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C.151
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: June  21, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Amendments to Outpatient Psychiatrist contracts

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   06/21/2022
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Suzanne Tavano, Ph.D., 925-957-5212
cc: L Walker     M Wilhelm    
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED:     June  21, 2022
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Amendment Agreements with Neil Sachs, M.D., Kimberly Loda, M.D., Indra Singh, M.D., Arianne Ferguson, M.D., Richard D. Baldwin, M.D., Vasanta Venkat Giri, M.D., Robin Wendy Asher, M.D., Bettina K. Mutter, M.D., Ronald L. Leon M.D., Jee Hyun Guss, M.D., Jennifer Lee Miles, and Margaret L. Miller, M.D., effective June 1, 2022, to increase the total payment limits and hourly rates to provide additional outpatient psychiatric services with no change in the contract terms.

FISCAL IMPACT:

The total annual cost is approximately $306,042 and will be funded by 50% Mental Health Realignment and 50% Federal Medi-Cal funding.









BACKGROUND:

The Board of Supervisors previously approved contracts with 12 psychiatrists as specified below, with payment limits and terms also detailed below. The proposed amendment agreements would increase the total payment limits and hourly rates of each contract, and require the psychiatrists to provide additional outpatient psychiatric services in the Behavioral Health Division’s outpatient clinics. The need for these amendments are due to nationwide shortage of psychiatrists resulting in a competitive market for these providers and current contracted psychiatrists unwilling to fully staff shifts in the Behavioral Health Division’s outpatient clinics.

  
The requested amendment agreements would increase the payment limits of each contract as stated below, and would allow the Behavioral Health Division to maintain adequate staff to provide increased services in its outpatient psychiatric clinics.   
Contract Amendment Contractor Number Contractor Increase Original Payment Limit New Payment Limit Term Ending Date
74-446-11 Neil Sachs, M.D. $25,000 $269,568 $294,568 September 30, 2022
24-704-10 Kimberly Loda, M.D. $25,000 $262,080 $287,080 September 30, 2022
74-462-11 Indra Singh, M.D. $31,949 $319,488 $351, 437 April 30, 2023
74-470-9 Arianne Ferguson, M.D. $25,000 $209,664 $234,664 August 31, 2022
74-343-15 Richard D. Baldwin M.D. $25,000 $264,960 $289,960 December 31, 2022
74-438-198 Vasanta Venkat Giri, M.D. $25,000 $376,320 $401,320 December 31, 2022
74-514-9 Robin Wendy Asher, M.D. $23,962 $239,616 $263,578 March 31, 2023
74-619-2 Bettina K. Mutter, M.D. $25,000 $319,488 $344,488 October 31, 2022
74-394-16 Ronald L. Leon, M.D. $222,215 $222,144 $244,359 March 31, 2023
74-365-15 Jee Hyun Guss, M.D. $25,000 $329,280 $354,280 August 31, 2022
74-592-5 Jennifer Lee Miles $31,950 $319,488 $351,438 March 31, 2023
74-489-9 Margaret L. Miller, M.D. $20,966 $209,664 $230,630 April 30, 2023

CONSEQUENCE OF NEGATIVE ACTION:

  
If these contract amendment are not approved, the Behavioral Health Division will not be able to adequately staff its outpatient psychiatric clinics.

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