HomeMy WebLinkAboutMINUTES - 03152005 - C.71-C.75 TO: BOARD OF SUPERVISORS
FROM: William Walker M.D. Health Services Director �= �'
> •� -�- :� � Contra
By: Jacqueline Pigg, Contracts Administrator
Costa
March 1 2005 ••.
DATE. � _
S�q,COUP1'�
County
SUBJECT: Approval of Contract Amendment Agreement#74-100-7 with Elizabeth A. Lucas
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on
behalf of the County, Contract Amendment Agreement #74-100-7 with Elizabeth A. Lucas, a self-
employed individual, effective April 1,2005,to amend Contract#74-100-5, (as amended by Contract
Amendment Agreement#74-100-6)to increase the Contract Payment Limit by$1,980 from $45,050
to a new total of$47,030 with no change in the original term,through June 30,2005.
FISCAL IMPACT:
This Contract is funded 100% by Federal Substance Abuse and Mental Health Services
Administration(SAMHSA)Funds.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
On June 8, 2004, the Board of Supervisors approved Contract#74-100-5 (as amended by Contract
Amendment Agreement #74-100-6) with Elizabeth Lucas for the period from July 1, 2004 through
June 30, 2005, for the provision of evaluation services for the Mental Health Division's Children's
System of Care.
Approval of Contract Amendment Agreement #74-100-7 will allow the Contractor to provide
additional hours of services with regard to required audits,through June 30, 2005.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR ROOMM&DATION OF BOARD COMMITTEE
__ -APPROVE OTHER
SIGNATURE(S):q�t_�
ACTION OF BOARD O APPROVED AS RECOMMENDED OT ER
VOT 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
JOHN SWEETEN,CLEW OF THE BOARD OF
g
Contact Person:
Donna Wigand 957-5111 SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services Dept. (Contracts)
Auditor-Controller A 1
Risk Management BYDEPUTY
Contractor '
TO: BOARD OF SUPERVISORS
��• _.oma
FROM: William Walker, M.D.,Health Services Director •'' '.•
r.= Contra
By: Jacqueline Pigg, Contracts Administrator
Costa
DATE: March 1 2005
County
SUBJECT: Approval of Contract#74-108-55 with Theresa Baides, LCSW
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on
behalf of the County, Contract#74-108-55 with Theresa Baides, LCSW, a self-employed individual,
in an amount not to exceed $50,000, to provide Medi-Cal mental health specialty services, for the
period from April 1,2005 through June 30, 2007.
FISCAL IMPACT:
This Contract is funded by 49% State and 51% Federal FFP Medi-Cal Funds.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
On January 14, 1997, the Board of Supervisors adopted Resolution#97/17, authorizing the Health
Services Director to contract with the State Department of Mental Health to assume responsibility
for Medi-Cal mental health specialty services. Responsibility for outpatient mental health
specialty services involves contracts with individual, group and organizational providers to
deliver these services.
Under Contract #74-108-55, the Contractor will provide Medi-Cal mental health.specialty services
through June 30, 20070,
CONTINUED ON ATTACHMENT: YES SIGNATURE:
✓RECOMMENDATION OF COUNTY ADMINISTRATOR REC E ATION OF BOARD COMMITTEE
/"APPROVE OTHER
SIGNATURES :
ACTION OF BOARD �5, (^jCj APPROVED AS RECOMMENDED OT R
VOTE OF SUPERVISORS
OI 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
JOHN SWEETEN,CLERKfOF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand 957-5111
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BY LDEPUTY
Contractor
V �
To: BOARD OF SUPERVISORS
FROM: William Walker, M.D., Health Services Director
o •
. . _ - Contra
By: Jacqueline Pigg, Contracts Administrator )s
Costa
DATE:
March 1, 2005 County
°S�A,c-UN�-
SUBJECT: Approval of Contract#74-108-88 with Amber Palmer, MFT
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on
behalf of the County, Contract#74-108-88 with Amber Palmer, MFT, a self-employed individual, in
an amount not to exceed $50,000, to provide Medi-Cal mental health specialty services, for the
period from April 1, 2005 through June 30,2007.
FISCAL IMPACT:
This Contract is funded by 49% State and 51% Federal FFP Medi-Cal Funds.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
On January 14, 1997, the Board of Supervisors adopted Resolution#97/17, authorizing the Health
Services Director to contract with the State Department of Mental Health to assume responsibility
for Medi-Cal mental health specialty services. Responsibility for outpatient mental health
specialty services involves contracts with individual, group and organizational providers to
deliver these services.
Under Contract #74-108-88, the Contractor will provide Medi-Cal mental health specialty services
through June 30, 2007.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
�f RECOMMENDATION OF COUNTY ADMINISTRATOR RE MM DATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURES
ACTION OF BOARDN APPROVED AS RECOMMENDED OT R
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 ��
JOHN SWEETEN,CLE OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand 957-5111
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BY DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM:
William Walker,M.D.,Health Services Director
-= Contra
'
By: Jacqueline Pigg, Contracts Administrator
0.
. Costa
DATE. March 1, 2005 -
�� County
s�A'
SUBJECT: Approval of Contracts with Medi-Cal Mental Health Specialty Providers 73
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on
behalf of the County, Contracts specified on the attached Addendum, in an amount not to exceed
$50,000, to continue to provide Medi-Cal mental health specialty services for the period from April
15 2005 through June 30,2007.
FISCAL IMPACT:
These Contracts are funded by 49% State and 51% Federal FFP Medi-Cal Funds.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
On January 14, 1997, the Board of Supervisors adopted Resolution#97/17, authorizing the Health
Services Director to contract with the State Department of Mental Health to assume responsibility
for Medi-Cal mental health specialty services. Responsibility for outpatient mental health
specialty services involves contracts with individual, group and organizational providers to
deliver these services.
Approval of this Board Order will allow the Contractors to continue providing. Medi-Cal mental
health specialty services through June 30,2007.
CONTINUED ON ATTACHMENT. X YES SIGNATURE.
✓ RECOMMENDATION OF COUNTY ADMINISTRATOR R OM ENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURES
ACTION OF BOARD N APPROVED AS RECOMMENDED V OT ER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
V 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 VA" 115,
-:LO.5
JOHN SWEETEN,CLERK CfF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand 957-5111
CC: Health Services Dept. (Contracts)
Auditor-Controller `
Risk Management BY ; DEPUTY
Contractor
Board Order
Page 2
Contractor Contract Number
Tuong-Vi Ta,M.D., a self-employed individual 24-939-94-5
Hiawatha Harris,M.D.,Inc., a corporation 74-108-6-1
Portia Bell Hume Behavioral Health
and Training Center, a non-profit corporation 24-949-67-6
Rubino Counseling Services, a non-profit corporation 24-939-86-6
West Coast Children's Center, a non-profit corporation 24-939-45-5
Stand Against Domestic Violence,a non-profit corporation 24-939-50-6
Psychological Services Center, a non-profit corporation 74-108-23-3
TO: BOARD OF SUPERVISORS
William Walker M.D. Health Services Director s
FROM: '•,.
Contra
By: Jacqueline Pigg, Contracts Administrator -- -
Costa
DATE. March 1, 2005 _
County
SUBJECT: Approval of Contract#26-362-7 with Dobri Kiprov, M.D., Inc. 7f
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee (Jeff Smith, M.D.), to execute on
behalf of the County, Contract #26-362-7 with Dobri Kiprov, M.D., Inc., a professional corporation, in
.an amount not to exceed $600,000, for the provision of therapeutic apheresis services to patients at
Contra Costa Regional Medical Center, for the period from April 1, 2005 through March 31, 2008.
FISCAL IMPACT:
100% Enterprise I funds. Cost to the County depends upon utilization. As appropriate, patients
and/or third party payors will be billed for services.
BACKGROUND/REASON(S) FOR RECOMMENDATIONN.
On April 20, 2004, the Board of Supervisors approved Contract#26-362-4 (as amended by Contract
Amendment Agreements #26-362-5 and #26-362-6)with Dobri Kiprov, M.D., Inc. to provide the
necessary equipment and qualified professional staff to conduct therapeutic apheresis procedures at
Contra Costa Regional Medical Center, for the period from April 1, 2004 through March 31, 2005.
Approval of Contract #26-362-7 will allow Dobri Kiprov, M.D., Inc. to continue to provide therapeutic
apheresis services, through March 31, 2008.
w
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR R MME ATION OF BOARD COMMITTEE
'APPROVE OTHER
SIGNATURE (S):
ACTION OF BOARD TWIth APPROVED AS RECOMMENDED O/11ER
VOTE OF SUPERVISORS
V -1v 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
Jeff Smith, M.D. (370-5113) JOHN SWEETEN,CLERIk OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BY DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Waller,M.D.,Health Services Director Contra
Jac 4ueline Pi Contracts Administrator a; y' .
By q 99 .- _-� Costa
DATE: March 1, 2005 + .,. -.
County
SUBJECT: Approval of Contract Amendment Agreement#26-414--5 with Verena Esparza,RN
6,,7'57
SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION
"COMMIENDATIONf S}:
Approve and authorize the Health Services Director, or his designee (Jeff Smith, MD) to execute on
behalf of the County, Contract Amendment Agreement#26-414-5 with Verena Esparza,RN, a self-
employed
elf-
em to ed individual, effective March 1, 2005, to amend Contract #26-- 414-4, to increase the
Contract payment limit by $6,000, from. $45,000 to a new total of$51,000 with no change in the
Contract term through April 30,2005.
FISCAL IMPACT:
This Contract is funded 100%by Enterprise I budget.
BACKGROUND/REASON(S)FOR RECOMMENDATION S
On May 18, 2004, the Board of Supervisors approved Contract #26-41 with Verena Esparza,
RN, for the period from May 1, 2004 through April 30, 2005, for the provision of professional
enterostomal therapy services for Contra Costa Regional Medical Center.
Approval of Contract Amendment Agreement #26--414--5 will allow the Contractor to provide
additional hours of services through April 30,2005.
CONJINUEP ON LUAQHMf==Nj: YES T E
RECOMMENDATION OF COUNTY ADMINISTRATOR R OMM DATION OF BOARD COMMITTEE
�PPROVE OTHER
SIGNATURE S .
Q��
ACTION OF BOARD APPROVED AS RECOMMENDED O HER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS ABSENT y
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.
ATTES
TEDW",
JOHN SWEETEN,CLERK F THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
Jeff Sri�i�th,MD 370-5113
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BY DEPUTY
Contractor