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COUNTY OF SAN MATEOInter-Departmental Correspondence |
Health Services Agency |
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DATE: |
March 25, 2004 |
BOARD MEETING DATE: |
April 6, 2004 |
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TO: |
Honorable Board of Supervisors |
FROM: |
Margaret Taylor, Director of Health Services |
Gale Bataille, Director, Mental Health Services
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SUBJECT: |
Rates for Mental Health Services |
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Recommendation |
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Adopt a resolution setting rates for Mental Health Services. |
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Background |
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Your Board has the authority to approve the rates for the Mental Health Services Division. These rates are used to bill clients and third party insurance companies for mental health services. The Mental Health Services Division is required to maintain rates at least equal to the rates charged to Medi-Cal for each type of service. |
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Discussion |
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We are now recommending rates for your approval for mental health services for FY 2003-04. The rates are the greater of the standard maximum allowable Medi-Cal rate established for each service by the State Department of Mental Health for fiscal year 2003-04, or the projected actual cost of each service. These proposed rates are effective as of July 1, 2003. |
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Type of Service |
Current Approved Rate |
Recommended Rate |
Day Treatment Intensive |
$171.26 per day |
$204.14 per day |
Day Treatment Rehabilitative |
$111.03 per day |
$118.94 per day |
Adult Crisis Residential |
$257.66 per day |
$276.02 per day |
Adult Transitional Residential |
$125.67 per day |
$134.63 per day |
Crisis Stabilization |
$98.11 per day |
$110.14 per day |
Medication Support |
$7.89 per minute |
$5.32 per minute |
Crisis Intervention |
$3.33 per minute |
$4.33 per minute |
Case Management |
$1.75 per minute |
$2.33 per minute |
Mental Health Services |
$2.19 per minute |
$2.77 per minute |
Therapeutic Behavioral Services |
N/A |
$2.63 per minute |
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These rates are based on the FY 2002-03 actual costs, augmented for inflation. The analysis required to determine the actual costs was not completed until January of this year. |
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Vision Alignment |
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These rates for Mental Health services keep the commitment to Ensure Basic Health and Safety for All, goal number 8: Help vulnerable people - the aged, disabled, mentally ill, at risk youth, and others - achieve a better quality of life, and the commitment to Responsive, Effective, and Collaborative Government, goal number 20: Government decisions are the result of careful consideration of future impact, rather than temporary relief or immediate gain. The approval of these rates contributes to these commitments and goals by establishing rates for mental health services. |
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Fiscal Impact |
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The proposed client fee schedule will yield a projected total of about $140,000 in client fees and third party insurance reimbursement. The projected revenues in the 2003-04 Mental Health Services proposed budget reflect these rates. |