HomeMy WebLinkAboutMINUTES - 03072000 - C.82C.83C.84 TO: BOARD OF SUPERVISORS ,
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FROM: William Walker, M.D. , Health Servi%ees firector r.�. Contra
By. Ginger Marieiro, Contracts Administrator
Costa
DATE: February 9, 2000
County
SUBJECT. Approval of Contract #27-180-1 with Troung Thi Bach, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)3 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 #27-180-1 with Troung Thi Bach, M.D. ,
for the period from January 1, 2000 through December 31, 2001, for provision of
primary care services for Contra Costa Health Plan members, to be paid as follows :
L For Medi-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%n. 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. County will pay a quarterly case management fee,as follows:
Panel Size* Quarterly Fee
1 to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Family Program Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 10%. In the event rate increases are subsequently approved by the State of California and are included in the County's Health Pian
capitated payment,County will thereafter increase the rates County pays to Contractor accordingly.
3. For Plan B Commercial Members. County will pay Physicians for covered services, those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. 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 member premiums . Costs depend
upon utilization.
BACKGROUNDIREASON(S) FOR RECOMMENDATION(S) :
On February 1, 1997, the Local Initiative for Medi-Cal managed care in Contra
Costa County was implemented. Local Initiatives are required to include
traditional Medi-Cal providers from the community in their provider networks .
On January 28, 1997, the Board of Supervisors approved Contract #27-180 with
Troung Thi Bach, M.D. , for the period from February 1, 1997 through December 31,
1999, for provision of primary care services.
Approval of Contract #27-180-1 will allow the Contractor to provide services to
Health Plan members, through December 31, 2001 .
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S): //
ACTION OF BOARD ON MI LL4 7 olceo APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X 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 lJ - eey0
PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY ). )p7''1gZ, DEPUTY
Contractor
TO: BOARD OF SUPERVISORS ^ `�.+'•j,�,, � /s/'
FROM: William Walker, M.D. , Health Services Director 'f Contra
By: Ginger Marieiro, Contracts Administrator
Costa
DATE: February 9, 2000 County
SUBJECT: Approval of Contract #27-161-1 with William Johnson, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)i 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 #27-161-1 with William Johnson, M.D. ,
for the period from January 1, 2000 through December 31, 2001, for provision of
primary care services for Contra Costa Health Plan members, to be paid as follows :
1. For Medl-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%. 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. County will pay a quarterly case management fee,as follows:
Panel Size* Ouarterly Fee
1 to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Family Program Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 10%. 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.
3. For Plan B Commercial Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. In the event rate increases are subsequently approved by the State of California and are included in the County's Health Pian
capitated payment,County will thereafter increase the rates County pays to Contractor accordingly.
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums . Costs depend
upon utilization.
BACKGROUND/REASON(S) FOR RECOMMENDATION(3) :
On February 1, 1997, the Local Initiative for Medi-Cal managed care in Contra
Costa County was implemented. Local Initiatives are required to include
traditional Medi-Cal providers from the community in their provider networks .
On January 28, 1997, the Board of Supervisors approved Contract #27-161 with
William Johnson M.D. , for the period from February 1, 1997 through December 31,
1999, for provision of primary care services .
Approval of Contract #27-161-1 will allow the Contractor to provide services to
Health Plan members, through December 31, 2001 .
CONTINUE12
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATIJRECM:
ACTION OF BOARD ON. _1 f 1' GjLtL7 APPROVED AS RECOMMENDED ,X' OTHER
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. as —C`
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Milt Camhi (313-6004)
t CC: Health Services(Contracts)
Risk Management
Auditor Controller By -221 z2lazdati� DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director ..�. Contra
By: Ginger Marieiro, Contracts Administrator
DATE: February 16, 2000 COs#a
Costa
SUBJECT: Approval of Contract #27-201-3 with Francis Muller, Jr. , 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 #27-201-3 with Francis
Muller, Jr. , M.D. , for the period from January 1, 2000 through December 31,
2000, for the provision of professional psychiatric services, to be paid as
follows :
1 . ,$100 . 00 per initial 45-50 minute therapy session; and
2 . 70 . 00 for each additional 45-50 minute therapy session.
FISCAL IMPACT:
This Contract is funded by Contra Costa 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 3) :
The Contra Costa Health Plan (Health Plan) has an obligation to provide
professional psychiatric services for Health Plan members with mental
health therapy services as a covered benefit . This population includes
Medi-Cal, Medicare, and Commercial members enrolled in the Health Plan.
On February 23 , 1999, the Board of Supervisors approved Contract #27-201-2
with Francis Muller, Jr. , M.D. , for the period from January 1, 1999 through
December 31, 1999 .
Approval of Contract #27-201-3 will allow the Contractor to continue to
provide professional psychiatric services, through December 31, 2000 .
CONTINUED ON AUAQHMENT: Ykl� SIGNATURE,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE{S1:
ACTION OF BOARD ON-- 1CP P- �i c 4G� 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 G2r'i% 7 7j 706)0
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: '''Milt Camhi (313-6004)'
t CC: Health Services(Contracts)
Risk Management
Auditor ControllerBY _ C e _ DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director
By: Ginger Marieiro, Contracts AdministratorContra
DATE: February 15,2000 Costa
County
SUBJECT:
Approval of Contract #27-209-3 with Ronald Leon, 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 #27-209-3 with Ronald
Leon, M.D. , for the period from January 1, 2000 through December 31, 2000,
for the provision of professional psychiatric services, to be paid as
follows :
1 . $100.00 per initial 45-50 minute therapy session; and
2 . 70 .00 for each additional 45-50 minute therapy session.
FISCAL IMPACT:
This Contract is funded by Contra Costa 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 Contra Costa Health Plan (Health Plan) has an obligation to provide
professional psychiatric services for Health Plan members with mental
health therapy services as a covered benefit . This population includes
Medi-Cal, Medicare, and Commercial members enrolled in the Health Plan.
On January 19, 1999, the Hoard of Supervisors approved Contract #27-209-2
with Ronald Leon, M.D. , for the period from January 1, 1999 through
December 31, 1999 .
Approval of Contract #27-209-3 will allow the Contractor to continue to
provide professional psychiatric services, through December 31, 2000 .
CONIINUED ON 6TTACHM9N1: YAW—. SIQNATURE_,(Z_-",
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATJR01): /
ACTION OF BOARD ON 14910 C.h �_ c?000 APPROVED AS RECOMMENDED
OTHER
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 1 a-t"
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Milt Camhi. (313-5004)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY c C cmc .__ DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
William Waller, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator yf ,.�. Contra
Costa
DATE: February 16, 2000 County
SUBJECT: Approval of Contract #27-275-3 with California Heart 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 #27-275-3 with
California Heart Medical Group, for the period from February 1, 2000 through
January 31, 2001, for the provision of professional cardiac surgery 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.
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 .
BACKGRO'UNII/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
Individual and Group Health Plan membership contracts with the County.
On April 20, 1999, the Board of Supervisors approved Contract #27-275-2 with
California Heart Medical Group, for the period from February 1, 1999 through
January 31, 2000 .
Approval of Contract #27-275-3 will allow the Contractor to continue to
provide professional cardiac surgery services to Contra Costa Health Plan
members, through January 31, 2001 .
CONTINUED ON ATTAQHMENT--- i GSC• 1r £ r
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE($): j
ACTION OF BOARD ON 1"a t-& '7, d 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 o ' t Ct i— Gr c�Jv LTJ
PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY CGt , , -,DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director ,•,, ;
By: Ginger Marieiro, Contracts Administrator Contra
Costa
DATE: February 16, 2000 County
SUBJECT: Approval of Contract #27-420 with Monaca Wood, M. F. C.C.
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 #27-420 with Monica
Wood, M. F.C.C. , for the period from January 1, 2000 through December 31,
2000, for the provision of professional outpatient psychotherapy
services, to be paid in accordance with the rate set forth below:
1 . $50 .00 per 45-50 minute individual therapy session;
2 . $50 .00 per 45-50 minute family therapy session;
3 . $20. 00 per individual in a 45-50 minute group therapy
session of two (2) to five (5) persons; and
4 . $15 »00 per individual in a 45-50 minute group therapy
session of six (6) or more persons .
FISCAL IMPACT:
This Contract is funded by Contra Costa Health Plan member premiums .
Costs depend upon utilization. As appropriate, patients and/or third
party payors will be billed for services .
BACKGROUNDlREASON(S) FOR RECOMMENDATION(S} :
The Contra Costa Health Plan (Health Plan) has an obligation to provide
professional outpatient psychotherapy services for Health Plan members
with mental health therapy services as a covered benefit . This
population includes Medi-Cal, Medicare, and Commercial members enrolled
in the Health Plan.
Under Contract #27-420 Monica Wood, M. F.C.C. will provide outpatient
psychotherapy services to Contra Costa Health Plan members with mental
health therapy services as a covered benefit, through December 31, 2000 .
TI w
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SICNATUREM:
ACTION OF BOARD ONd lr t LSA) APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT l 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 12 7j a?00 U
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Verson: Milt Camhi (313-6004)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY � DEPUTY
Contractor
TO: BOARD OF SUPERVISORS +
FROM: William Walker, M.D. , ealth � e 'ic ctor •� ��:�- Contra
Ginger Marieiro, Contracts Administrator
Costa
DATE: February 16, 2000 County
SUBJECT:
Approval of Contract #27-410-1 with Sycamore Medial Group, Inc .
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)i 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 427-410-1 with Sycamore Medical
Group, Inc. , for the period from October 1, 1999 through September 30, 2000 , for
provision professional primary care services for Contra Costa Health Plan members,
to be paid as follows :
I. For Medi-Cal Beneficiaries:
a. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect on August 1, 1998 plus
5%. 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. County will pay a quarterly case management fee,as follows:
Panel Size* Ouarterly Fee
1 to 499 $3.00 per beneficiary per quarter
500 to 999 $3.25 per beneficiary per quarter
1000 or more $3.50 per beneficiary per quarter
*Panel Size is the number of Medi-Cal beneficiaries receiving treatment by Contractor during each quarter as specified in the "CCHP's Community
Provider Network Primary Care Providers Compensation Plan".
2. For Healthy Family Program Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances
in effect on August 1, 1998 plus 10%. 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.
3. For Plan B Commercial Members. County will pay Physicians for covered services,those rates set forth in the Medi-Cal Schedule of Maximum Allowances in
effect on August 1, 1998 plus 20%. 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 .
BACKGROUND/REASON(S)_ FOR RECOMMENDATION W :
On December 1, 1998, the Board of Supervisors approved Contract #27-410 with
Sycamore Medical Group, Inc. , for the period from October 1, 1998 through
September 30, 1999, for provision of professional primary care services for Health
Plan members.
Approval of Contract #27-410-1 will allow the Contractor to continue to provide
professional primary care services to Health Plan members, through September 30,
2000 .
CONTINUED ON ATTACHMENL �gff SIGNATURA-
40
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATUSEM:
ACTION OF BOARD 7, .2000 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 +?1--6-4 -21
PHIL BATCHELOR,CLERK OF THE BOARD OF
CantactPersan: Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller BYE J` �tC. , --
,DEPUTY
Contractor
TO: BOARD OF SUPERVISORS `
FROM: William Walker, M.D. , Health Services Director a
By: Ginger Marieiro, Contracts Administrator Contra
DATE: Costa
February 14, 2000 Costal/
SUBJECT: Approval of Contract 427-141-4 with Robert Evans, Ph.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 #27-1.41-4 with Robert
Evans, Ph.D. , for the period from January 1, 2000 through December 31,
2000, for the provision of professional outpatient psychotherapy services,
to be paid as follows :
$50 . 00 per 45-50 minute individual therapy session.
FISCAL IMPACT:
This Contract is funded by Contra Costa 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 Contra Costa Health Plan (Health Plan) has an obligation to provide
professional outpatient psychotherapy services for Health Plan members with
mental health therapy services as a covered benefit . This population
includes Medi-Cal, Medicare, and Commercial members enrolled in the Health
Plan.
On January 5, 1999, the Hoard of Supervisors approved Contract #27-141-3
with Robert Evans, Ph.D. , for the period from January 1, 1999 through
December 31, 1999 .
Approval of Contract #27-141-4 will allow the Contractor to continue to
provide professional outpatient psychotherapy services, through December
31, 2000 .
CONTINUED SI N +
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S): ii
ACTION OF BOARD ON �t2 P-C_ moi + 10 0 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..1112
PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person: Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY.� -,DEPUTY
Contractor
TO: BOARD OF SUPERVISOR ego
William Walker, M, . , Hey lh�vc' Director
FROM: By: Ginger Marieiro, Contracts AdministratorContra
DATE: February 9, 2000 Costa
County
SUBJECT: Approval of Contract #27-358-2 with John Scarsella, DPM (dba
Richmond Foot Clinic)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)3 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 #27-358-2 with John
Scarsella, DPM (dba Richmond Foot Clinic) , for the period from January 1,
2000 through December 31, 2000, for the provision of professional podiatry
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.
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) :
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.
On December 15, 1998, the Board of Supervisors approved Contract #27-358-1
with John Scarsella, DPM (dba Richmond Foot Clinic) , for the period from
January 1, 1999 through December 31, 1999 .
Approval of Contract #27-358-2 , will allow the Contractor to provide
professional podiatry services to Contra Costa Health Plan members, through
December 31, 2000 .
1IQ.URE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVEOTHER
SIGWURE(S):
ACTION OF BOARD ON t r20o.0 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 � d4CJ
PHIL BATCHELOR,CLERK OF THE BOARD OF
ContactPerson.Milt Camhi (313-6004) SUPERVISORS AND COUNTY ADMINISTRATOR
t CC: Health Services(Contracts)
Risk(Management
Auditor Controller By . DEPUTY
Contractor
TO: BOARD OF SUPERVISORS ,
FROM. William Walker, M.D. , Health Services Director Contra
By: Ginger Marieiro, Contracts Administrator
Costa
DATE: February 9, 2000 County
suBJECTApproval of Contract #27-137-3 with Catholic Counseling
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 #27-137-3 with Catholic Counseling,
for the period from January 1, 2000 through December 31, 2000, for the provision
of professional outpatient psychotherapy services, to be paid as follows :
a. $ 30.00 per individual therapy session for sessions 1 through 19 (Licensed Therapist) ;
$ 20.00 per individual therapy session for sessions 1 through 19 (Intern) ;
$ 25.00 per individual therapy session for sessions 20 and over (Licensed Therapist) ;
$ 15.00 per individual therapy session for sessions 20 and over (Intern) ;
b. $ 15.00 per group therapy session (Licensed Therapist) ;
$ 5.00 per group therapy session (Intern) ;
C. $ 40.00 per 50 minute family therapy session (Licensed Therapist) ;
$ 90.00 per 50 minute family therapy session (Intern) ;
$ 55.00 per 90 minute family therapy session (Licensed Therapist) ;
$ 45.00 per 90 minute family therapy session (Intern) ;
d. $ 30.00 per hour for psychological testing, scoring, or report writing;
$ 30.00 per hour for conferences; and
e. $ 60.00 per 90 minutes of Eye Movement Desensitization
FISCAL IMPACT:
This Contract is funded by Contra Costa 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 Contra Costa Health Plan (Health Plan) has an obligation to provide
professional outpatient psychotherapy services for Health Plan members with mental
health therapy services as a covered benefit . This population includes Medi-Cal,
Medicare, and Commercial members enrolled in the Health Plan.
On January 5, 1999, the Board of Supervisors approved Contract #27=-137-2 with
Catholic Counseling, for the period from January 1, 1999 through December 31,
1999 .
Approval of Contract #27-137-3 will allow the Contractor to continue to provide
professional outpatient psychotherapy services, through December 31, 2000 .
I
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATUREM y�,� /
ACTION OF BOARD ON J � !t -C 4 ?I 2Q0 0 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT 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 1y't'f__h 7 rC�C7�2
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Milt Camhi (313-6004)
CC: Health Services(Contracts)
Risk Management
Auditor Controller BY DEPUTY
Contractor