HomeMy WebLinkAbout952289.tiffft
Wine
COLORADO
October 13, 1995
Via fax: 303-782-0095
Angelo Minuti
Services Administrator
Colorado Department of Public
Health and Environment
PPD-CC-A5
4300 Cherry Creek Drive South
Denver, CO 80222-1530
RE: Amendment to Contract PPG
Dear Mr. Minuti:
DEPARTMENT OF HEALTH
151716 AVENUE COURT
GREELEY, COLORADO 80631
ADMINISTRATION (970) 353-0586
HEALTH PROTECTION (970) 353-0635
COMMUNITY HEALTH (970) 353-0639
FAX (970) 356-4966
I understand that Paragraph #3a of Amendment #1 to Contract PPG 950409 between the
Colorado Department of Public Health and Environment and the Weld County Department of
Health has been modified to exclude the provisions in the original contract allowing services for
women aged 20-39.
Sincerely,
Dale K. Hall, Chairman
Board of Commissioners
;522 ES
Form 6 -AC -02A (R 5/91)
Contract Amendment #1
Department or Agency Name
Public Health and Environment
Department or Agency Number
260000 -- FLA
Contract Routing Number
961375
THIS AMENDMENT, made this 1st day of August, 1995, by and between the State of Colorado for the use and
benefit of the Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver. Colorado
80222-1530 hereinafter referred to as the State and Weld County Deoarttnent of Health_15I7 16 Avenue Court. Greeley
Colorado 80631 hereinafter referred to as the Contractor.
FACTUAL RECITALS
Authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a
sufficient uncommitted balance thereof remains available for encumbering and subsequent payment of this contract under
Encumbrance Number PPG950409 in Fund Number 100, Appropriation Account 773, and Organization 7340.
Required approval, clearance and coordination has been accomplished from and with appropriate agencies: and
The parties entered into a contract dated August 1, 1994, more fully described below.
This contract is being amended to provide program standards for submission of data,
follow-up required for women with abnormal results, and include funding for a Case Manager,
that is predicated on meeting the new program standards and budget established with this
amendment.
NOW THEREFORE, it is hereby agreed that for and in consideration of their
mutual promises to each other, hereinafter stated, the parties hereto agree as follows:
1. Consideration for this Amendment to the Original Contract, PPG 950409 , Contract
Routing Number 950409, dated August 1. 1994, consists of the payments which shall be made
pursuant to this agreement and the promises and agreements herein set forth.
2. It is expressly agreed by the parties that this contract is supplemental to the Original
Contract Number PPG 950409, Routing Number 950409 dated August 1. 1994, referred to as the
"Original Contract" which is by this reference, incorporated, made a part hereof as Exhibit _, and
all terms, conditions and provisions thereof, unless specifically modified herein, are to apply to
this Amendment as though they were expressly re -written, incorporated and included herein.
3. It is agreed that the Original Contract is and shall be modified, altered, and changed
in the following respects only:
•
By eliminating and striking out Paragraphs 2. and 3. for services to women
aged 20 to 39 as provided for in the Original Contract.
Page 1 of 4 Pages
Form 6 -AC -02A (R 5/91)
Contract Amendment #1
Department or Agency Name
Public Health and Environment
Department or Agency Number
260000 — PLA
Contract Routing Number
961375
THIS AMENDMENT, made this let day of /1uzuat. 1995, by and between the State of Colorado for the use and benefit
of the Colorado Department of Public Health and Environment. 4300 Cherry Creek Drive South. Denver, Colorado 80222-1530
hereinafter referred to as the State and Weld County Department of Health.. 1517- 16 Avenue Court, Greeley, Colorado 80631
hereinafter referred to as the Contractor.
FACTUAL RECITALS
Authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a sufficient
uncommitted balance thereof remains available for encumbering and subsequent payment of this contract under Encumbrance Number
PPG950409. in Fund Number j, Appropriation Account 773, and Organization 7340.
Required approval, clearance and coordination has been accomplished from and with appropriate agencies: and
The parties entered into a contract dated 1 August 1994, more fully described below.
This contract is being amended to provide program standards for submission of data,
follow-up required for women with abnormal results, and include funding for a (sac, Manager,
that is predicated on meeting the new program standards and budget established with this
amendment.
NOW THEREFORE, it is hereby agreed that for and in consideration of their
mutual promises to each other, hereinafter stated, the parties hereto agree as follows:
I. Consideration for this Amendment to the Original Contract, PPG 950409, Contract
Routing Number 950409, dated 1 August 1994, consists he hereinyments setforth.which shall be made
pursuant to this agreement and the promises and agreements
2. It is expressly agreed by the parties that this contract is supplemental to the
Original Contract Number PPG 950409, Routing Number 950409 dated 1 August 1994, referred
to as the "Original Contract" which is by this reference, incorporated, made a part hereof
Exhibit K, and all terms, conditions and provisions thereof, unless specifically modified herein,
are to apply to this Amendment as though they were expressly re -written, incorporated and
included herein.
3. It is agreed that the Original Contract is and shall be modified, altered, and
changed in the following respects only:
y
Page 1 of h Pages
a) By establishing in the Original Contract Paragraph 6, the following
maximum amounts for women aged 40 and above for the next fiscal year
beginning August 1, 1995 and ending July 15, 1996:
"Eight -teen Thousand Four Hundred and Seventy One Dollars ($18,471.00) for breast
and cervical cancer screening for women aged 40 and over for the next fiscal year beginning
August 1, 1995 and ending July 15, 1996. A copy of the new budget is attached and by this
reference incorporated herein as Exhibit L."
b) By adding to the original contract PPG 950409, Paragraph 13 as follows:
" Ia. Funding for a CIS,' Manager is being provided in the annual budget (Exhibit L).
This funding is to facilitate case enrollment, data completion, and data submission to the CPCP.
This funding is based on $50 per case based on the number of budgeted screening cases and
consistent adherence to the following standards of performance. Failure to accept funding for
the Case Manager does not exempt the Contractor from meeting these compliance standards.
• C -ace enrollment forms must be submitted to the program for 90% or more of the
cases within 45 days of the dates of service.
• Case enrollment forms must be submitted with essential information properly
completed in 90% or more of the cases.
• Mammogram results must be submitted to the CPCP in 90% or more of the cases
within 45 days of the service being provided. This information must be submitted on the
CPCP designated form or approved dictated reports from the mammography center which
include all required data elements.
• Mammogram results must have the essential information reported properly and
accurately in 90% or more of the cases submitted.
• Cases involving screening breast or cervical abnormalities must have diagnostic
follow-up information provided to the CPCP in 90% or more of the cases within 60 days
from the date of detection of the abnormality. This includes women who are referred to
outside health care providers for diagnostic procedures.
• Breast and Cervical Diagnostic Follow-up Reports must be submitted with essential
information properly completed in 90% or more of the cases.
• Women with screening abnormalities will be required to have either completed
diagnostic follow-up or have documentation of lost to follow-up submitted to the CPCP
on every case (100%). A copy of the documented follow-up efforts must be submitted
to the CPCP with the appropriate diagnostic follow-up form. The minimum follow-up
effort accepted will be one registered/certified letter, but could include telephone and
regular mail contacts.
• Planned diagnostic follow-up procedures must be completed and submitted to the
CPCP in 90% of the cases within 45 days of the planned date. The completed procedure
does not have to be the same as the one planned, but follow-up must be completed in the
recommended timeframe to allow for continuity of care.
Page 2 of 4 Pages
Hello