HomeMy WebLinkAbout980239.tiff RESOLUTION
RE: APPROVE AGREEMENT FOR SCHEDULED/NON-EMERGENT PRENATAL
DIAGNOSTIC TESTING AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Agreement for Scheduled/Non-
Emergent Prenatal Diagnostic Testing between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Health
Department, and Lutheran Health Systems, operator of North Colorado Medical Center,
commencing October 1, 1997, and ending September 30, 1998, with further terms and
conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Agreement for Scheduled/Non-Emergent Prenatal Diagnostic
Testing between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Health Department, and Lutheran Health
Systems, operator of North Colorado Medical Center, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 9th day of February, A.D., 1998, nunc pro tunc October 1, 1997.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COF#D ORO
ATTEST; ' � 1 � �,� :i15 4 / le-dy
Constance L. Harbert, Chair
Weld C
W. H. W bster, row
BY:
Deputy ti r o =oard
e . Baxter
APP D AS TO ORM:
Dale K. Hall
/C nt Att me /,[1 j/X-r
arbara J. Kirkmeye
980239
GC' : //CG) /retie- HL0024
ORIGINAL
AGREEMENT FOR SCHEDULED/NON-EMERGENT
PRENATAL DIAGNOSTIC TESTING
THIS AGREEMENT is made this 9vO day of feb/zaQ , 1998 by and
between the Board of County Commissioners of Weld County on beh'ftlf of the Weld County
Health Department, hereinafter referred to as "County," and Lutheran Health Systems, operator
of North Colorado Medical Center, hereinafter referred to as "Hospital."
WITNESSETH:
WHEREAS, County has received from the Colorado Department of Public Health and
Environment contract funding to assist in the provision of prenatal care to indigent women in
Weld County, Colorado, and
WHEREAS, a part of the funding from the Colorado Department of Public Health and
Environment is to assist with payments of scheduled/non-emergent prenatal diagnostic testing
which includes OB ultrasounds, non-stress tests, and contraction stress tests, and
WHEREAS, County has allotted funding to provide said diagnostic testing for women
referred by the Weld County Health Department for the year from October 1, 1997 to and until
September 30, 1998, and
WHEREAS, Hospital has the personnel and facilities to provide said prenatal diagnostic
testing.
NOW, THEREFORE, in consideration of the mutual promises and covenants contained
herein, the parties hereto agree as follows:
1. TERM: The term of this Agreement shall be from October 1, 1997 to and until
September 30, 1998.
2. HOSPITAL AGREES:
a) To provide scheduled non-emergent prenatal diagnostic testing for indigent
women who reside in Weld County, Colorado. The term "prenatal diagnostic
testing" shall include and be limited to ultrasounds, non-stress tests, and
contraction stress tests. The term "indigent women" shall include and be
limited to those women who are residents of Weld County, Colorado, and who
are not recipients of Medicaid and are not insured for such testing, and/or are
otherwise identified as Maternal Child Health("MCH") clients pursuant to the
rules, regulations and guidelines of the Colorado Department of Public Health
and Environment.
b) To refrain from billing said women for the prenatal diagnostic testing.
c) The costs for any testing services which exceeds the rates identified within
this Agreement shall be recognized as Hospital's service contribution to the
community.
980239
d) To bill Medicaid for those indigent women identified as being "on Medicaid,"
as "emergency only," or as "pending Medicaid." Only if Medicaid denies
payment for the "emergency only" or the "pending Medicaid" women can the
testing on those women be charged to County for payment from the MCH
fund. (As radiologist ultrasound fees are not included under "emergency
Medicaid" funding, MCH funds will be used for the reimbursement of
radiologist services provided to individuals eligible for "emergency
Medicaid.")
3. COUNTY AGREES:
a) To pay to Hospital, during the term of this Agreement, in accordance with the
following fee schedule:
Ultrasound (Procedure and Radiologist Fees) $102.00
Ultrasound(Radiologist Fees) $42.00
Non-stress test $60.00
Contraction stress test $60.00
b) The County agrees to pay Hospital within fifteen (15) days of receipt of
invoice by Hospital. Hospital will invoice County on a monthly basis.
County acknowledges that Hospital invoices may not always correspond to
the prior month's services due to billing cycles and determination of Medicaid
eligibility.
c) County agrees to refer eligible indigent women to Hospital using the attached
form. Said women are to be indentified on said form according to County
records as "Medicaid", "EMERGENCY MEDICAID", "PENDING
MEDICAID", or"MCH."
4. INDEPENDENT CONTRACTOR: It is mutually agreed that this Agreement does
not establish between the parties hereto the relationship of employer and employee,
but rather Hospital is an independent contractor.
5. NON-LIABILILTY/NON-WAIVER OF IMMUNITIES: No portion of this
Agreement shall be deemed to constitute a waiver of any immunities parties or their
officers or employees may possess, nor any portion of this Agreement be deemed to
have created a duty of care with respect to any persons not a party to this Agreement.
6. LIMITATION - LIABILITIES - INDEMNIFICATION: County agrees to indemnify
and hold Hospital harmless from any and all liability incurred by acts or omissions or
failures to act by County and, likewise, Hospital agrees to indemnify and hold County
harmless from any and all liability incurred by acts or omissions or failures to act by
Hospital. Because County is a department of the Weld County government, Hospital
acknowledges that its agreement to indemnify and hold harmless County extends to
Weld County, its employees, agents, subcontractors, and assignees. The term
/services/WeldCtyHealthDeptOB.98 2
Trk Sys#00-0307
980239
"liability" includes, but is not limited to, any and all claims, damages, and court
awards including costs, expenses, and attorney fees incurred as a result of any act or
omission by the applicable party who acted or failed to act.
7. TERMINATION. Either party may terminate this Agreement for cause upon ten (10)
days written notice and for any reason upon giving thirty (30) days written notice to
the other party. In the event this Agreement is terminated, Hospital shall be entitled
to payment for any services provided pursuant to this Agreement and prior to the
termination date for which Hospital has not yet been reimbursed. Any funds held by
Hospital in excess of the amount to which Hospital is entitled at the date of
termination for any services provided shall be refunded to County.
8. NON-APPROPRIATION. No portion of this Agreement shall be deemed to create an
obligation on the part of County to expend funds not otherwise appropriated in any
relevant year.
9. TRANSFER RIGHTS: Hospital will have the right to assign or transfer this
Agreement or any interest herein to any entity which acquires all or substantially all
of Hospital's operating assets or into which Hospital is merged, reorganized or
affiliated.
10. FINANCIAL RECORDS - ACCESS: The County and Hospital agree to provide to
the Controller General of the United States Department of Health and Human
Services, and their duly authorized representatives, upon written request, reasonable
access to this Agreement and their books, documents, and records until the expiration
of four (4) years after services are furnished under the Agreement for the purpose of
evaluating the nature and extent of the costs and services provided. The County and
Hospital further agree that if either subcontracts for any of the duties under this
Agreement at a value or cost of$10,000 or more over a twelve month period, with a
related organization, the subcontract shall contain a clause to the effect that the related
organization must make available, upon written request, to the Controller General of
the Department of Health and Human Services and their duly authorized
representatives, the subcontract, and the books, documents, and records of the related
organization that are necessary to verify the nature and extent of the costs until
expiration of four (4) years after the services are furnished under the subcontract.
11. ENTIRE AGREEMENT: This Agreement constitutes the entire understanding
between the parties hereto with respect to the subject matter hereof and may not be
changed or modified except as stated in Section 12 below.
12. AMENDMENTS: This Agreement may be amended only in writing signed by both
parties hereto.
/services/WeldCtyHealthDeptOB.98 3
Trk Sys#00-0307
980239
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date
first written above.
ATTEST ! / BOARD OF COUNTY COMMISSIONERS
At ` OF WELD COUNTY, COLORADO, ON
),t� " BEHALF OF THE WELD COUNTY
CLERK T,! TI S `t'.� �1�; HEALTH DEPARTMENT
COUNTY ! 1 'S''<? ' I
By:
Deputy Clerk t. !�' ! Constance L. Hartbert, Chair (02/09/98)
LUTHERAN HEALTH SYSTEMS,
OPERATOR OF NORTH COLORADO WELD COUNTY HEALTH
MEDICAL CENTER DEPARTME By: 7Z-_,,,a--/t By: •
Karl B. Gills, Administrator Jo ckle, M.S.E.H.
Dire or
/services/WeldCtyHealthDeptOB.98 4
Trk Sys#00-0307
980239
ATTACHMENT A
r W 7
48 4
roU °' 80 dl
his fl
r
C ,�
m
r z
B
z
i i
i x i
5 E •
I- 134• i- 0 ❑ = I
O in
II
1
la
ig as
Iai
❑ G
4 I U
I W
I
� O 1 S
eg , tiin x
al ; 1 Itenv
et CI s I
32 32 nq Z E $ 3 v
U I d z P.9 z a
980239
411:1 mEmoRAnDunno
rE. -6
Constance L. Harbert, Chair
To Board of County Commissioners Dace Febrtrity3c 1998
COLORADO ;1 V .
From John Pickle, Director, Health Deparmmeg
Subject: Diagnostic Testing Agreement with No Colorado Medical
Center
Enclosed for Board review and approval is an agreement between Weld County Health
Department and Lutheran Health Systems, operator of North Colorado Medical Center. The
agreement is for non-emergent diagnostic testing for Health Department prenatal clients.
Through our prenatal contract with the Colorado Department of Public Health and Environment,
funds are allotted to the Health Department to pay for certain diagnostic tests such as ultrasound
and non stress tests for our non-Medicaid prenatal clients. This agreement will compensate
North Colorado Medical Center at the rates listed below for these services:
Ultrasound $102.00
Ultrasound (Radiologist Fees) 42.00
Non-stress test 60.00
Contraction stress test 60.00
The period of this agreement is from October 1, 1997 through September 30, 1998, and I
recommend your approval.
Enclosures
980239
Hello