HomeMy WebLinkAboutMINUTES - 06151999 - C105-C109 TO. BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Sel–vices Director .� Contra
By: Ginger Marieiro, Contracts Administrator Costa
DATE: June 1, 1999 County
SUBJECT:
.Approval of Contract 24-950-26 with Sandal Kelly, MFCC
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AIDC JUSTIFICATION
REMMINDED ACTION:
Approve and authorize the Health Services ]director, or his designee
('gonna Wigand) , to execute on behalf of the County, Contract #24--9_50-20
with Sandal. felly, MFC-C", for the period from .April 1, :-999 through June
30, 2000, to provide Medi-Cal mental health specialty services, to he
paid in accordance with the rates set forth in the attached bee schedule .
FISCAL IMPACT:
'his Contract is funded by State and Federal FFA' Medi-Cal ^wads .
EACKGROUNDZREASON(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,
LCSI/ to contract with the State Department of Mental Health to assume
responsibility for Medi.-Cal specialty mental health services as of July
1997 . Responsibility for outpatient specialty mental health Services
involves contracts with -individual., group and organizational providers to
deliver these services .
Under Contract #24-950-26 the Contractor will provide mental health
specialty services through June 30, 2000 .
OQWn <
- ATTACHME€ T; - YES X
RECOMMENCAT!ON OF COUNTY ADMINISTRATOR RECOCaIMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON TY�tte 1 APPROVED AS RECtJ?vijl!Eh#BI3X 0T€lER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANI r1OUS (ABSENT 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,
AT`ESTEU J .ne 15, 1999
PHIL BATCHELOR,CLERK OF THE BOAS OF
SUPERVISORS AND COUNTY AI'3€bI1NISTRATOR
ContactPerson: manna Wigand (313-641-1 )
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY DEPUTY
Contractor
Beard *--;,rder
Page 2
IMFCC REIMBURSEMENT TABLE
LEVEL CPT CODE PROCEDURE TIME RATE
-------------
LEVEL CODES 99205 Outpatient Assessment Visit- New Patlent 69 min, $39
90844 Indlvlduai Psychotherapy 69 m!tn. $30
1 X9508 i Family Therapy
60 Ery. a 30
-,-- -
9053 ! Group Therapy- per person/per visit 90 min. � $12,
X9544 Case Conference3G min 3 $i5
X9546 Case Conference
69 min $30 0 s
l
r'yP
TO: BOARD OF SUPERVISORS
a�
FROM,. William Walker, M.D. , 'Health Services Director °f 1 Contra
By: Linger Marieiro, Con�.racts Administrator r�
Costa
DATE., gone 1, 1999 County
SUBJECT, Approval of Contract. ##27-259-2 with Cordon Smith, M.11D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACS ION
Approve and authorize the Health Services Director, or his designee
(Milt. Camhi) , to execute on behalf of the County, Contract #27-259-2
with Gordon: Smith, M.D. , for the period from May 1, 1999 through April
3101 , 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 mn the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, 1995. 11 the evert
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:
7`1®is Contract is funded by Contra Costa Health Plan (Healt:i Plate)
member orer,~iums . Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
BA.CKGROT�3/REASON(S) FOR RECOMMENDATION(S) :
-he Health Plan, has an obligation to provide certain specialized
-orofessional health care services for its members under the terms of
their Individual and Croup Health Plans membership contracts with the
County.
Approval of this Contract 427-259-2 will allow the Contractor to
continue to provide professional health care services through April 30,
2000 .
CONTINUED ON ATT NT: Y SIQNATUR��
RECOIVMENDAT!ON OF COUNTY ADWNISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
,x- "2
TQ (S): S]�e�4_,
ACTION OF BOARD ON J-Une 15, 1999 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
- - I HEREBY CERTIFY'rHAT THIS IS A'TRUE
UNAA#I' OUS (AESEN :.�I"•`` ANIS 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 U2 1" 1 9
Mi bt Camhi (313-6004) PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
,Risk Management
Auditor Controller EY DEP6
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , .Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator
Crista
DATE: June 1, 1999 County
SUBJECT:
Approval of Co retract 427-251-2 with Jonathan Steinberg, DPM (dba The
Foos Doctors)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Milt Camhi) , to execute on behalf of the County, Con-._rac #27-2.51-2
with Jonathan Steinberg, DPM (dba The Foot Doctors) , for the period
from May 1, 2999 through April 30, 2000 , for the provision of
professional health care services for the Contra Costa Health Plan, to
be maid as follows :
a. For Medi-Cad. and Commercials Members:
County shall pay Contractor those rates set forth in the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, 1990. 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.
h. For Medicare members
Services for members who are Medicare recipients will be reimbursed at
the Medicare rate of payment. Physician will krill 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 Flan (Health Plan)
member premiums . Costs depend upon utilization, As appropriate,
patients and/'or third part-.y payors will be billed for services .
BA.CKCRCL /`REASON(S) FOR RECOMMENDA.TION(S) :
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--251-2 will allow the Contractor 4---o
continue to provide professional health care services through April
30, 2000 .
-ONTINUED( # ATT'AgHMEN"`: .__ SIGNAT' -
RECCMIUENCATICN®F COUN YY A.DMI NIST'RATCR _ RECOMMEN6AT€ON OF BOARD COMMITTEE
APPROVE OTHER
CsTU
6A ` A
ACTON OF BOARD ON -JtL7'e 15,,-- 1999 APPROVED AS RECOMMENDED X - OTHER
VOTE OF SUPERVISORS
I HERESY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSEI`CT✓ `LAND i C3RRECT COPY of AN ACTION TAKEN
.AYES - -NOES: - AND ENTERED ON THE M:!NUTES OF THE BOARD
ASSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED June 15, 1999
Milt Camhi (313-6004) PHIL BATCHELOR,CLERK OF THEBOARD OF
Contact Person: SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller By k�. ,��' ,� �,d� � �.
DEPUTY
Contractor -- -- -
TO: BOARD OF SUPERVISORS
FROM. Williar: Walker, M.D. , Health Services Director
By. Ginger Marieiiro, Contracts Administrator Contra
Costa
[SATE. uiune 1, 1999 County
Approval of Contract 427-27:1-2 with Mils Parson, M.D. , Inc .
SPECIFIC REQUEST(S)OR RECt3MMIENDAT€ON(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDER ACTION:
Approve and authorize the Health Services Director, cr his designee
(Milt Carnhi) , to execute on behalf of the County, Contract #27-271-2
with Nils Parson:, M.D. , 1nc. , for the period from May 1, 1,999 through
Apriv 30 , 2000, for the provision cf professional health care services
for t_ne Contra Costa Health Plan, to be paid as follows .
a. For Medi-Cal and Cozmercials Members:
County shall pay Contractor those rates set forth in the Medi-Cal
Schedule of Maximum Allowances in effect on August 1, :1993. 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 Xedicar a members;
Services for me,,,�rers 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 approve? services.
FISCAL IMPACT:
This Contract is Landed by Contra. Costa Health Plan (Health Plan)
member premiums . Casts depend upon utilization. As appropriate,
patients and,/or third party payors will be billed for services .
BACKGRQ=/RZA 0 ( ) FOR RECOMMENDATION(S) o
The Health Plan has an obligation to provide certain specialized
professional health care services for its me-m' under the terr:s of
their Individual and Group Health Plan membership contracts with the
C0 my.
Approval of this Contract 427-271-2 will allow the Contractor to
cont—nue to provide professional health care services through April 30,
2000 .
CONTINUEDQN ATiTACH#t NIT' t
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMIMENDAT11ON OF BOARD COMMIT
APPROVE. iOTHER
G AT
s A
ACTION OF BOARD ON .p ie 15, 1999 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERT'IF'Y THAT THIS IS A TRUE
UNANIMOUS (ABSENT_�=11- - ]I ANIS CORRECT COPY OF AN ACTION TAKEN
.AYES:___-- - —-- NOES: AND ENTERED;ON THE MINUTES OF THE BOARLD
ABSENT: _ ABSTAIN: OF SUPERVISORS ON TIME BATE SHOWN,
ATTESTEDn 3 5 cid m
Milt Cannihi (3113-5004) PHIL BATCHELOR,CLERK Or THE BOARD OF
Contact Person: SUPERVISORS AND COUNTY ADWNISTRATOR
CC: Health Services(Contracts)
Risk Management
A€dl-or Controller By DEPUTY
Contractor -
TO. BOARD OF SUPERVISORS
FROM: William talker, M.D. , Health Services Director Contra By: Ginger Marieiro, Contracts Administrator 1'
Costa
OATS: June 1, 1999 County
Approval of Contract 427-246-2 with Gerard Menut, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION m
RECOMMENDED ACTION:
Approve and authorize the ��eal.th Services Director, or his designee
;Milt Ca:�n�^i) , to execute on behal� o� the County, Contract #27-246-2
with Gerard Menut, M.D. , for the period from May 1, 1999 through April
30, 20001 , for t',-.e 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 sha11 pay contractor those rates set forthin 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 recipients will be rei:d)ursed 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)
:nemher premiums . Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
BACKGR0 ,M, /REAS0 �S} FOR RECClI+3MENDATI ON(S) :
The Heagth Plan has an obligation to provide certain specialized
professional health care services for its mere-bers under the terms of
their yndiv- dual and Group Health Plan mernbership contracts with the
County.
Approval c.-i"' this Contract 427-246-2 will albow the Contractor to
continue to provide professional health care services through April 30,
2000 .
5 ✓y d b
CONTINUED ON ATTACHMENT. - S I Q N A T U lel
4
7L RECOMN4ENDAT€ON Or COUNTY ADMINISTRATOR RECOMMENbATION UP BOARD COMMITTEE
EE
APPROVE —OTHER
SIGNATURE(S): r" } a ,
ACTION OF BOARD ON ,.dune 15. 1999 _- APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
€HEREBY CERT PY 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:--- - -�ABSTA€N:, , --- OF SUPERVISORS ON-THE DATE SHOWN,
ATTESTED-June 15 a 1999
Milt Camhi (313-6004) PHIL BATCHELOR,CLERK OF THE BOARD GE
Contact Person:Person: SUPERVISORS AND,COUNTY ADMIMSTRATOR
CC: Health Services (Contracts)
Rlsk Management
Auditor Controller Byer>, �s
Contractor DEPUTY