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TO: BOARD OF SUPERVISORS �
FROM: William Walker, M.D. , Health Services Director Contra
Ginger Marieiro, Contracts Administrator ''
Costa
DATE: March 24, 1999 County
SUBJECT:
Approval of Contract #2.4-949-80 with Burton Presberg, 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 ##24-949-80
with Burton Presberg, M.D. , for the period from January 1, 1999 through
Jure 30, 1999, to provide Medi-Cal mental health specialty services, to
be paid in accordance with the rates set forte in the attached fee
schedule .
FISCAL IMPACT:
This Contract is funded by State and Federal FFP Medi-Cal Funds .
BACKGRO#JND/REASON(S} FOR RECOMMENDATIONS :
On vanuary 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 .
Approval of Contract 424-949-80 will allow the Contractor to provide
mental health specialty services through June 30, 1999 .
ATTACHMENT' YJ SIGNATURE
^ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
/ APPROVE OTHER
MN SAURET41QaW-0-6
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ?t'� 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_ _ '_`
PHIL CHELOR,CLE OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand (313-6411)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY >�.�� � � � '�,���-� DEPUTY
Contractor ,
Board Order
pace two (12)
CCMHP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 1219197.
CPT CODE PROCEDURE MD PhD L,C,S:w> M F.C.C>
Level i Cosies 90830 Test Administration- 1 hour max 6 $30
9088; Test Scoring- Ihour max 2 $30
90843 Individual Psychotherapy- 1l2 hour $30
90844 Individual Ps chotnera -1 hour $60 $30 $30 $30
90846 Fartilly Therapy-without patient $30 $30 $30
90847 Family Thera -conjoint ' $30 $30 $30
9085:3 Group Therapy-per person-per visit-1 1t21ir max $12 $12 $12
90862 Pharmacological management $30
90870 ECT-Single Seizure $60
X9544 Case Conference- 1/2 hour $30 $15 $15 $15
_ X9546 Case Conference 1#tour $60 $30 $30 $30
Hospital#rpt.Service 99221 Hospita!Care Visit-Initial-313 minutes - $30-
99222 Hospita!Care Visit-Initial-50 minutes $60
99232 Hospital Gare Visit-Subsequent-30 minutes $30 �
21 tpatient Consults 99242 Office Consultation New Pallent-30 minutes $30
99244 Office Consultation New Patient-60 minutes $60
ljpatien Consults 99251 Inpatient Consultation;New Patient•30 minutes $313 c
9925$ Inpatient Consultation New Patient-60 rninutes $60
Naarsing Fac Assess 99301 Evaluation and Management-30 minutes $30
9930:3 Evaluation and Management-60 minutes $60 I
99311 Subsequent Nursing Facility Care-15 minutes 1 $15
99313 Subsequent Nursing Facility Care-30 minutes E $30
Rest Hoare et Al Svc. 993231 Evaluation of New Patient E $60
99333 Evaluation of Established Patient $30
Horace Services 9934'@ Evaluation of New Patient $60
39353 Evatuation of Established Patient $30
*" These are the only outpatient services which CC&IHP will authorize and the only
codes for which providers will be reimbursed.
TO: BOARD OF SUPERVISORS
S
FROM, William Walker, M.D. , health Sergi ices Director r` Ct7CItCa
By: Ginger Marieiro, Contracts Administrator
Cast_
DATE: March 24, 1999 County
SUBJECT:
Approval of Contract 424-950-17 with Suzanne Lavere, MFCC
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 424-• 950-17
with Suzanne Lavere, MFCC, for the period from March 1, 1999 through June
30, 2000, to provide Medi-Cal Trental health specialty services, to be
paid in accordance wits: the rates set forth in the attached fee schedule .
FISCAL IMPACT:
This Contract is funded by State and Federal FFP Medi-Cal Funds .
BACKCRQUND/REASUN(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 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 .
Approval of Contract #24-9SO-17 will allow the Contractor to provide
mental health specialty services through June 30, 2000 .
t`' <
Y ATTACHMENT: YDS XX
SIGNATUR
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
TU S
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 ?y _
PHIL WCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: donna Wic�and (313-641.1)
CC: Health Services(Contracts)
Disk Management
Auditor Controller BY -DEPUTY
Contractor �
`/
Board Order
Page 2
F— MECC REIMBURSEMENT TABLE
LEVEL CPT CODE PROCEDURE TIME RASE
LEVEL, i CODES 99205 { Outpatient Assessment Visit- New Patient 60 min, $30
90844 individual Psychotherapy 60 min. $30 i
X9508 i=amily'Therapy 60 mdn. $30
90853 Group Therapy- per person/per visit 90 min. $12.
X9544 Case Conference 1 30 min $15
L X9546 Case Conference i 60 min. $30
10q
TO: BOARD OF SUPERVISORS
FROM: Wil liar:: Walker, M.D., Health Services Director •3r�:� Contra
By: Ginger Marieiro, Contracts Administrator
DATE: Ma-rch 24, 1999 CostCounty
SUBJECT;
Approval of Contract #24-950-6 with Jahn Leipsic, M.D.
SPECIFIC REQUEST($)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 #24-9503-6
with John Leipsic, M.D. , for the period from January 1, 1999 through June
30, 1999, 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 .
BACKGROLTNDZREASt3N f S_) FOR RECOMMENDATIONS :
On January 14, 1997, the Board of Supervisors adopted Resoluti--on #97/17,
authorizing the Health Services D4 rector or his designee (Donna Wigand,
LISW) to contract with the State Department of Mental Healtn to assume
responsibility for Medi-Cal specialty mental health services as of Ju_y
1997 . Responsibility for outpatient specialty mental health services
involves contracts with individual , group and organizational providers to
deliver these services .
Approval of Contract #24-950-6 will allow the Contractor to provide
mental health specialty services through Jane 30 , 1999 .
s .
-_ A 1 CACHMENT: YES sIGNA7l;R
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON c 1 ` � APPROVED AS RECOMMENDED w OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY WHAT THIS IS A TRUE
UNANIMOUS (ABSENT �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 n '
PHIL CHELOR,CLE OF THE BOARD OF
Contact Person:
Donna Wigand (313-64111% SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts) �
Risk Management
Auditor Controller BYr `;
Contractor Z71-
f#
Board Order
pager: two (2)
CCMf1P OUTPATIENT SPECIALTY MENTAL 14EALTII SERVICES FEE SCHEDULE--devised 1219197.
CPT CC7I7E 6-C URE M.5PIt.t7 ! CSW M.F.C.G.
__.. — -
Level Modes 908357 Test A lmittts#ratlorr- 1 lrcurtttax€}_ $30 -
---FO-88i Test Scoring- 1hour 0,nax 2) $30 -- --
9£18_43 lttdiv#duat Psyclreltteraity- 1/22 hour $30 _
917844 int#.v#data#Ps cttoitrera t 5 #3c>ttr M_� _$60 $30 $30 $30
$0846 Family itteiaaL) w##Itott#t}alit tit - $30K$30
$30
90847 Family T#teralay-conjoint $30 $30
90853 Group Thera) 2e�ersosi Per visit 1 112#u max $12 $12
9x3862 Plrarmaco#oca,icaaf tttatt�at ement _$330_
9U87t3 EC 1 Site Se!xtzte _ $6x0
7£9644 Case Conference 1/2 hour $30 $15 $15
X9646 Case Conference- 1hour $60 $3t} $30
hose ital limt.Service 99221 hospital Cart:Visit lnitia#-30 minutes _ $30
_39222 fivsrtat Cate Wistt ttrttiart-50 rrtitintes _ $60
_ _
99232 #iosf>stat Cate Visit Subseysetit-30 minut€es $30
Outpatient Consults 99242 Office Constii ation New Patient-30 tit+t ides $30
33244 0ifice Consultation New Palient-60 minutes $60
hwatient Consults 39251 lnpalient C onsuitY_ation New Palient-30 trritmtes $30
99253 inpatient Consultation New Palient 60 minities $60
hlarrsirtc Fac Assess 99301 Evaluation and Manauement-30 minutes $30 —
99303 Evaliafion and Management-60 minutes $60
99311 Subsequent Nuisiml Facility Care 15 minutes $15
39353 Sul -tient Nursing f=acility Caie-30 minutes $30
(test f iz3rrre et Al Svc. 99323Evaluation of New Palient $60
93333 Evaluation of Established Patleitl __ t __ $30
fiome Services 99341 Evaluation of New Patient _ $60
53
-- 993Evaluation of Established Patient i $313
These are tete only outpatient services which CCMfiP will authorize and the only
i1mmicodes for which providers will be reimbursed.
TO: BOARD OF SUPERVISORS
FROM: William sulker, M.D. , ::ealth Services Director r �e Contra
By: Ginger Marieirc, Contracts Administrator
Caste
DATE: March 24, 1999 County
SUBJECT:
Approval of Contract ##24-950-16 with Charlotte Smith, MFCC
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 #24-950-16
with Charlotte Smith, MFCC, for the period from March ' 1, 11-999 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) FOR RECOMMENDATIONS :
On January 14, 1997, the Board of Supervisors adopted Resolution ##97/1-7,
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 .
Approval of Contract #24-950-16 will allow the Contractor to provide
*mental health specialty services through June 30, 2000 .
---0 ONATTACHMENT: YES XX SIGNATURE.
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON. �° f r
� �sem, �,r.. � - APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
#HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ;%3 a _1 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 8V, CH�ELOR, LERK kHE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: )Onn T�vict an (313-6411)
CC: Health Services ContCacts
Risk Management f '
Auditor Controller
Contractor r DEPUTY
Page 2
MI=CC REIMBURSEMENT TABLE
LEVEL CRT CODE PROCEDURE TIME RATE
LEVE! I CODES 99205 Outpatient Assessment Visit-New Patient u� - 60 min. $30
99644 4 Individual Psychotherapy 60 rain. $34
i X9548 Family Therapy 64 rain. $39
90853 Group Therapy-per person/per visit � 90 min. $12.
X9544 I Case Conference 30 min $15 i
X9546 i Case Conference .,60-ml-n., $34
TO: BOARD OF SUPERVISORS
FROM: Will-.am Walker, M.D. , Health Services Director ContraHy: Ginger Marieiro, Contracts Administrator
Caste
DATE: March 24, 1999 County
sUt3sEeT:
Approval of Contract #24-949-97 with Ronald Haimowitz, Ph.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 #24-949-97
with Ronald Haimowitz, Ph.D. , for the period from January 1999 throng h
June 30', 1999, 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) FOR RECOMMENDATIONS :
On January 14 , 1997, the Board of Supervisors adopted Resolution #97/1.7,
authorizing the Health Services Director or his designee (Donna Wigand,
LCSv3) to contract with the State Department of Mental Health tc 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 .
Approval of Contract #24-949-97 will allow the Contractor to provide
Trental health specialty services through June 30, 1999 .
rre9hq4W#e5ATTACHMENT:_ Y S SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
I R E( ):
ACTION OF BOARD ON �' ���� �` APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (AI SENT% i 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 ° _
PHIVISORS AND COUNTY ADMINISTRATOR ATCHELOR,CLE K OF THE BOARD OF
ContactPerson: Dor_na Wigand (3136411) SU ER
CC: Health Services(Contracts) ;f
Risk Management
Auditor Controller BY ���� _eEPUTY
Contractor f 1Z
Beard Order
Page 2
PhD REIMBURSEMENT TABLE
i
LEVEL CPT CODE PROCEDURE TIME, RATE
LEVEL I CODES X9514 T est Administration (max 6 hours) i 60 rain. $30
X9532 ; Test Searing (max 2 hours} � 60 min, $30
I---
i X9538�j Test Report Writing (max 2 hours) J 60 min, $30
IX9502 Individ_ual Psychotherapy- Inpatient Setting jea min. 3{ �
99205 Outpatient Assessment Visit_ New Patient i 60 min. $30
90844 Individual Psychotherapy 60 min.�s $30'
X9508 Family Therapy 60 min. $30
90853 Group Therapy-per person/per visit 90 min. $12 _
# i
X9544 I Case Conference _._ 1 30 min. $15
j X9546 Case Conference 60 min, $30 3
i
EMERGENCY :DEPARTMENT i 99284 1 Emergency Department Mental Health Services 45 min. $22.50
INPATIENT CONSULTS 99259 Inpatient Consultation New Patient 30 min. $15
---- --
99253 l Inpatient Consultation New Patient 60 min.
$30