HomeMy WebLinkAboutMINUTES - 05251999 - C71-C75 TO: BOARD OF SUPERVISORS '
FROM, William Walker, M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator
DATE: May 11, 1999 Costa
County
SUBJECT: Approval of Amendment to Agreement #26-344 with the U. Department of
Veterans Affairs
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his
designee (Frank Puglisi, Jr. ) , to execute on behalf of the County,
Amendment/Modification ##3 to Agreement 426-344 (VA #V261P-6152)
with the U. S . Department of Veterans Affairs Northern California
Health Care System (VANCHCS) to extend the term of the agreement
from March 31, 1999 through July 31, 1999 .
FINANCIAL IMPACT:
None
REASONS FOR RECOMMENDATIONS/BACKGROUND:
On January 26, 1999, the Board of Supervisors approved Amendment
Modification #2 (4V612P-6152) with the VANCHCS to extend the term
of the agreement through March 31, 1999, to provide specialized
Speech Pathology services to County' s patients referred for
treatment by Contra Costa Regional Medical Center physicians .
Approval of this Amendment #26-344-3 , will allow Contractor to
continue providing services at the rates specified in the original
agreement, through July 31, 1999 .
The Contract documents have always been prepared by the Veterans
Administration.
CONTINUED ON ATTACHMENT: SIGNATURE ,,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
Y
S€GNATURE(S�`
ACTION OF BOARD ON May 25. 1999 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS {ABSENT-_NOME? 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_ MBy 25, 1999
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
ContactPerson: `rank Pugl�si (370-5100)
CC: Health Services (Contracts)
Risk Management
Auditor Controller
Contractor Bv���. �������?c r
DEPUTY
TO: BOARD OF SUPERVISORS �
FROM: William Walker, . M.D. , Health Services Director ti Contra
BY: Ginger Marieiro, Contracts Administrator
Costa
DATE: May 11, 1999 County
SUBJECT:
Approval of Contract #27-437 with Dominic Hiunno, Jr.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION
Approve and authorize the Health Services Director, or his designee (M-41t
Camhi) , to execute on behalf of the County, Contract 427-437 with. Dominic
Hiunno, Jr. , for the period from June 1, 1999 through May 31 , 2000, in the
amount of $52 , 400, for consultation and technical assistance to Department
with regard Contra Costa Health Plan (Health Plan) provider contracts .
FISCAL IMPACT
:'his Contract is funded by Health Plan member premiums .
BACKGROUND/REASONLS) _FOR RECOMMENDATION(S) :
Under Contract #T27-437, the Contractor will provide consultation and
technical assistance with. regard Health Plan provider contracts, including
but not limited to, developing requests for proposals, negotiating with
prospective contractors, developing measurable outcome-oriented objectives,
and monitoring regulatory requirements and Health Plan compliance, through
May 31, 2000 .
CONTINUED ON ATTACHMENT. S 5IGNATU Z' s
- RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SICK ATfJ S
"6z-
ACTION OF BOARD ON SIL 25. 1()99 APPROVED AS RECOMMENDED _ X OTHER
VOTE OF SUPERVISORS
I HERESY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ASSENTOn@ ) 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_ yJ, 1999
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contactf:'ersc�n: Milt Car..-di (313--G004)
CC: Heafth Services(Contracts)
Risk Management
Auditor Controller I3 8 DEP�ITY
Contractor
TO: BOARD OF SUPERVISORS
William Walker, M.D. , Health ,Service Director
FROM: By: Ginger Mar.,eiro, Contracts Administrator � �.N � Contra
DATE: May 11, 1999 Costa
County
SUBJECT: Approval cif Contract #27-430 wi th ,earing Science'
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION w�
RECOMMENDER ACTION:
Approve and authorize the Health Services Director, or his designee (Milt
Camhi) , --o execute on behalf of the County, Contract 427-430 with nearing
Science, for the period from March 1, 1999 through February 29, 20010, for
the provision of professional audiological services, to be paid as follows :
a. For Commercial Members:
100% of the fee stated in the Medicare Physicians Revenue Based Relative value
Scale (RBRVS) fee schedule 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 Medi-Cal 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 ir_ the
County's 1�ealth Plan capitated payment, County will thereafter increase the
rates County pays to Contractor accordingly.
C. 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 copaynents and deductibles for Medicare
approved services.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan Member Premiums . As
appropriate, patients and/or third-party payors will be billed for
services .
REASONS FOR RECO EMATIONS/BACKGRo`MD:
Linder Contract 27-430, Hearincs Science will provide audiological services,
including hearing evaluations and dispensing of hearing aids and supplies,
for Contra Costa Health Plan members who have been referred by County-
designated physicians, through February 29, 2000 .
CONTIhUEC3 ON ATTACHMENT: €S SIGNATURE
! RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
TURE
ACTION OF BOARD ON j 25, 1999 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT -done_ ) 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 -May- 25, 1999
P7HIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person:
Milt Cam,', (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services (Contracts)
Risk Management
Auditor Controller BY���. ��%!!�� �,��- - DEPUTY
Contractor
TO,
BOARD O F SUPERVISORS
FROM: William Walker, M.D. , Hea th Seryices Director Contra
By: Ginger Marie®ro, Contracts Administrator
Costa
BATE: May 11, 1999 County
.SIIB.IEfsT:
Approval of Contract #27-264-2 with Fast Pay Nephrology Medical Group
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 #27-264-2
with Fast Pay Nephrology Medical Group, 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-Cel and Commercials Members:
County shall pay Contractor these 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 capitates. 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 Plan)
member premiums . Costs depend upon utilization. As appropriate,
patients and./or third party payors will be billed for services .
BACKGROUND/REASON(S) FOR RECOMMENDATION(S) :
On January 27, 1998 , the Board of Supervisors approved Contract 427-
264-1 with East Pay Nephrology Medical Group, for the period from
February i, 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 care services for its members under the terms of
their Individual and Group Health Plan membership contracts with the
County.
Approval of this Contract #27-264-2 will allow the Contractor to
continue to provide professional health care services through January
31, 2000 .
f o .
CONTINUED QN ATTACHMENT: S SiONATUR
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
2L APPROVE OTHER
BIG NATURE
ACTION OF BOARD ON_ Ti ay 25 1999 APPROVED?AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ?OT2E �} AND CORRECT'COPY OF AI4 ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN. OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED} May 25, 1999
Milt Carrhi (313-6004) PHIL BATCHELOR,CLERK OFTHE BOARD OF
Contact Person: SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management _
Auditor Controller By } q. ` �✓ �. DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
r
FROM: William Walker, M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator
DAA; May 11, 1999
Costa
County
SUBJECT
Approval of Contract #27-272-2 with East Bay Retina Consultants, Inc .
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION
Approve and authorize the Health Services Director, or his designee
(Milt Carnhi) , to execulte on behalr of the County, Contract #27-272-2
with East Bay Retina Consultants, Inc . , 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 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 regiments 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 Plan)
member premiums . Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services.
BACKOROUNQCREASON{E) FOR RECOMMENDATION(S) :
On January 27, 1993 , the Board of Supervisors approved. Contract #27-
272-1 with vast Bay Retina. Consultants, Inc . , for the period from,
February 1, 1995 through January 31, 1999, for provision of
professional health care services to the Health Plan.
-he Health Plan has an obligation to provide certain specialized
professional health care services for its members under the terms of
.heir Individual and Group Health Plan membership contracts with the
County.
Approval of this Contract #27-272-2 will allow the Contractor to
continue to provide professional health care services through January
31, 2000 .
CONTINUED ON ATTACHMENT: YE91, SIGNATURE )
RECOMMENDATION OF COUNTY ADMINISTRATOR
RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
ell
Q Z7
ACTION OF BOARD ON y 25, 1999 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT_ jOI"e ) AND CORRECT COPY OF AN ACTION TAKEN
AYES NOES AND ENTERED ON THE MINUTES OF THE BOARD
ASSENT:: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED May 25, 1999
Milt Cam.qi (31-3-6004) PML BATCHELOR,CLERK OF THE BOARD OF
Contact person: SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller B�s/1 A�i -
Contractor DEPUTY