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HomeMy WebLinkAboutMINUTES - 05022000 - C33-C38 TO: BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator Gkol OCltl`a DATE: April 19, 2000 Costa COtJ11�( SUBJECT: Approval of Contract #27 332-1 with Elizabeth Odu , .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 #27-332-1 with Elizabeth Odumakinde, M.D. , for the period from April 1, 2000 through. March 31, 2001, for the provision of professional oncology/hematology 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. Under Contract #27-332-1, the Contractor will provide professional oncology/hematology services to Contra Costa Health Plan members, through March 31, 2001 . CONTINQEDC S A 1 .c RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE '''APPROVE OTHER SIGN URE(S): ACTION OF BOARD OZ22a_,evcX 600 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS {ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE 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_ / / t G / 07 o 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 SUPERVISORS William Walker, M.D. , Health Services Director ; FROM: By: Ginger Marieiro, Contracts Administrator ° '` .J` Contra Costa DATE: April 19, 2000 County SUBJECT: Approval of Novation Contract #24-018-5 with Bonita House SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION RECOMMENDATIOS} : Approve and authorize the Health Services Director or his designee (Donna Wigand) to execute on behalf of the County, Novation Contract #24-818-5 with Bonita House, for the period from April 1, 2000 through March 31, 2001, in the amount of $127, 837, for the provision of dual diagnosis social rehabilitation residential services . This contract includes a six-month automatic contract extension through September 30, 2001, in the amount of $69, 919 . FISCAL IMPACT: This Contract funded as follows : $ 35, 000 27 .4% Federal FFP Funds 92 , 837 72 . 65 Mental Health Realignment $127, 837 Total BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : it is estimated that as many as 80% of persons with a serious mental illness also have a substance abuse problem, making this contract crucial under managed care . Bonita House is the only program of its type in the Bay Area and has received national recognition. On April 20, 1999, the Board of Supervisors approved Novation Contract #24-818-4 with Bonita House, for the period from April 1, 1999 through March 31, 2000, which included a six-month automatic contract extension through September 30, 2000, for the provision of dual diagnosis social rehabilitation residential services. This Novation Contract #24-818-5 replaces the six-month automatic contract extension under the prior Contract, and allows Contractor to continue providing services through March 31, 2001 . I UU' t .L— '°" RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD OfJt"9 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE R UNANIMOUS (ABSENT _±__.E 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 l I PHIL BATCHELOR,CLERK OF THE BOARD 4F SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand, L.C.S.W. (313-6411) CC: Health Services(Contracts) Risk Management Auditor Controller By� —,DEPUTY Contractor 4' TO: BOARD OF SUPERVISORSX35 �,� a William Walker, M.D. , Health Service��'���} irector FROM: By: Ginger Marieiro, Contracts Administrator a Contra April 19, 2000 Costa DATE: Counter SUBJECT: Approval of Contract #23-244-3 with DB Specialists SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTI CATION RECOMMENDATIONS Approve and authorize the Health Services Director to execute on behalf of the County, Contract #23-244-3 with DB Specialists, in the amount of $185, 000 for the period from July 1, 2000 through June 30, 2001, for the provision of temporary computer programmers/analysts for the Department' s Information Systems. FISCAL IMPACT: Funding for this Contract is included in the Department' s Enterprise I budget . BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : On May 18, 1.999, the Board of Supervisors approved Contract #23-244-2 with DB Specialists, to provide temporary computer programmers/analysts for the Department' s Information Systems, for the period from July 1, 1999 through June 30, 2000 . Approval of Contract #23-244-3 will allow the Contractor to continue providing services through June 30, 2001 . UTT T: SIG_ R ±' RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD 00 en 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 �' ' /G�_ / , 1210d t'J PHIL BATCH OR,CLERK OF THE BOARD OF Contact person: William Walker, M.D. (370_5010) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BYE- - _,DEPUTY Contractor TO: BOARD OF SUPERVISORS FROM: William Walker, M. . , Health Director ; By: Ginger Marieiro, Contracts Administrator `� Contra DATE: April 19, 2000 Costa County SUBJECT: Approval of Contract #26-961.--1 with the Women' s Cancer Center SPECIFIC REQUEST(S)OR RECOMMENDATION(S)3 BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Contract #26-961-1 with the Women' s Cancer Center (Specialty: Obstetric/ Gynecology) , in the amount of $40, 000, for the period from May 1, 2000 through April 30, 2001 . FISCAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services . BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics . On July 20, 1999, the Board of Supervisors approved Contract #26-961 with the Women' s Cancer Center, for the period from May 1, 1999 through April 30, 2000, to provide Obstetric and Gynecology surgical services, including, but not limited to pre-operative and post- operative care of patients, twenty-four hour on-call coverage services, and in-service training for Registered Nurses at Contra Costa Regional Medical Center and Contra Costa Health Centers . Approval of Contract #26-961.-1 will allow Contractor to continue providing services through April 30, 2001 . SIGNATURE R COMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE v 1�PPROVE OTHER SIGN UR ACTION OF BOARD APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS KI HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT " ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED !' 91M0 PHIL BATCH�LOR,CLERK OF THE BOARD OF Contact Person: Frank Puglisi, Jr. (370-5100) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY , ,t U ,- Contractor DEPUTY TO: BOARD OF SUPERVISORS C FROM: William Walker, M.D. , Health Services Director ,•f By: Ginger Marie'ro, Contracts Administrator Contra DATE: April 19, 2,0,, , Costa County SUBJECT: Approval of Agreement #26-023-65 with the U.S. Department of Veterans Affairs SPECIFIC REQUEST(S)OR RECOMMENDATION($)i BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee (Frank Puglisi, Jr. ) , to execute on behalf of the County, Agreement #26-023-65 with the U.S. Department of Veterans Affairs, Northern California Health Care System (VANCHCS) , for the period from January 1, 2000 through December 31, 2000, to be paid in accordance with the attached fee schedule. FISCAL IMPACT` This Contract is funded in the Health Services Department' s Enterprise I Budget. The services provided for the County's patients under this Contract are billable to patients and third party payors. VANCHCS will pay County a fee for service in accordance with the attached fee schedule. BACKGROUNDIREASON(S) FOR RECOMMENDATION(S) : For many years the County and U. S. Department of Veterans Affairs have maintained a mutual sharing agreement which has made available to the County specialized medical services not otherwise available due to lack of resources, equipment, and personnel. These services included specialized laboratory testing, radiology services, nuclear medicine studies, CT scans, MRI 's, dermatology, gastroenterology, urology, audiology and speech, and ophthalmology services. The County provided Emergency Room treatment and inpatient care, including certain ancillary services, for VA-referred patients. Approval of Contract #26-023-65 will allow Contra Costa Regional Medical Center to provide Emergency services, and Inpatient and Outpatient medical and surgical services to patients referred by VANCHCS, through December 31, 2000. The Contract documents have always been prepared by the Veterans Administration and require final approval from the Department of Veterans Affairs in Washington, D.C. CONTItlUEDQ HMENT: 6Q SIQNATUR��eg.4_) S RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE ,� APPROVE OTHER Sm UREQ: ACTION OF BOAR APPROVED AS RECOMMENDED X 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__- / 24 ---2Q0f2 PHIL BATCH LOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Funk Puglisi, Jr. (370-5100) CC: Health Services(Contract) Auditor-Controller Risk Management o -, DEPUTY Contractor kKP 261-0082-00 Inpatient/Outpatient Services SECTION B SUPPLIES OR SERVICES AND PRICES/COSTS BASE YEAR: January 1, 2000 through June 30, 2000 Contra Costa Regional Medical Center(CCRMC), shall provide Healthcare Services, as defined herein, to beneficiaries of the Department of Veterans Affairs (VA) in accordance with the reimbursement schedule identified below: A. INPATIENT MEDICAL AND SURGICAL SERVICES Al inpatient Medical and Surgical Services shall be reimbursed at a per diem rate. $1,200.00_ Per Diem A2 inpatient Professional Services shall be reimbursed at the current Medicare RBRVS, less the discount Thirty-two(32) percent discount indicated herein. B. OUTPATIENT SERVICES BI Outpatient Medical and Surgical Services shall be reimbursed at the current Medicare Reimbursable Thirty-two(32) percent discount Rate(%of charges), less the discount indicated herein. 132 Outpatient Professional Services shall be reimbursed at the current Medicare RBRVS, less Thirty-two_(32) percent discount the discount indicated herein. Estimated Annual Total: $ 2 RFP 261-0082-00 R f 4 Inpatient/Outpatient Services " SECTION B SUPPLIES OR SERVICES AND PRICES/COSTS OPTION YEAR 1: July 1, 2000 through December 31, 2000 Contra Costa Regional Medical Center(CCRMC), shall provide Healthcare Services, as defined herein, to beneficiaries of the Department of Veterans Affairs (VA) in accordance with the reimbursement schedule identified below: A. INPATIENT MEDICAL AND SURGICAL SERVICES A l inpatient Medical and Surgical Services shall be reimbursed at a per diem rate. $1,200.00 Per idem A2 Inpatient Professional Services shall be reimbursed at the current Medicare RBRVS, less the discount Thirty-two(32) _ percent discount indicated herein. B. OUTPATIENT SERVICES B I Outpatient Medical and Surgical Services shall be reirnbursed at the current Medicare Reimbursable Thirty-two(32) percent discount Rate(% of charges), less the discount indicated herein. B2 Outpatient Professional Services shall be reimbursed at the current Medicare RBRVS, less Thirty-two(32) percent discount the discount indicated herein. Estimated Annual Total: S ESTIMATED QUANTITIES The following represents the estimated number of monthly and annual patient referrals that may be made under the terms of this contract. These estimates are provided for information purposes only and are not intended to imply or guarantee any fined number of referrals. A. January 1,2000 through December 31,2000 # Description Quantity Unit Annual Total (Referrals) (Referrals) 1 Emergency/Maternity Services(Outpatient) 15 Month 180 2 Medicine Services(Inpatient) 40 Month 480 3 Surgery Services(Inpatient) 15 Month 180 4 Psychiatric Services Acute/Crisis(Inpatient) 5 Month 60 Estimated Total Referrals 75 900 3 TO: BOARD OF SUPERVISORS + FROM: William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator Contra Costa DATE: April 19, 2000 County SUBJECT: Approval of Contract Amendment Agreement #22-601-5 with Roger Way SPECIFIC REQUESTS)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee (Wendel Brunner, M.D. ) to execute on behalf of the County, Contract Amendment Agreement #22-601-5 with Roger Way, effective April 1, 2000, to amend Contract #22-601-2 (as amended by. Contract Amendment Agreements #22-601-3 and #22-601-4) to increase the Contract Payment Limit by $10, 000, from $35, 000 to a new Contract Payment Limit of $45, 000, and extend the term through May 31, 2001. FISCAL IMPACT• This Contract is 100% County funded. BACRGROUNDIREASON(S) FOR RECOMMENDATION(S) : In July, 1998, County Administrator approved and the Purchasing Services Manager executed Contract #22.601-2 (as amended by Contract Amendment Agreements #22-601-3 and #22-601-4) with Roger Way, for the period from June 1, 1998 through May 31, 2000, for the provision of consultation and technical assistance to the department with regard to fundraising for the Center for Health in North Richmond. Approval of Contract Amendment Agreement #22-601-5 will allow the Contractor to provide additional hours of service through May 31, 2001. RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMdINDATION OF BOARD COMMITTEE L--APPROVE OTHER SIGNATUR (S): Q�2�- ACTION OF BOARD ON r�Cl L9 d APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT J5� ) 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 C2i r�?OCI0 PHIL BATCHELOR,CLERK OF THE BOARD OF Contact Person: Wendel Brunner, M.D. (313-6712) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contract) Auditor-Controller Risk Management BY C , DEPUTY Contractor