HomeMy WebLinkAboutAgreement A-13-713-2 with the Counties of Merced and Fresno.pdf
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AMENDMENT No. 02
TO
CONTRACT NO. 2014007
BETWEEN
COUNTY OF MERCED
AND
COUNTY OF FRESNO
THIS Amendment to Contract No. 2014007, is executed by and between the County of
Merced, a political subdivision of the State of California, (hereinafter called "MERCED"), and
County of Fresno (hereinafter called "FRESNO").
This Amendment is hereby annexed to and made a part of the printed part of the Agreement to
which it is attached, or modifies the existing Agreement between the parties. In each instance
in which the provisions of this Amendment shall contradict or be inconsistent with the
provisions of the printed portion of the original Agreement and any previous amendments, the
provision of this Amendment shall prevail and govern and the contradicted or inconsistent
provisions shall be deemed amended accordingly. Both parties agree that there is new and
adequate consideration for this Amendment.
This Amendment shall be deemed to have been duly approved when executed by both parties
to the original Agreement. Once duly approved, this Amendment shall become effective as of
the date signed by the Chairman of the Merced County Board of Supervisors.
MODIFICATIONS:
a). That the existing Agreement No. 2014007, Section 5, Page 4, beginning on Line 23,
with the word “MERCED” and ending on Page 5, Line 24, with the word “amendment,”
previously modified by Amendment No. 1, shall be deleted in its entirety and replaced with the
following:
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“MERCED rates for services provided pursuant to the terms and conditions of this
Agreement are as follows:
For the period of July 1, 2013 through September 14, 2013:
Psychiatric Health Facility (PHF) Rate per Consumer (Acute and Non-Acute)
MERCED shall bill FRESNO the difference between MERCED’S Published PHF
Charge of $673.10 per client per day and any reimbursements received from
the State Medi-Cal billing process or any other payer sources. MERCED shall
include an explanation of benefit received from other payer sources with bill.
Administrative Overhead Charge (15%) per Consumer (Acute and Non-Acute)
MERCED shall additionally bill FRESNO $100.97 per client per day, which is
15% of MERCED’S Published PHF Charge.
For the period of September 15, 2013 through November 8, 2014:
Psychiatric Health Facility (PHF) Rate per Consumer (Acute and Non-Acute)
MERCED shall bill FRESNO the difference between MERCED’S Published PHF
Charge of $814.49 per client per day and any reimbursements received from
the State Medi-Cal billing process or any other payer sources. MERCED shall
include an explanation of benefit received from other payer sources with bill.
Administrative Overhead Charge (15%) per Consumer (Acute and Non-Acute)
MERCED shall additionally bill FRESNO $122.17 per client per day, which is
15% of MERCED’S Published PHF Charge.
For the period of November 9, 2014 through November 14, 2015:
Psychiatric Health Facility (PHF) Rate per Consumer (Acute and Non-Acute)
MERCED shall bill FRESNO the difference between MERCED’S Published PHF
Charge of $938.35 per client per day and any reimbursements received from
the State Medi-Cal billing process or any other payer sources. MERCED shall
include an explanation of any benefits received from other payer sources with
each bill.
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Administrative Overhead Charge (15%) per Consumer (Acute and Non-Acute)
MERCED shall additionally bill FRESNO $140.75 per client per day, which is
15% of MERCED’S Published PHF Charge.
For the period of November 15, 2015 through June 30, 2016:
Psychiatric Health Facility (PHF) Rate per Consumer (Acute and Non-Acute)
MERCED shall bill FRESNO the difference between MERCED’S Published PHF
Charge of $1,072.00 per client per day and any reimbursements received from
the State Medi-Cal billing process or any other payer sources. MERCED shall
include an explanation of benefit received from other payer sources with bill.
Administrative Overhead Charge (15%) per Consumer (Acute and Non-Acute)
MERCED shall additionally bill FRESNO $160.80 per client per day, which is
15% of MERCED’S Published PHF Charge.
The rate structure utilized to negotiate this Agreement is inclusive of all services defined
as psychiatric inpatient services in Title 9, Chapter 11 of the Welfare and Institutions Code and
does not include non-hospital based physician or psychological services. It is understood by
FRESNO and MERCED that MERCED’S Published PHF Charge is established based on
actual costs reported in MERCED’S most recent Cost Report submitted to the State
Department of Health Care Services. MERCED will notify FRESNO of any rate adjustment(s),
and said rate adjustment(s) will be made by written amendment to this agreement and signed
by both parties hereto. Any rate adjustment(s) shall not result in an increase to the maximum
compensation of the Agreement stated in Section 6 (g), unless set forth in the written
amendment.”
b). That all references in existing Agreement No. 20014007 to “Exhibit A” shall be changed
to read “Exhibit A-1”, where appropriate, attached hereto and incorporated by reference.
Except as herein modified, all terms and conditions in said Agreement as heretofore approved
remain unchanged and in full force and effect.
[Signature page follows]
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Date._A_P_R_2_6 _ZO.::...:.l~.:_ __
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APPROVED AS TO LEGAL FORM :
9 JAMES N FINCHER
MERCED COUNTY COUNSEL
10 ./}1 .
11 By ______ ~---------------
12 Deputy Forrest w. Hansen
13
MERCED COUNTY MENTAL HEALTH
14 REVIE D ND RECOMME ED FOR
APPR
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18 Budget Unit: 41500
Expenditure Account: 96828
19 Mode of Service: 05
Service Function: 20
20 Provider #2415
Legal Entity #00024
21 NPI : 1013030808 .
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COUNTY OF FRESNO
A Political Subdivision of the
State of California
.
Date Ap>uJ S, d,O\Lo
BERNICE E. SEIDEL, Cler1<
Board of Supervisors
APPROVED AS TO LEGAL FORM :
APPROVED AS TO ACCOUNTING
FORM :
VICKI CROW, C.P.A., AUDITOR-
CONTROLLER/TREASURER-TAX
COLLECTOR
RECOMMENDED FOR APPROVAL:
Fund/Subclass: 000111 0000
Organization : 56302666 ($75,000)
AccounVPr~ram : 7295/0
EXHIBIT A-1