HomeMy WebLinkAboutAgreement A-10-674-2 with Telemedicine Services.pdf
COUNTY OF FRESNO
Fresno, CA
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AMENDMENT II TO AGREEMENT
THIS AMENDMENT, hereinafter referred to as Amendment II, is made and entered into this
_______ day of ____________, 2016, by and between the COUNTY OF FRESNO, a Political
Subdivision of the State of California, hereinafter referred to as “COUNTY”, and each PROVIDER
listed in Exhibit A, attached hereto and by this reference incorporated herein, and collectively
hereinafter referred to as “PROVIDERS”, and such additional PROVIDER(S) as may, from time to
time during the term of this Agreement, be added by COUNTY. Reference in this Agreement to
“parties” shall be understood to refer to COUNTY and each individual PROVIDER, unless otherwise
specified.
WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
No. 10-674, effective January 1, 2011, and COUNTY Amendment No. 10-674-1, effective December
1, 2014, hereinafter collectively referred to as COUNTY Agreement No. 10-674 whereby
PROVIDERS agreed to provide medication support services through the delivery of telemedicine; and
WHEREAS, the parties desire to amend COUNTY Agreement No. 10-674 regarding changes as
stated below and restate the Agreement in its entirety.
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is
hereby acknowledged, the parties agree as follows:
1. That the existing COUNTY Amendment No. 10-674-1, Section 4.3.1, beginning on Page
Five (5), Line Nine (9), with the word “Reimbursement” and ending on Page Five (5), Line Twenty (20)
with the word “Member” be deleted in its entirety and the following inserted in its place:
“4.3.1 Reimbursement – Reimbursement to PROVIDER(S) for rendering Covered
Services to Members shall be made at the rate of One Hundred Ninety and No/100 Dollars ($190.00) per
hour of scheduled sessions.
In no event shall services provided by all PROVIDER(S) pursuant to the MHP exceed a
total amount of Six Hundred Sixty Eight Thousand Three Hundred Four and No/100 Dollars
($668,304.00) for the period of January 1, 2011 through June 30, 2011; and One Million Three Hundred
Thirty-Six Thousand Six Hundred Eight and No/100 Dollars ($1,336,608.00) for each twelve month
period from July 1, 2011 through June 30, 2014; and One Million Eight Hundred Seventeen Thousand
COUNTY OF FRESNO
Fresno, CA
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Nine Hundred and No/100 Dollars ($1,817,900.00) for the period of July 1, 2014 through June 30, 2015;
and One Million Nine Hundred Thirty-Six Thousand Four Hundred Eighty and No/100 Dollars
($1,936,480.00) for the period of July 1, 2015 through June 30, 2016. Thereafter, in no event shall
services provided by all PROVIDER(S) pursuant to the MHP exceed a total amount of Two Million
Eight Hundred Five Thousand Nine Hundred Twenty and No/100 Dollars ($2,805,920.00) for each
twelve month period of this Agreement. Additionally, by the execution of this Agreement, there is no
guarantee made by COUNTY to any PROVIDER(S) that any Covered Services shall be provided to any
Member.”
2. That all references in the existing COUNTY Agreement No. 10-674 to “Exhibit C” be
changed to read “Revised Exhibit C” where appropriate, attached hereto and incorporated herein by this
reference.
3. COUNTY and PROVIDERS agree that this Amendment II is sufficient to amend the
Agreement; and that upon execution of this Amendment II, the Agreement, Amendment I, and
Amendment II together shall be considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms, covenants,
conditions and promises contained in the Agreement, and not amended herein, shall remain in full force
and effect. This Amendment II shall become effective upon execution.
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1 IN WITNESS WHEREOF , the parties hereto have executed this Amendment II to COUNTY
2 Agreement No. 10-674 as of the day and year first hereinabove written.
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REVIEWED AND RECOMMENDED
FOR APPROVAL:
ATTEST:
PROVIDER(S)
PLEASE SEE EXHIBIT A,
Attached hereto
REVIEWED AND RECOMMENDED
FOR APPROVAL:
COUNTY OF FRESNO
Date: J; "'YYe .. 7 dD\Lo I
BERNICE E. SEIDEL, Clerk
Board of Supervisors
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
- 3 -CO UNT Y OF FRESNO
Fresno , CA
Revised Exhibit C
Page 1 of 2
SCHEDULE OF SERVICES
Provider Name:
Dr. John L. Schaeffer, Inc., A Professional
Medical Corporation DBA California Telepsychiatrists
Provider Type:
Group
Days and Time of Coverage by Program:
Adult Outpatient Services
Monday through Friday (8:00am to 5:00pm)
Weekly authorized hours of telemedicine for Adult Outpatient Services= 112 hrs/week
Children’s Outpatient Services
Monday through Friday (8:00am to 5:00pm)
Weekly authorized hours of telemedicine for Children’s Outpatient Services= 36 hrs/week
Older Adult Services
Monday through Friday (8:00am to 5:00pm)
Weekly authorized hours of telemedicine for Older Adult Services= 24 hrs/week
Perinatal Program Services
Monday through Friday (8:00am to 5:00pm)
Weekly authorized hours of telemedicine for Perinatal Program Services= 8 hrs/week
Conservatorship Team
Monday through Friday (8:00 am to 5:00 pm)
Weekly authorized hours of telemedicine for Conservatorship Team = 16 hrs/week
Total Hours per Week = 196 hrs/week
Revised Exhibit C
Page 2 of 2
SCHEDULE OF SERVICES
FY 2016-17 thru FY 2018-19
Provider Name:
Dr. John L. Schaeffer, Inc., A Professional
Medical Corporation DBA California Telepsychiatrists
Provider Type:
Group
Days and Time of Coverage by Program:
Adult Outpatient Services
Monday through Friday (8:00am to 5:00pm)
Weekly authorized hours of telemedicine for Adult Outpatient Services= 160 hrs/week
Children’s Outpatient Services
Monday through Friday (8:00am to 5:00pm)
Weekly authorized hours of telemedicine for Children’s Outpatient Services= 56 hrs/week
Older Adult Services
Monday through Friday (8:00am to 5:00pm)
Weekly authorized hours of telemedicine for Older Adult Services= 32 hrs/week
Perinatal Program Services
Monday through Friday (8:00am to 5:00pm)
Weekly authorized hours of telemedicine for Perinatal Program Services= 12 hrs/week
Conservatorship Team
Monday through Friday (8:00 am to 5:00 pm)
Weekly authorized hours of telemedicine for Conservatorship Team = 24 hrs/week
Total Hours per Week = 284 hrs/week