PSYCHOLOGICAL SERVICES
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LETTER OF AGREEMENT
This letter represents a summary of the agreement between Profes-
sional Psychological Services (PPS) and The City of Clearwater.
PPS agrees to extend its program to provide the City of Clearwater with
comprehensive, integrated mental health and chemical dependency care
effective January 1, 1996. PPS agrees to provide the full-range of services
for employees and eligible dependents in need of mental health, alcohol or
substance abuse treatment on both an in- and outpatient basis. The Employee
Assistance Program (EAP) includes three (3) sessions at no cost to the
employee plus supervisory training, mandatory referrals and fitness-for-duty
evaluations.
PPS will continue to assume clinical responsibility for all eligible members
residing both in- and outside the Tampa Bay area. PPS will continue to
assume full financial risk for the provision of all services without any
further financial obligation from the City.
PPS agrees to a capitation rate of $8.71 Per Employee Per Month. The City
agrees to remit payment to PPS by the end of the month in which services are
provided. Any annual increases in the capitation rate shall be negotiated
with the City.
PPS agrees to provide mental health and chemical dependency care within the
following plan of benefits:
OUTPATIENT MENTAL HEALTH, ALCOHOL/SUBSTANCE ABUSE SERVICES:
* No deductible.
* Thirty (30) visits per calendar year.
* No copayment for visits 1 thru 3 (EAP benefit) .
* Copayment of $10 for visits 4-30.
* Copayment of $20 per day for intensive outpatient
treatment program up to 30 days per year.
* Copayment of $10 per hour for standard psychological
testing of personality and educational concerns.
INPATIENT MENTAL HEALTH, ALCOHOL/SUBSTANCE ABUSE SERVICES:
* Deductible of $200 per inpatient admission.
* Thirty (30) days per calendar year.
* Maximum of five (5) days per year for medical
detoxification due to alcohol/substance abuse.
* Maximum of three (3) hospitalizations lifetime for
medical detoxification.
PPS and The City of Clearwater look forward to continuing our
successful relationship as symbolized in the signatures below on
JAN - 1 1996
this date,
~~
William L. Kale, Ph.D.
President
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