COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

DATE:

June 7, 2002

BOARD MEETING DATE:

June 25, 2002

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Gale Bataille, Director of Mental Health Services

SUBJECT:

Amendment to the Agreement with Jefferson Union High School District

Recommendation

Adopt a resolution authorizing the President of the Board

1

to execute an amendment to the agreement with Jefferson Union High School District, and

2

to authorize the Director of Health Services to execute subsequent amendments and minor modifications to the agreement not to exceed the aggregate of $25,000.

Background

Jefferson Union High School District operates the Daly City Youth Health Center (DCYHC), which has been in operation for twelve years. DCYHC serves youth in Pacifica, Daly City, Colma, Brisbane and parts of South San Francisco. Youth need not be enrolled in school. On February 13^th, 2000, your Board approved a three year agreement with Jefferson Union High School District to provide mental health services to youth at DCYHC, to provide services to participants in the Prevention of Repeat Offenders Program (PROP), to provide outpatient care through the Mental Health Plan managed care network, and to provide Health Services staffing for the Homeless Teen Program. In 2001, Mental Health Program rates were revised and your Board requested that 10% increases be given to contractors. The Jefferson Union High School District agreement was among those affected by that directive.

Discussion

This amendment affects only the Mental Health and Community Challenge Grant portions of the contract. The amended agreement incorporates the 10% increase, reorganized goals and objectives, updated equal benefits and non-discrimination language, and the new managed care rates effective in 2001. This amendment also adjusts Community Challenge Grant Program payments to reflect FY 2002-03 salaries and benefits.

The delay in processing this amendment to the agreement is due to contractor's delay in signing the amendment.

Vision Alignment

This agreement with Jefferson Union High School District keeps the commitment to Ensure Basic Health and Safety for All and goal number 8: Help vulnerable people - the aged, disabled, mentally ill, at risk youth, and others - achieve a better quality of life. The agreement contributes to this commitment by providing mental health and health services for youth at the DCYHC, school campuses, and for participants in PROP.

Fiscal Impact

The term of the agreement remains July 1, 2000, through June 30, 2003. The amended agreement contains the modified mutual hold harmless clause that has been approved by County Counsel. Risk Management has approved the amended agreement.

The amended payments per program and fiscal year are detailed in the table below:

Program

FY 00-01

FY 01-02

FY 02-03

Totals

DCYHC

$ 63,600

$69,960

$69,960

$203,520

PROP

$ 37,100

$40,810

$40,810

$118,720

Managed Care

$ 25,000

$25,000

$25,000

$ 75,000

Mental Health Subtotal

$125,700

$135,770

$135,770

$397,240

Healthcare for-Homeless

$75,232

$75,232

$75,232

$225,696

TOTAL PER YEAR

$200,932

$211,002

$211,002

$622,936

The total cost of the amended agreement for the three-year term is $622,936: $225,696 for homeless/at risk youth primary care services, and $397,240 for Mental Health services. The Mental Health allocation for DCYHC is increased by $6,958 from $196,582 to $203,520 for the contract term. While managed care rates have increased, the total managed care allocation remains the same. Mental Health costs for FY 2001-02 are $135,770. Federal Funding Participation (FFP) will cover $7,496 and tax realignment will cover $7,097. The net County cost for FY 2001-02 is $121,177, which is included in the Mental Health Services Division budget. Total costs Mental Health costs for FY 2002-03 are projected to be $135,770, and are included in the Mental Health Services Division FY 2003-03 recommended budget. The Community Challenge Grant reimbursement total is $53,587.

We are also requesting that the Director of Health Services be given signature authority to execute subsequent amendments and minor modifications to the agreement not to exceed the aggregate of $25,000.