Loading...
Backup Documents 09/13/2022 Item #16E3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO ! b E 3-- THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Risk Risk Management Ai/it- 2. County Attorney Office�T County Attorney Office i2) 4. BCC Office Board of County Commissioners (vA ly Atbf 7 J(L//2 7 4. Minutes and Records Clerk of Court's Office 411 621.._ 5. Procurement Services Procurement Services PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,ma need to contact staff for additional or missing information. Name of Primary Staff Vanessa Miguel/Procurement Contact Information 239-252-8947 Contact/Department Agenda Date Item was September 13,2022 Agenda Item Number 16.E.3. Approved by the BCC Type of Document First Amendment to Agreement Number of Original 1 Attached Documents Attached PO number or account N/A 17-7209 Naples Physician number if document is Naples Physician Hospital to be recorded Hospital Organization Inc. Organization Inc. d/b/a Community d/b/a Community Health Partners Health Partners INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature STAMP OK N/A 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be VM signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the VM document or the fmal negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's VM signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on September 13,2022 and all changes Q N/A is not made during the meeting have been incorporated in the attached document. T1 ECEINu an option for County Attorney's Office has reviewed the changes,if applicable. 3 this line. ��uc'- 9. Initials of attorney verifying that the attached document is the version approved by t4E1 1+ N/A is not /` BCC,all changes directed by the BCC have been made, and the document is ready for the " d an option for Chairman's signature. sok agament this line. i 6 E a Ann P. Jennejohn From: Ann P.Jennejohn Sent: Friday, September 16, 2022 4:43 PM To: 'MiguelVanessa' Subject: Item #16E3 9-13-22 BCC Meeting Attachments: #17-7209 (Amendment#1 Community Health Partners).pdf Hi Vanessa, Please see the attacked for your records. Thank you. IrAnn Jennejohn 13MR Sevtior Deputy Clerk II Clerk to the Value Adjustment board Office: 239-252-8406 Fax: 239-252-8408 (if applicable) Avtvt.Jevtvtvjohvt@CollierClerk.covn• Office of the Clerk of the Circuit Court & Comptroller of Collier County 3299 Tanniavtni Trail, Suite #401 Naples, FL 34112-5324 www.CollierClerk.cowt 1 3/8/22, 11:40 AM Detail by Entity Name I 6 E 3 DIVISION OF CORPORATIONS 11/ / Jl viL.1J!r 01 rare r an o/Crird S1urr of Florida web.l lr Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Not For Profit Corporation NAPLES PHYSICIAN HOSPITAL ORGANIZATION, INC. Filing Information Document Number N93000005824 FEI/EIN Number 65-0531134 Date Filed 12/30/1993 State FL Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 10/31/2008 Event Effective Date NONE Principal Address 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Changed: 03/19/2004 Mailing Address 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Changed: 04/12/2012 Registered Agent Name&Address COMMUNITY HEALTH PARTNERS 851 FIFTH AVE N 201 NAPLES, FL 34102 Name Changed: 04/12/2012 Address Changed: 04/12/2012 Officer/Director Detail Name&Address Title D https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inqu irytype=EntityName&directionType=1 nitial&searchNameOrder=NAPLESP... 1/4 16 E 3, 3/8/22, 11:40 AM Detail by Entity Name Talano, James MD 851 Fifth Ave North STE 201 NAPLES, FL 34102 Title D Lewis, John MD 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Title D Kamerman, Max MD 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Title D WOLFF, BRIAN MD 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Title Director Perez-Trepichio,Alejandro MD 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Title Director Mascotti, Kristin MD 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Title Director Dimond, Margaret 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Title Director Murphey, Bryan MD 851 FIFTH AVE. N STE.201 https://search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail?inqu irytype=EntityName&directionType=l nitial&searchNameOrder=NAPLESP... 2/4 3/8/22,11:40 AM Detail by Entity Name 1 6 E 3 NAPLES, FL 34102 Title Director Leach, Gregory MD 851 FIFTH AVE. N STE.201 NAPLES, FL 34102 Title COO Jardone, Susan Kathleen 851 FIFTH AVE. N STE. 201 NAPLES, FL 34102 Title D Scanlon,James, MD 851 Fifth Ave North Suite 201 Naples, FL 34102 Title D Najm Masoud, Sobia, MD 851 Fifth Ave North Suite 201 Naples, FL 34102 Title D Wyles, Rick 851 Fifth Ave North Suite 201 Naples, FL 34102 Annual Reports Report Year Filed Date 2020 06/09/2020 2021 02/04/2021 2022 03/07/2022 Document Images 03/07/2022--ANNUAL REPORT View image in PDF format 02/04/2021--ANNUAL REPORT View image in PDF format 06/09/2020--ANNUAL REPORT View image in PDF format 04/11/2019--ANNUAL REPORT View image in PDF format 03/08/2018--ANNUAL REPORT View image in PDF format 03/28/2017--ANNUAL REPORT View image in PDF format 02/05/2016--ANNUAL REPORT View image in PDF format 11/24/2015--AMENDED ANNUAL REPORT View image in PDF format 04/23/2015--ANNUAL REPORT View image in PDF format https://search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail?inqu irytype=EntityName&d irectionType=l nitial&search NameOrder=NAPLESP... 3/4 3/8/22,11:40 AM Detail by Entity Name I 6 E 3 02/27/2014--AMENDED ANNUAL REPORT View image in PDF format 01/10/2014--ANNUAL REPORT View image in PDF format 01/25/2013--ANNUAL REPORT View image in PDF format 04/12/2012--ANNUAL REPORT View image in PDF format 01/06/2011--ANNUAL REPORT View image in PDF format 02/17/2010--ANNUAL REPORT View image in PDF format 04/28/2009--ANNUAL REPORT View image in PDF format 10/31/2008--REINSTATEMENT View image in PDF format 04/23/2007--ANNUAL REPORT View image in PDF format 03/13/2006--ANNUAL REPORT View image in PDF format 02/03/2005--ANNUAL REPORT View image in PDF format 03/19/2004--ANNUAL REPORT View image in PDF format 04/17/2003--ANNUAL REPORT View image in PDF format 03/13/2002--ANNUAL REPORT View image in PDF format 03/01/2001--ANNUAL REPORT View image in PDF format 03/27/2000--ANNUAL REPORT View image in PDF format 03/29/1999--ANNUAL REPORT View image in PDF format 02/06/1998--ANNUAL REPORT View image in PDF format 03/10/1997--ANNUAL REPORT View image in PDF format 04/22/1996--ANNUAL REPORT View image in PDF format 06/23/1995--ANNUAL REPORT View image in PDF format Florida Department of State,Division of Corporations https://search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail?inqu irytype=EntityName&d irectionType=Initial&search NameOrder=NAPLESP... 4/4 6E3 FIRST AMENDMENT TO AGREEMENT #17-7209 FOR MANAGED CARE & PREFERRED PROVIDER PAYOR NETWORK AGREEMENT THIS FIRST AMENDMENT, made and entered into on this \ day of Se _r,b e v 2022, by and between Naples Physician Hospital Organization, Inc. d/b/a Community Health Partners (the "CHP" or "Contractor") and Collier County, a political subdivision of the State of Florida, (the "County" or"Owner") (collectively, the "Parties"): WHEREAS, on September 26, 2017 (Agenda Item No. 16.E.20), the County entered into an Agreement No. #17-7209-NS "Managed Care & Preferred Provider Payor Network Agreement" (the "Agreement") with Contractor to provide the professional administration of the Collier County Group Health Plan; and WHEREAS,the Agreement is set to expire on December 31, 2022; and WHEREAS, the Parties desire to extend the Agreement for a period of three years commending on January 1, 2023 to December 31, 2025 with two additional one-year renewal terms and to add Schedule 4.7, Programs Fees setting forth the fees for services provided by CHP effective January 1, 2023. NOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, it is agreed by the Parties as follows: 1. Upon execution of this First Amendment, the Agreement shall be extended from a period commencing January 1, 2023 through December 31, 2025 and may be renewed for two (2) additional one (1) year periods at the rates set forth on Schedule 4.7. unless either party gives the other notice of its intention not to renew at least ninety (90) days prior to the annual anniversary of the Effective Date. 2. The County shall pay CHP as listed on Schedule 4.7, attached hereto this First Amendment, as compensation for Managed Care Service programs CHP provides. 3. Unless modified through this First Amendment, all other terms and conditions of the agreement shall remain in full force and effect. [Signature page to follow] ****** Remainder of page intentionally left blank ****** Page 1 of 3 First Amendment to Agreement# 17-7209-NS GA0 16E5 IN WITNESS WHEREOF,the Parties have executed this First Amendment on the date and year first written above by an authorized person or agent. ATTEST: Crystal K..,Kinzel, Clerk of the Circuit BOARD OF CO ' TY COMMISSIONERS Court atnd:Comptroller COLLIER COU 1 , FLO' . ( e). By: By: as, S WIL 1'AM L. MCDANIEL JR.,Chairman Dated: (SEAL) Witnesses: Naples Physician Hospital Organization, Inc. itteC,.. d/b/a Community Health Partners Oqs2 03A By: �CAA_c-A L�---� First Witness Sig attire sQ � I I Ac.-4-h4 ,x�c c�on e - �n;TType/print witness name TType/ rint signature and titlel Second Witness Z Z RD'a ( ] t ' lCj Date TType/print witness lame' App o F rm nd Le lity: 4p ;ASS` +q County Attorney l\©rtq\k1 tiov its(0 Print Name CP\ Page 2 of 3 ����� First Amendment to Agreement# I7-7209-NS 0 i 6E3. SCHEDULE 4.7 PROGRAM FEES Effective January 1,2023 Board of County Commissioners Collier County, Florida shall pay Community Health Partners monthly the fee listed below for the Managed Care Service programs — Utilization Review Management with Large Case Management, Maternity Case Management and Disease Management. The fee shall be received by Community Health Partners by the 20`1' of each month. Fee to be disbursed to: Community Health Partners 851 Fifth Avenue N#201 Naples, FL 34102 Utilization Management/Case Management Fees: CHP Utilization Review Management program with Large Case Management/Care Coordination including Maternity Management 01/01/2023 — 12/31/2023 $2.84 per employee per month 01/01/2024— 12/31/2024 $2.93 per employee per month 01/01/2025 — 12/31/2025 $3.02 per employee per month OPTIONAL: Two Additional 1-year terms: 01/01/2026— 12/31/2026 $3.11 per employee per month 01/01/2027— 12/31/2027 $3.20 per employee per month CHP Provider Network Access Fees: 01/01/2023 — 12/31/2027 $1.50 per employee per month Two Additional 1-year renewal terms $1.50 per employee per month Page 3 of 3 First Amendment to Agreement# 17-7209-NS C Gy