RESOLUTION NO. _____________

BOARD OF SUPERVISORS, COUNTY OF SAN MATEO, STATE OF CALIFORNIA

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RESOLUTION AUTHORIZING THE CONTROLLER TO PAY NON-CONTRACT MEDICAL SERVICE PROVIDERS AN AMOUNT NOT TO EXCEED ON MILLION FIVE HUNDRED THOUSAND DOLLARS, $1,500,000 FOR THE PERIOD JULY 1., 2007 THROUGH JUNE 30, 2009

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RESOLVED, by the Board of Supervisors of the County of San Mateo, State of California, that

WHEREAS, The County of San Mateo is responsible to provide medical care to medically indigent residents, and;

WHEREAS,; it is necessary to send such patients from San Mateo Medical Center (SMMC) patients to outside providers when the services or procedures they require are not available on site;

NOW, THEREFORE, IT IS HEREBY DETERMINED AND ORDERED that

1. The Controller pays non-contract medical service providers for and on behalf of the County of San Mateo in an amount not to exceed $1,500,000 for the period July 1., 2007 through June 30, 2009.

2. Controller is hereby authorized and directed to execute payments for such medical services to non-contract medical service providers who provide services at other facilities to SMMC MI patients. The first procedure will be paid at 100% of the prevailing Medicare participating fee schedule for San Mateo County for all Part “B” services that can be reimbursed per Health Care Financing Administration (HCFA) guidelines or the Medicare Labor Adjusted Ambulatory Surgery Classification (ASC), and all services not found on the Part “B” Medicare Fee Schedule of the ASC that are considered reimbursable per HCFA guidelines, will be paid under the Ambulatory Payment Classification (APC) rate and all additional procedures will be paid at 50% of the Medicare Allowable reimbursement rate for and on behalf of the County of San Mateo as requested and approved by the Chief Executive Officer of SMMC or his or her authorized designee.

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