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TO: BOARD OF SUPERVISORS `
FROM: William Walker,M.D.,Health Services Director w
Contra
By: Jacqueline Pigg, Contracts Administrator
Costa
DATE: March 23, 2004 County
SUBJECT: Approval of Contract Amendment Agreement#74-207-2 with Center for Human Development
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SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Maven Feam) to execute on
behalf of the County, Contract Amendment Agreement #74-207-2 with Center for Human
Development, a non-profit corporation, effective January 1, 2004 to amend Contract#74-207-1 with
no change in the Contract payment limit of $124,993, and no change in the contract terra of January
1, 2004 through December 31, 2004.
FISCAL IMPACT:
TvTonne, This Contract is funded 100% by Federal "Drug Free Schools" through the California
Department of Alcohol and Drug Programs(ADAP).
BACKGROUND/REASON(S))FOR RECOMMENDATIONN:
On January 6, 2004,the Board of Supervisors approved Contract##74-207--1 with Center for Human
Development for the period from January 1, 2044 through December 31, 2004; for the provision
of Alcohol and Drug Abuse Primary Prevention Program Services to County referred residents.
Approval of Contract Amendment Agreement#74-207-2 will reform the Contract to make technical
adjustments mandated by the State ANAP, and will allow the Contractor to continue providing
services through December 31,2004.
RECOMMENDATION OF COUNTY ADMINISTRATOR s RECOMMENDATION OF BOARD COMMITTEE
-APPROVE _OTHER
ACTION OF BOARD N ? ', ' s !:i _ APPRL7VEL?AS RECOMMENDED
OTHER
s �
VOTE.C)F SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT s r ANIS CORRECT COPY OF AN ACTION TAKEN
AYES: , } •- AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED s A— u
J6f,N WEETEN,CLERK OF TA-IE BOARD O
SUPERVISORS AND COUNTk"ADMINISTRA OR
Contact Person: Haven Fearn 313-6350
CC: Health Services Dept. {Contracts} +f.
Auditor-Controller x f ,. {r f
r DEPUTY
Risk Management BY
Contractor
WILLIAM B. WALKER, M.D. CONTRA COSTA
HEALTH SERVICEs DIRECTOR ALCOHOL AND
HAVEN FEARN OTHER DRUGS SERVICES
DIRECTOR
_ 597 Center Avenue, Suite 320
CONTRA COSTA Martinez, California
yax ( 25) 313639HE
HEALTH SERVICES Fax 9 - 0
TO: Dr. William Walker M.D.
Health Services Director
Att: Jacqueline Pigg, Contracts and Grants Administrator
FROM. Haven Fearn 0
Alcohol and tither Drugs Services, director
RE: SDFSC Contract Amendment
DT: March 24, 2004
The purpose of this letter is to request a contract amendment for the two Safe and Drug Schaal
Free Schools and Communities (SDFSC) Contracts: #74-2.06-1 and #74-2.07-1. Both contracts
were approved by the Board of Supervisors last January based on fee for service, to deliver AOD
primary prevention services to the residents of Bay Point and Rodeo under the No Child Left
Behind Act. The two Contracts are 100% Federally funded. No county funds are required, no
changes in payment limit, and there are no changes on program delivery.
The terms and conditions of the SDFSC County Grant program, estipulate reimbursement of the
federal funds allocated for the services in arrears, for actual allowable costs incurred under this
grant program. The State Alcohol and Drug Programs (ADP) has requested that we amend both
contracts from a fee for service to cost reimbursement effective January 1, 2004.
If you have any questions regarding this request or need additional documentation please
contact me at (925)3 .3-6350.
.Contra Costa Alcohol and Other Drugs Services.Contra Costa Emergency Medical Services.Contra Costa Environmental Health.Contra Costa Health Plan
•Contra Costa Hazardous Materials.Contra Costa Mental Health.Contra Costa Public Health.Contra Costa Regional Medical Center.Contra Costa Health Centers.
TO: BOARD OF SUPERVISORS
FROM: Gilliam Walker, M. D. , Health Services Director ContraBy: Jacqueline Pigg, Contracts Administrator Costa
DATE: April 6, 2004 County
SUBJECT: Approval of Contract Amendment Agreement #26-911-16 C0917
with Thomas B. .Hargrave III, M. D.
SPECIFIC REQUEST{S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECt9=NIDAT ION(S) :
Approve and authorize the Health Services Director, or his designee,
(Jeff Smith, M. D. ) to execute on behalf of the County, Contract
Amendment .Agreement #26-911-16 with Thomas B. Hargrave III, M. D. , a
self-employed individual, (specialty: Gastroenterology) , effective
May 1, 2004, to amend Contract #26-911-15, to increase the total
Contract Payment Limit by $75, 000 from $25, 000 to a new total of
$100, 000, with no change in the original term of the Contract through
January 31, 2005.
FISCAL SCAL ZIRACT:
Cast to the County depends upon utilization. As appropriate,
patients and/or third party payors will be billed for services .
BAG'XGR0UND/PXAS0NtSj F-OR RECOI+ ENAAT10 (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 March 23, 2004, the Board of Supervisors approved Contract #26-
911-15 with Thomas B. Hargrave III, M. D. , for the period from March
1, 2004 through January 31, 2005, to provide professional
Gastroenterology services, including clinical coverage, teaching, and
medical and/or surgical procedures.
Approval of Contract Amendment Agreement #26-911-16 will allow
Contractor to provide additional services through January 31, 2005.
r~;
CONTINUED ON ATTRSIGNATURE: f t
r '
RECOMMENDATION OF COUNTY ADMINISTRATOR RE gomMENDATION OF BOARD COMMITTEE
'`'APPROVE OTHER /
SIGNATURE
ACTION OF BOARD APPROVED AS RECOMMENDED OTHER
VOTF_OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS {ABSENT`{rs ' AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOE AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED 'F ;.�2
-J
JOHN SYVEETEN,CLERK OFTE BOARD O
SUPERVISORS AND COUNTY ADMINISTRAYOR
ContactPerson: Jeff Smith, M.D. (370=5110
CC: Health Services Dept. (Contracts) -Y
Auditor-Controller
Risk Management BY °j�-�'i � �. 1''ti �- � ' DEPUTY
Contractor
To: BOARD OF SUPERVISORS
FROM: William Walker, M.D., Health Services Director -" '. Contra
By. Jacqueline Pigg, Contracts Administrator Costa
DATE: April 6, 2004 County
SUBJECT: Approval of Contract Amendment Agreement#27277-5 with Kaiser Foundation Health Plan
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECSA'Y`i10tel:
Approve and authorize the Health Services Director, or his designee (Milt Cahi), to execute on behalf of
the County, Contract Amendment Agreement #27277.5, with Kaiser Foundation Health Plan, a non-
profit corporation, effective April 1, 2004, to amend Contract#27.2774, to increase the Payment Limit by
$1,700,000 from $5,500,000 to a new Payment Limit of$7,200,000 with no change in the original term
through.September 30, 2004.
FISCAI YX4PAC-'r:
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.
BACKMOT TI ' IREAA,, ON(S) OR-REC�''y€M NT7A f T(CN411g):
On January 27, 2004, the Board of Supervisors approved Contract#27.277-4 with Kaiser
Foundation Health Plan, Inc., for the period from October 1, 2003 through September 30, 2004,
for the provision of health care services for Medi-Cal recipients enrolled in Kaiser Foundation
Health Plan.
Kaiser Foundation Health Plan has been a traditional provider of health care services to Medi,Cal
beneficiaries in Contra Costa County. With the implementation of the Local Initiative for Medi,
Cal managed care, Kaiser, in order to continue to enroll Medi-Cal members, must affiliate with
the Local Initiative. The affiliation arrangement allows Medi-Cal recipients to choose Contra
Costa Health Plan as their managed care plan, and designate Kaiser as their provider.
Approval of Contract Amendment Agreement#27.27 75 will allow the Contractor to provide
services to additional Medi-Cal recipients, through September 30, 2004.
X.
1 f
Z4"RECt,Jl�MENDATION of COUNTY ADMINISTRATOR � REC MENDATION OF 130ARD COMMITTEE
�,,..•APPROVEOTHER
S1Q,' 6T—UREtSI;
ACTION OF BOARD OIC{ s r�_ #f p > .. APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
%' I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT t• AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOWE '
_ AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: _ OF SUPERVISORS ON THE DATE.SHOWN.
ATTESTED . �, '
JOHN SWEETEN,CLERK OF Ti E BOARD OF d
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: milt Camhi (313-6004)
CC: Health Services Dept. (Contracts)
AIJCiltC31'-Conitolier ,/� , � � t r l `�---�. ��.�
Risk Management BY� { ~' �_ DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker,M.D.,Health Services Director Contra
By: Jacqueline Pigg,Contracts Administrator
Costa
DATE. March.23, 2004 County
SUBJECT: Approval of Contract Amendment Agreement#27528--3 with CorVel Corporation /W1
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Milt Camhi) to execute on
behalf of the County, Contract Amendment Agreement #27-528--3 with CorVel Corporation, a
corporation, effective April 1, 2004 to amend Contract#27-528-1 to increase the Contract payment
limit by $75,000, from $200,000 to a new total of$275,000 with no change in the Contract term,
through.April 30,2044.
FISCAL IMPACT:
This Contract is funded by Health Plan member premiums. The Contractor will be paid for its
services on a contingent fee basis at a rate not to exceed 30%of the amount that County saves due
to the Contractor processing the claim.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
On May 13, 2003, the Board of Supervisors approved Contract #27-528-1 with CorVel
Corporation for the period from May 1, 2003 through April 30, 2004, to provide claims
processing and negotiation services, on behalf of the County, to secure discounted rates for out-
of-network provider claims. The Contractor is paid on a commission basis for any amount that
County saves as a result of negotiation services.
Approval of Contract Amendment Agreement 427-528-3 will allow the Contractor to provide
additional claims processing and negotiation services through April 30, 2004.
i
CQNTJNUEQ ON 6=HMENT: YES
r_s
.-SIONATURv
.' RECOMMENDATION OF COUNTY ADMINISTRATOR If RI OMMENDATiON OF BOARD COMMITTEE
_ --APPROVE OTHER '
l NAT RE -
ACTION OF BOARDNL ? . APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT' x AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOE AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
" if 4�iJ ---
P ; A
ATTESTED s. �< .!-
JOHN 1VEETEN,CLERK OF THZ BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:. Milt Camhi 313-6004
CC: Health Services Dept. (Contracts)
Auditor-Controller t r'
Risk Management 8Y ._N::._ DFPUTN
Contractor