HomeMy WebLinkAboutMINUTES - 06221999 - C135-C139 TO, BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director Contra
Ginger Marieiro, Contracts Administrator
Costa
DATE: dune 9, 1999 County
SUBJECT:
Approval of Contract 427-263-2 with Optima ophthalmic Medical
Association, inc.
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 x#27-263-2
with Optima Ophthalmic Medical Association, Inc. , for the period from
May 1., 1999 through April 30, 2000, for the provision of professional
health care services for the Contra Costa Health Plan, to be paid as
follows :
a. ?or 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 T., 1-998. 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 Plan)
member premiums . Costs depend upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
BACKGROUND/REASON(S) FOR RE CON MMEN.DATION(S) :
The Health Plasm 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 ;.his Contract Y#27-253-2 will mellow the Contractor to
continue to provide professional health care services through.April 30,
2000 .
CCDNTlIUFDCDN_ATTACHMEN c
- - - -- _W— Y IGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE —OTHER
S SJR S `
ACTION OF BOARD ON__-- +� 9` APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HERESY 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
ABSI NT: ABSTAIN:— OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
Milt Camhi (313-6004) PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller By � �'��.�'� DEPUTY
Contractor V i
TO: BOARD OF SUPERVISORS
� s
FROM: William Wacker, M.D. , cfes rector r_: ontra
By: Ginger Marieiro, Contracts Administrator ,
MATE: dune 9, 1999 Costa
CoLli'ltjl
SUBJECT:
Approval of Contract #27-247-2 with Charlotte Nagel, M.D. (dba Aaron
__. C)n Cen Medica Groin)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Servl.ces Director, or his designee
;Milt Camhi} , to execute on behalf of the County, Contract #27-247-2
with Charlotte Nagel, M.D. (dba Aaron Vision Center Medica' Group) , for
the period from pure 1, 1999 through May 31, 2000, for the provision of
professional ophthalmology services for the Contra Casts. Health Plan,
to be paid as follows :
a. For Medi-Cal and Commercials Members:
County shall pay Contractor those rates set forth in the Meda.-Cal
Schedule of Maximum Allowances in effect on .August -1 , 998. In the event
rate increases are subsequently approved by the State of California and
are included in the County's Health Plan cavitated 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. Pbysician 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 .
BACKGROUND/REASON(S) FOR RECOMMENDATION(S) :
The Hea]-tn Plan has an obligation to provide certain specialized
professional health care services for its members under the teras of
their Individual and Group Health Pl.an membership contracts with the
County.
Under Cont-race #27-247-2 the Contractor will provide professional
ophthalmology services, through May 31, 2000 .
CONTINUED ON ATTACHMENT: Y. SIGNATURE. r JrE�r ,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
ACTION OF BOARD ON
APPROVED AS RECOMMENDED i O - OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT 9` ) 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 ad r ed
Milt Camhi (313-6004) PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services (Contracts)
Risk Management
Auditor Controller BY
Contractor DEPUTY
,137 r
TO: BOARD OF SUPERVISORS�., '¢' rye
FROM: W1-1-liam Walker, M.D. , Health Services Director � .i�� Contra
By: Ginger Marieiro, Contracts Administrator
Costa
CRATE: June 9, 1999 County
SUBJECT:
Approval of Cfl:3WraCt #27-386-1 with Diane Chow, DPM
SPECIFIC REQUEST{S}OR RECOMMENDATION(SI&BACKGROUND AND JUSTIFICATION
REC IMMENDED ACTION:
Approve and authorize the Health Services Director, or his deS4gnee
(Milt Camhi) , to execute on behalf of the County, Contract #27-386
with Diane Chow, DPM, for the period from June 1, 1999 through May 31,
2000, for the provision of professional podiatry 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, 1898. 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 :Vied®care-required copayments and deductibles
for Medicare approved services.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Mari (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) :
The Health Plan has an obligation to provide certain specialized
professional health care services for its members under the terms of
their 'r_dividual and roup Health Plan me bership contracts with the
County,
Under Contract #27-386-1, the Contractor will provide professional
podiatry services to Contra. Costa Health Plan members, through May 31,
2000 .
CONTINUED ON ATTACHM NT yer SI NATURE
XRECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
S
ACTION OF BOARD ON- J rr r} f APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY T14AT THIS IS A TRUE
UNANIMOUS (ABSENT 0 AND CORRECT COPY OF AN ACTION TAKEN
AYES: *TOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
PHIL.BATCHELOR,CLERK OF THE BOARD OF
Milt Camhi (313 -6004) SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM- William Walker, M.D. , Hearth Services Director , =. Contra
By: Ginger Marieiro, Contracts Administrator
jure 9, 1999 - Costa
DATE. County
SUBJECT:
Approval of Contract X27-439 with Robert Steiner, 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 ##27--439 with
Robert Steiner, M.D. , for the period from Jiune 1, 1999 'through May 31,
2040, 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 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.
'IBCA IMPACT:
This Contract is funded. by Contra Costa Health Plan (%Health Plan)
riember premiums . Costs depend upon uti1izat?on. As appropriate,
patients and/or third party payors will be billed for les-vices.
BACKGROUND/REASON(S) FOR RECOMXENDATION(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.
Under Contract ##27-439, the Contractor will provide professional health
care services to Contra Costa Health Plan members, �through May 31,
2000 -
COId I ON ATTACH E : SIGNATURE '. t
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE —OTHER
r
ACTION OF BOARD ON w ` i s. APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT .e.% I AND CORRECT CONY OF AN ACTION TAKEN
AYES: NOES. _- AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN:-- -- OF SUPERVISORS ON THE MATE SHOWN.
ATTESTED �
Milt Camhi (313-6004) PFI€L BATCHELOR,CLEkK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY � ��� ��� =� ,DEPUTY
contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director ,
By: Ginger Mari eiro, Contracts Adm nistrator " Contra
Costa
DATE: june 9, 1999 County
Approval of Contract x`27-261-2 with Sh aron Drager, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee (Milt Carrmhi) ,
to execute on behalf of the County, Contract 27-261-2 with Sharon Drager, M.D. ,
for the period from June 1, 1999 through May 31, 2000, for the provision of
professional vascular surgery services for the Contra Costa Health Plan, to be
raid as follows :
1001 of the fee stated n 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.
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 .
BA.CKGROI#N 7!`REASON(S) FOR RECOMMENDATION(S)
The Health Plan has an obligation to provide certain specialized professional
health care services for ,its members under the teras of their' Ind.ividua? and Group
Health Plan membership contracts with the County.
Under Contract 27-261-2 , the Contractor will provide professional vascular
surgery services, through May 31, 2000 .
CCONT NUE12 ON A.M HME 'T: y 'i SIGNAT R � . ...,w ° � ✓` � �
RECOMMENDATION OF COUNTY ADM#NISTRATOR RECOMMENDATION OF BOARD COMMITTEE 7y-APPROVE a __OTHER
--
ACTION OF BOARD ON CJS � C' �,, �t� 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: AB STAIN: _ OF SUPERVISORS ON THE DATE SHOWN,
ATTESTED wj Cc- 1,
PHIL BATCHELOR.CLERK OF THE BOARD OF
Milt Ca:qY:i (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
Risk Management �
Auditor Controller BY � . : +sem .. o DEPUTY
Contractor