Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Interim Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Rashmi Garg, M.D. for Psychiatry Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Rashmi Garg, M.D. for psychiatry services, increasing the agreement maximum by $220,756 to an amount not to exceed $1,198,876 with no change to the agreement term.
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BACKGROUND:
Dr. Garg has been a contracted child psychiatrist for Behavioral Health and Recovery Services (BHRS) since 2001, providing services at various County mental health clinics. Services include child and youth medication evaluation and treatment, psychotherapy and family consultation, residency training, and case consultation to staff. In July 2022 this Board approved an agreement with Dr. Garg to provide psychiatry services for the term of July 1, 2022 through June 30, 2025, in an amount not to exceed $978,120.
DISCUSSION:
Compensation for BHRS contracted physicians has been equivalent to compensation for County employed physicians, whose rates are determined through negotiated Memoranda of Understanding (MOU) with the Union of American Physicians and Dentists (UAPD). When the current agreement with Dr. Garg was being negotiated, the County was also negotiating a new MOU with UAPD. The agreement with Dr. Garg includes a stipulation that the contracted rate of compensation would be adjusted to maintain equivalency with a new UAPD MOU rate. The new MOU is now in place and this amendment provides Dr. Garg with the stipulated rate increase.
Under the B-1 Administrative Memorandum, agreements with physicians are exempt from the requirement for a Request for Proposals process.
The resolution contains the County's standard provision allowing amendment of the County's fiscal obligati...
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