE
APPROVE ®OTHER
ACTION OF BOARD ON � r4 rP
--� ;� ,.� ,� � �� APPROVED AS RECOMMENDED .�° 07nr-_i-`
VOTE OF SUPERVISORS
1 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 "s ,z '` _
PHICHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand (3.13-641.1)
CC: Health Services(Contracts)
Risk Management �_u.
Auditor Controller 8Y > �' - ✓ �`" DEPUTY
Contractor
Board Order
Page 2
F PHYSICIAN REIMBURSEMENT TABLE
LEVEL CIT CODE PROCEDURE TIME RATE
LEVEL `: CODES 0,9204 j Initial Outpatient Psychiatric Assessment ! 60 min. $90
90862 Medication Management --- 20 min. i $45 ;
99242 Child Consultation 30 min. $60
i
99244 Child Consultation 60 min. $90
EMirRCENCY DEPARTMENT 99284 Emergency Department Mental Health Services 45 min.
$45
HOSPITAL INPAT€ENT 9,9222 ' Hospital Care- Initial ; 60 Mir). $60
SERVICES r:9232H ospital Care-Subsequent 30 min. B $30
99233 Hospital Care- Subsequent j 60 min. $60
NURSING FACILITY 99301 Evaluation and Management 30 min. ! $30
ASSESSMENT _._ -----_------__- �-._---____
99303 Evaluation and Management 60 min. $60
L993-1;99311 Subsequent Nursing Faci€ity Care 15 min. $15
3 Subsequent Nursing Facility Care 30 min. i $30
$60va€uation of New Patient 60 min.
E RES?' HOME 99323 Evaluation _
99333 Evaluation of Established Patient i 30 min. $30
HOME SERVICES 99341 Evaluation of New Patient 60 min. $60
! 99353 Evaluation of Established Patient 30 min. $30
TO: BOARD OF SUPERVISORS �V
FROM: —L1 iam balker, M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator
Casty
DATE: April 14, 1999 County
SUBJECT: Approval of Contract #27-293-2 with Augustine Argenal, M.B.
SPECIFIC REQUEST(S)OR RI COMMENDATIONS)&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 ##27-293-2
with Augustine Argenal, M.B. , for the period from February 1, 1999
through January 31, 2000, for the provision of professional hearth care
services for the Contra. Costa Health Flan, to be paid as follows :
a. For Medi-Cal and Commercials Members:
County small pay Contractor those rates set forth in the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, 1,993. 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 is funded by Contra Costa Health Plan (Health Flan)
member premiums . Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
BACKGROLTkMIRREAASON(S) FOR RECOMMENDATION C51:
On January 27, 1998, the Board of Supervisors approved Contract #27-
293-1 with Agustine Argenal, M.B. , for the period from February 1, 1-998
through January 31, 1999, for provismon of professional health care
services to the Health Flan.
T»e Health Flan has an obligation to provide certain specialized
professional health care services for its members under the terms of
their 1.nd.4vmdua' and Group Health Flan membership contracts with the
County.
Approval of this Contract ##27-293-2 will allow the Contractor to
continue to provide professional health care services through January
31, 2000 .
CONTINUED ON ATTACHMENT: _ Y
Ir SIGNATURE
-
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNAMEEM:
ACTION Of BOARD ON 3 _ - _r` APPROVED AS RECOMMENDED ,. OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
v UNANIMOUS (ABSENT_L/0hf-,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.
/ 2, / �
ATTESTED, l` , t')
Milt Caarhi (313-6004) PHIL 6ATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY_/_>1}: �� �'� ` �- DEPUTY
Contractor
y
TO: BOARD OF SUPERVISORS t�
FROM: William Walker, M.D. , Health Services D-, rector Contra
By: Ginger Marieiro, Contracts Administrator
Costa
DATE: April. 14, 1993 County
sC1SJEC7`:
Approval of Contract 427-427 with Kevin Beadles, 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 427-427 with
Kevin Beadles, 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 follows :
a. For Medi-Cal and Commercials Members:
County shall pay Contractor those rags set forth in the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, 1998. In the event
rate increases are subsec;uently approved by the State of California and
are inc-luded -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 is funded by Contra Costae Health Plan (Health Plan)
member premiums . Costs depend upon utilization. As appropriate,
patients and/or third party payers will be billed for services .
BACKGROUND/REASON(S)FOR RECOMMENDATION{S? :
The Health Plan has an obligation to provide certain specialized
professional health care services for its members under the terms of
t'I-Leir and Group Health Pia mermership contracts with the
County.
Under this Contract x#27-427 the Contractor will provide professional
health care services for the Contra Costa Health Plan_, through January
31 , 2001 .
CONTINUED ON ATTACHMENT: y1KSIGNATURE �`� ✓ = ' '/�s�'
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
10NA`I`UR (S):
ACTION OF BOARD ON s', ` APPROVED AS RECOMMENDED -
VOTE OF SUPERVISORS
I HERESY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (AI SENT
'71L'_- ) 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.
a _
ATTESTED == r Y s t
Milt Camhi (313-6004) PHIL BATCHELOR CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Disk Management w
Auditor Controller Bye,', <Y14 DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director • �` -�� { Lantra
By: Ginger Marieiro, Contracts Administrator
Carta
CRATE: April 14, 1999 County
SUBJECT:
Approval of Contract #27-255-2 with Gastroenterology Medical Croup
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Ma it Camhi) , to execute on behalf of the County, Contract #t27-255-2
wit'i^- Gastroenterology Medical Croup, for the period from February 1,
1995 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 raves set forth -n the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, 1996. 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 is funded by Contra Costa Health Plan (Health Placa)
member premiums. Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
BACKGROUND/R.EASON(S FOR RECOMMENIDATION_(S) :
On January 27, 19.95, the Board. of Supervisors approvedContract #27-
255-1 with Gastroenterology Medical Croup, for the period. from. February
1, 1993 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 care services for its members under the terms of
their `ndividual and. Group Health Plan membership contracts with the
County.
Approval of this Contract 427-255-2 will allow the Contractor to
continue to provide professional health care services through. January
31, 2000 .
l
CONTINUED.ON ATTACHMENT: YL SIGNATUR
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATUREM)
ACTION OF BOARD ON-1k ° . 'Z APPROVED AS RECOMMENDED
VOTE OF SUPERVISORS
UNANIMOUSABSENT' L�'+!�! I HEREBY CERTIFY THAT THIS IS A TRUE
® AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTE=RED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE HATE SHOWN,
ATTESTEC3___4'! /
Milt Camhi (.373-6004) PHIL BATCHELOR,CLERKOFTHEBOARDOF
Contact Person: SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contacts)
Risk Management
Auditor Controller BY._ ' { !. 2 ,. DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
William Walker, M.L. , Health Services Director
FROM: BY: Ginger Marlemro, Contracts Administrator Contra
Costa
DATE: App�.l 14, 1999 �` �� County
SUBJECT: Approval of Contract #26-949-2 with Paula J. Melone, L.U.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOI MZ=AT10X(S),:
Approve and authorize the Health Services Director, or his designee,
(Frank Puglisi, Jr. ) to execute on behalf of the County, Contract-
#26-949-2
ontract#26-949-2 with Paula J. Melone, D.O. (specialty: Obstetrics) , =n an
amount not to exceed $379, 000, for the period April 1, 1999 through
December 31, 2002, for the provrlon of maternal' fetal medicine
services for Contra Costa Regional Medical Center.
FISCAL IMPACT:
Cast to the County depends upon. utilization. As appropriate,
patients and/or third party payors will be milled for services .
BACKGROUND/;r KMOI C S) FOR RECt, 1 MIaNDATjPN(S) :
Since January, 1993, far. Melone has been providing maternal fetal
medicine services for Contra Costa. Regional Medical Center and
Contra Costa Health Centers.
Tinder Contract #26-949-2, Ur. Melone will provide maternal fetal
medicine services, including, but not lined to: a) on-call
coverage, b} assisting the obstetric staff in developing high risk
maternal fetal guidelines, policy and procedures, and c} monitoring
all high risk obstetric patients, through December 31., 2002 .
ANTI U A AS 14t T SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON S", / �: d - 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 e�&As", 1� 1, /`'�'55
PHILLATCHELCR,CLERK OF THE BOARD OF
Frank Puglmsi, Jr. '370-51001 SUPERVISORS AND COUNTY ADMINISTRA I OR
Contact Person:
CC; Health Services(Contracts)
Risk Management r
Auditor Controller BYE`�<.��v��:� � � DEPUTY
Contractor