HomeMy WebLinkAbout15028 ORD - 08/01/1979vp:7-31-79:1st
AN ORDINANCE
AUTHORIZING THE CITY MANAGER TO EXECUTE A CONTRACT
WITH THE TEXAS DEPARTMENT OF HUMAN RESOURCES TO
PROVIDE A TITLE XX GRANT FOR $60,000 FOR THE PERIOD
OF SEPTEMBER 1, 1979 THROUGH AUGUST 31, 1980 TO PAY
FOR A FULL RANGE OF FAMILY PLANNING SERVICES FOR
INCOME ELIGIBLE PARTICIPANTS, ALL AS MORE FULLY SET
FORTH IN THE CONTRACT, A SUBSTANTIAL COPY OF WHICH
IS ATTACHED HERETO AND MADE A PART HEREOF, MARKED
EXHIBIT "A"; AND DECLARING AN EMERGENCY.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CORPUS CHRISTI,
TEXAS:
SECTION 1. That the City Manager be and he is hereby authorized
to execute a contract with the Texas Department of Human Resources to provide
a Title XX Grant for $60,000 for the period of September 1, 1979 through
August 31, 1980 to pay for a full range of family planning services for income
eligible participants, all as more fully set forth in the contract a substan-
tial copy of which is attached hereto and made a part hereof, marked Exhibit
"A".
SECTION 2. The necessity to authorize execution of the aforesaid
contract at the earliest practicable date creates a public emergency and an
imperative public necessity requiring the suspension of the Charter rule that
no ordinance or resolution shall be passed finally on the date of its intro-
duction but that such ordinance or resolution shall be read at three several
meetings of the City Council and the Mayor having declared that such emergency
and necessity exist, and having requested the suspension of the Charter rule
and that this ordinance be passed finally on the date of its introduction and
take effect and be in full force and effect from and after its passage, IT IS
ACCORDINGLY SO ORDAINED, this theay of August, 1979.
ATTEST:
,�i
Ci Secretary MAYI
APPROVED: % DAY OF AUGUST:
J. BRUCE AYCOCK, CITY ATTORNEY
By , /'
Assistant Ctjtot /'orney
15028
THE C
OF CORPUS CHRISTI, TEXAS
acv eisp..
!maul M
rd Items .tows
It.anvact No.
081-40—P-00 I
;ECTION I — Prime Contractor Data
Leel Nam.
INFORMATION SHEET
PURCHASE OF SERVICE CONTRACT
rrn 202.)
July
Neginn No. (:aunty Nu. i
08 178
CITY OF COITUS CHRISTI
Commonly Used Name (f Jyfrrret/rom above) Nueces County -City of Corpus Christi
Convert Ter maw ron beta
p,Cnnirnct Elfecdvo Uutu
_ 09-01-79
Adarer, tl'rig rfmpn+ of Ptthlir Hva1th anil welfare__
P.O. Box 9277, Corpus Christi, Texas 78408
1'er son Authorized to Sign Contract Titl.
R. Marvin Townsend City Manager
Erarter No. I Employer I.D. No. Contact Person
P1/A
11-74-6000-574-1 W.R. Metzger, M.D., M.P.H.
ECTION II — Summary of Payment
08-31-80
Teleprunu r.)o----
512/884-3011
Type of Ownership (Check our')
IPubhc _ DPrrvate
k Telephone No.
512/855_4051
•
EFFECTIVE PAYMENT DATES
BUDGET NAME
BUDGET UNIT NUMBER
NUMBER _RATE ELIG. UNITS
MAXIMUM
REIMBURSABLE
ECTION III — Funding
LOCAL FUNDS
Less fees from eligible clients (unit rate payment only)
Total Regional Allocation for this contract
6,000.00
Matching 1
Administrative Overhead
6,000.00
Total Local Fund
CONTRACT
.
State Funds
S 6,000.00
0
Federal Funds 54,000.00
Contract Total s 60,000.00
>ECTION IV — Service and/or Subcontractor Data (complete a separate sheet (SECTION III) for each different service or for each different
subcontract)
Program Activity Name
Family Planning
Service Activity Name Social and Educational Family Planning Services;
Medical Famil Plannin. Services
Name of Subcontracting Agency r applicable
Pnrrn 2029
Pea. 2 of 2
Address of Subcontracting Agency
. Client categories to be served (check all applicable):
®Current AFDC
® Current SSI
MMAO Income Eligible
. Total Number of Clients to be Served•
. Number of Eligible Clients to be Served:
. Unit of Service•
. Number of Units of Service to All Clients:
. Number of Units of Service to Eligible Clients:
ADDRESSIES) OF
PROVIDING FACILITY(IES)
1702 Horne Road
Co .• s Christi Texas 811E
Also see attachment
h. Code
591 r1
Code
16E, 16K
Name of Contact Person
®Other Income Eligible
❑Without Regard to Income
®Ineligible
Telephone No.
❑ per day ❑ per week ❑ oer-month
❑per day ❑per week El per month
HOURS OF
OPERATION
7. B. (Complete only if service is children's day care)
NUMBER OF CHILDREN IN EACH AGE GROUP
3-5 YRS. r.�...,R
0.2 YRS.
6-14 YRS
0-5 YRS.
TOTALS
Mentally, Physically, or Emotionally Handl
capped
Geographic Area Served: Nueces Cour tv
Goals (check all applicable):
Jl Elii ❑III ❑IV
❑v
iource of Federal Funds (check all applicable):
_xx ❑IVB
lasis of Payment (check one):
.]Fixed Unit Rate of
,Cost Reimbursement
Fee Schedule(Local Match)
per
12. Fundln.:
TOTAL AMOUNT OF
STATE FUNDS
MATCH AMOUNT OF
LOCAL FUNDS
TOTAL AMOUNT OF
FEDERAL FUNDS
GRAND TOTAL
0
6,000.00
54,000.00
s Eo9000.00
la
aas Department
of Human Resources
STATE OF TEXAS
COUNTY OF TRAVIS
TITLE XX
Form 2034
October 1977
FAMILY PLANNING CONTRACT NO.PS 083-140-P-00.
The Texas Department of Human Resources, hereinafter referred to as the Department, and
CITY OP' GOMIS CHRISTI
hereinafter referred to as the Contractor, which has been certified by the Department's Tide XIX fiscal
intermediary agent as a Title XIX family planning vendor, do hereby make and enter into this contract,
which constitutes the entire agreement between the Contractor and the Department.
The Department is the single Texas state agency responsible for administering the public welfare program
under the Social Security Act. Federal law and regulations, as well as State law, in TEX. REV. CIV. STAT.
ANN. art. 695c § 4(12), permit and authorize the Department, subject to certain limitations, to enter
into agreements with public or private agencies for the purposes of providing social and/or other services for
the benefit of eligible individuals. Since the Contractor desires to provide services for the benefit of certain
eligible individuals, as described herein, the Department and the Contractor make this contract.
The parties hereto mutually agree:
A. The scope of the services to be provided by the Contractor and/or subcontracting agency(ies) under this
contract, is limited to those services listed in the Plan of Operation which is attached to this contract
and incorporated into this contract in its entirety by specific reference. Any change, modification, or
amendment thereto, must be made with the prior written approval of the Department except as
otherwise provided in this contract and any such change, modification, or amendment to such Plan of
Operation is not effective until approved by the Department. Such original Plan of Operation together
with any approved amendment as maintained on file by the Department will be considered to be the
controlling instruments in case any disputes arise relative to the wording of any portion of such Plan of
Operation or amendment thereto.
B. Medical and social services under this contract are extended to income eligible individuals. Social
services under this contract are extended to current AFDC and SSI recipients. Services offered to current
AFDC recipients, current SSI recipients, and income eligible individuals must be fully integrated with
those offered to patients not subsidized by the Department.
Form 2034
Page 2
C. The basis for payment for services rendered under this contract is indicated in the sec fee schedule
included in the aforementioned Plan of Operation. Any Contractor -initiated amendment to the fee
schedule is subject to prior written Department approval. The Department -may revise the fee schedule
by giving the Contractor written notice of such revision.
D. The Department, the Contractor and all subcontractors, if any, will carry out the requirements for the
provision of services as set forth in Chapter 1I, Title 45 of the Code of Federal Regulations, as amended,
will monitor and conduct fiscal and/or program audits at reasonable times and will provide consultative
and technical assistance for the continuous development of the services contemplated by this contract.
The Department shall have authority to monitor and conduct fiscal and/or program audits of both the
contractor and its subcontractor(s) to the extent of services provided under the terms of this contract.'
On site visits as well as access at reasonable times to all books and records will be granted State or
Federal auditing agencies, representatives of the United States Department of Health, Education, and
Welfare, and/or the Department when it is deemed necessary by the Department for purposes of
inspection, monitoring, audiring, or evaluating said materials.
E. This contract is subject to the availability of State and Federal funds and if such funds become
unavailable, or if the total amount of funds allocated for this contract should become depleted during
any budget period and the Department is unable to obtain additional funds for such purposes, then this
contract will be terminated.
In the event that the Contractor fails to provide services in accordance with the provisions of this
contract, the Department may, upon written notice of default to the Contractor, terminate the whole or
any part of this contract, and such termination shall not be an exclusive remedy but shall be in addition
to any other rights and remedies provided by law or under this contract.
Furthermdre, in the event that Federal or State laws or other requirements should be amended or
judicially interpreted so as to render continued fulfillment of this contract, on the part of either party,
substantially unreasonable or impossible, or if the parties should be unable to agree upon any
amendment which would therefore be needed to enable the substantial continuation of the services
comtemplated herein, then, and in that event, the parties shall be. discharged from any further
obligations created under the terms of this contract, except for the equitable settlement of the respective
accrued interests or obligations incurred up to the date of termination.
F. This contract may be cancelled by mutual consent; however, if such mutual consent cannot be attained,
then, and in that event, either party to this contract may consider it to be cancelled by the giving of
thirty (30) days notice in writing to the other party and this contract shall thereupon be cancelled upon
the expiration of such thirty (30) day period.
G. This contract may be renewed and extended by written notice to the Contractor in the form of an
amendment from the Department; such amendment shall state the term and any conditions under
which the contract is to be renewed and extended, and each of such amendments of renewal shall be
incorporated into and become a part of this contract.
Form 2034
Page 3
Rev 12-78
Ilf.
The Contractor agrees to, and will require its subcontractors) if any, to agree to:
A. Provide services in accordance with the aforementioned Plan of Operation and allow the Department to
monitor same.
B. Provide to the Department, in accordance n ith the procedures prescribed by rhe Department, a verified
and proper monthly statement of charges, or certification of expenditures, for services which have been
rendered under this contract.
C. Refrain from entering into any subcontract(s) for services without prior approval or waiver of the right
of approval to subcontract.
All subcontracts, if any, entered into by the Contractor shall be written. Any subcontract entered into
by the Contractor shall be subject to the requirements of Tide XX of the Social Security Act, as
amended, and of this contract. The Contractor agrees that it shall be responsible ro the Department for
the performance of any subcontractor.
D. Comply with all applicable State licensing requirements and/or Federal certification requirements.
E. Furnish the Department with various statistical reports as required by the Department in the format
prescribed by the Department.
F. Make available at reasonable times and for reasonable periods those client records, books, and
supporting documents kept current by the Contractor and its subcontractor(s) pertaining to provided
services for purposes of inspection, monitoring, auditing, or evaluating by Department personnel or
their representatives.
G. Participate fully in any evaluation study of this program authorized by the Department.
H. Comply with Department rules and regulations pertaining to hearings concerning applicants for and
recipients of services and to abide by the decisions rendered by the Department in such hearings. The
Contractor shall inform all individuals of their right to such fair hearing.
1. Comply with the Federal Civil Rights Act of 1964, as amended, and The Rehabilitation Act of 1973
Subsection 504, and TEX. REV. CIV. STAT. ANN. art. 6252-16, as amended, and Executive Order
No. 11246, entitled "Equal Employment Opportunity" as supplemented in 41 C.F.R. Part 60, including
but not limited to, giving equal opportunity both to those seeking employment and those seeking
services without regard ro age, race, color, religion, sex, or national origin. The Contractor further agrees
not to discriminate on the basis of handicap against any qualified person seeking employment or services.
J. Establish a method to secure the confidentiality of records and other information relating to clients in
accordance with the applicable Federal law, rules, and regulations, as well as the applicable State law and
regulations.
K. Maintain and retain case information concerning those individuals and families who received services
and supporting fiscal documents adequate to ensure that claims for Federal matching funds are in accord
with applicable Federal requirements. Said documents shall be maintained and retained by the
Contractor and all subcontractors, if any, fora period of five (5) years after the date of submission of the
last expenditure report, or until an audit has been concluded, whichever is greater.
Form 2034
Paye 4
Rev. 12-78
L Be primarily responsible for any audit exception or other payment deficiency in the program covered by
this contract which is found to exist after monitoring or auditing by the Department or the United
States Department of Health, Education, and Welfare, and be primarily responsible for the collection
and proper reimbursement to the Department of any amount paid in excess of the proper billing
amount.
M. Submit billings and statistical documentation as required by the Department by the forty-fifth (45th)
day following the last day of the month to which a service was performed, and in any event, no later
-than the ninetieth (90th) day following the last day of the month in which service was provided.
Failure to do so will be considered failure to comply with the contract. Such failure to comply is valid
justification for immediate termination of this contract.
N. Offer family planning services without regard to maternity, marital status, parenthood, or age; with
respect for the dignity of the individual; upon referral from any source including the patient's own
application; on a voluntary basis, ensuring the patient complete choice of provider and choice of
contraceptive method which is medically feasible. Patients may accept or reject contraceptive services
and supplies under this program with complete freedom from coercion or pressure of mind and
conscience. Family Planning services must be provided to minors without the requirement of parental
consent.
O. Use money received through the planned reimbursement mechanism specifically for family planning
services.
P. Accept reimbursement from the Department up to the maximum amount allowed by the Department as
set forth in the Plan of Operation as payment in full for services listed in the Plan of Operation rendered
50 individuals eligible under this contract, and to make no charge to the patient, any member of his
family,'or ro any other source excepting insurance companies for such services.
The Contractor may accept reimbursement from insurance companies, provided that any such
reimbursement received from an insurance company shall be deducted from the amount to be
reimbursed by the Department. The Contractor further agrees to secure agreements to ensure that all
physicians and any others participating in the Contractor's family planning program make no additional
charge to any source other than to the Contractor for covered services rendered to persons eligible under
this contract for such services.
Q. Attempt to serve an increasing number of those estimated to be eligible individuals in the area served
by the agency, through such conveniences as outreach services, child care services, night and weekend
clinics, etc.
R. Abide by Department program guidelines as the Department develops them for purposes of clarifying,
expanding, and improving family planning services.
S. Determine eligibility of individuals according ro policies and procedures promulgated by the .
Department as set forth in the Plan of Operation.
T. Designate and file with the Department the name of the contractor's current medical director. The
medical director must be either a licensed physician or an osteopath.
IV.
This Article IV is:
E. Applicable 0 Inapplicable
The Contractor further agrees:
Form 2034
Page 5
A. To provide the Department with detailed statements of charges each month developed in the format
prescribed by the Department, and to promptly forward such bill to the Department along with a
statement certifying that the Contractor has provided each and everyservice for which billing is
rendered.
B. That funds certified by the Contractor for matching purposes in accordance with the terms of this
contract, will be funds which can be used to match Federal funds under the Social Security Act and
appropriate Federal rules and regulations. Records will be maintained to verify the source and amount
of funds certified by the Contractor for matching purposes for a period of three (3) years after
submission of the certification statement, or until an audit has been concluded, whichever is greater.
C. That to reimburse the Department for administrative and other operational costs incurred in procuring
federal funds, the Department shall be entitled to retain from any allowable reimbursement due the
Contractor an amount equal to zero
certified to the Department as having been expended.
V.
percent ( O %) of the total amount
The Department agrees to:
A. Pay the Contractor 90 % (percent) of the approved monthly billings for services which have been
rendered in accordance with the terms of this contract and its attached set fee schedule.
B. Recognize the fiscal policies and procedures of the Contractor and its subcontractor(s), if any, except
where they are in conflict with Federal and/or State law, policies, rules, and regulations.
C. Perform such evaluation studies that the Department determines to be necessary and report to the
appropriate officers of the Contractor and its subcontractor(s), if any, the preliminary results of the
study before the evaluation is concluded and the findings made a matter of record.
For the faithful performance of the terms of this contract, the parties hereto in their capacities as stated, affix
their signatures and bind themselves effective the first day of September
19 79 , and continuing until September 01 19 80
TEXAS DEPARTMENT OF HUMAN RESOURCES
BY
CITY OF CORPUS CHRISTI
BY
Agency Name
Commissioner Ci ty Manager
Title
Title
Oe,Jrmant
of Hwnm Hoauurces
FAMILY PLANNING CONTRACT
PLAN OF OPERATION: FEE SCHEDULE (Local Match)
SERVICE CODE
MEDICAL VISITS
Health History and Physical 01
Follow-up Office Visit 02
Follow-up Home Visit. Medical 34 -
LABORATORY
PROCEDURES
Hematocrit 03
Hemoglobin 04
Urinalysis 05
Papanicolaou Smear 06
Miscellaneous Culture 07
Syphilis Serology 08
Bacteria Smear 09
TB Skin Test 10
Microscopic Analysis -Urine 11
Sickle Cell Screening 12
Post-prandial Blood Glucose 13
Rubella Test 14
Pregnancy Test 15
Blood Type and/or RH Factor 45
Triglycerides Fasting Level
Confirmation Test 55
Cholesterol/Glucose Fasting 56
Level Confirmation Test
FAMILY PLANNING SURGERY
Tubal Ligation
Vasectomy
Contraceptive Menstrual
Aspiration
16
17
48
CONTRACEPTIVE DEVICES
Insertion of Intrauterine
Device 20
Fitting diaphragm 21
LOCALIZATION OF IUD
•
One X-ray and interpretation 22
Two X-rays and interpretation 23
Sonography 24
CONTRACEPTIVE DRUGS AND
SUPPLIES
Creams 35
Jellies 36
Suppositories 37
FEE
SERVICE
F ut,ruarr 177'1
CODE FEE
Foam 38 cost
$ 2000 Medication•lor Vaginal/
800 Cervical Infection 39 cosi
1000 Oral Contraceptives 40 cost
Dispensing Fee. Private
Pharnracist.3 or more cycles 46 52 68
Dispensing Fee. Clinic,
Physician 3 or more cycles 46 S1 47
Diaphragm for Supply 41 cost
Condoms 42 cost
Natural Family Planning
Supplies 43 cast
SOCIAL SERVICES: EDUCATION/
COUNSELING
Initial Patient Education 25 5600
Method Specific
Education/Counseling 26 600
Follow-up Horne Visit. Social 27 7 00
Problem Counseling 28 10 00
Group Presentation/ 29 1 50 per
Discussion with Low person for
Income Adolescents groups of
3 00
3 00
3 00
7 00
5 00
6 00
500
7 50
4 00
3 00
5 00
8 00
8 00
4 50
13 50
14.00
240 00
160 00
70 00
2500
15 00
24 00
28 00
2800
cost
cost
COSI
APPROVED
R. Marvin Townsend, City Manager
Agency Representative Dare 09-01-79
Introduction to Family Planning/
Hospital Setting 30 700
Instruction in Natural Family
Planning Methods 47 16 00
5 49
575 00 for
groups of 50
Or more
IN-PATIENT HOSPITAL CARE
Complete In-patient Hospital 00 cost
Care for Female Sterilization Mar 5
days
Post-operative m -patient
hospital care. for contra- 53 cost
ceptive rnenstrual aspiration Max 5
and vasectomy days
TREATMENT OF COMPLICATIONS
Reimbursement for all 44 cost up
expenses actually incurred in 10 max
the care and treatment $800 00
of crrmplicatu.ns from per occur•
family planning surgery fence
or IUD insertion
APPROVED
DIM Represein tali e
Da;,; 09-01-79
Corpus Christi, Texas
dyof� 19%%
TO THE MEMBERS OF THE CITY COUNCIL
Corpus Christi, Texas
For the reasons set forth in the emergency clause of the foregoing ordinance, a
public emergency and imperative necessity exist for the suspension of the Charter
rule or requirement that no ordinance or resolution shall be passed finally on
the date it is introduced, and that such ordinance or resolution shall be read
at three meetings of the City Council; I, therefore, request that you suspend
said Charter rule or requirement and pass this ordinance finally,on the date it
is introduced, or at the present meeting of the City Council.
Respectfully,
MAY
THE CIT CORPUS ORP US CHRISTI, TEXAS
The Charter rule was suspend!; by the following vote:
Luther Jones
Edward L. Sample
Dr. Jack Best /
David Diaz
Jack K. Dumphy
Betty N. Turner de__
Cliff Zarsky 407
The above ordinance was passe
Luther Jones
Edward L. Sample
Dr. Jack Best
David Diaz
Jack K. Dumphy
Betty N. Turner
Cliff Zarsky
by the following vote:
15028