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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Services Agency
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DATE:
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June 25, 2004
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BOARD MEETING DATE:
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July 27, 2004
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TO:
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Honorable Board of Supervisors
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FROM:
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Maureen Borland, Director of Human Services Agency
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Charlene A. Silva, Director of Health Services Agency
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SUBJECT:
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Memorandum of Understanding between California Department of Social Services and County of San Mateo
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Recommendation
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Adopt a resolution authorizing the President of the Board to:
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1) Approve a Memorandum of Understanding between the California Department of Social Services and San Mateo County regarding Canyon Oaks Youth Center Group Home Waiver Demonstration Project; and
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2) Authorize the Director of the Health Services Agency to enter into subsequent amendments to this Memorandum of Understanding.
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Background
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The Canyon Oaks Youth Center, operated by the Mental Health Services Division, is licensed by the State as a group home. Current State statute allows only private, nonprofit providers to receive Aid to Families with Dependent Children-Foster Care (AFDC-FC) funding for group home programs. Most of these programs are located outside San Mateo County. After years of sending children out of county for services, the County built Canyon Oaks to assure in-county treatment of youth who require this level of service.
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In March 2003, San Mateo County requested an administrative waiver pursuant to various Welfare and Institutions Code sections in order to operate Canyon Oaks, a Rate Classified level (RCL) 14 group home for 12 seriously emotionally-disturbed youth. The California Department of Social Services (CDSS) granted this waiver on April 14, 2003. In July 2003 San Mateo County received provisional approval to start serving children at Canyon Oaks effective August 18, 2003.
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In August of 2003 Mental Health received notification from the Foster Care Rates Bureau of a provisional RCL 14 rate for Canyon Oaks. The first client was admitted on August 18, 2003.
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Discussion
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The terms and conditions of the Canyon Oaks Waiver Demonstration Project are delineated in the Memo of Understanding (MOU) with CDSS. The Project applies only to San Mateo County. The term of the MOU is from August 18, 2003 through August 17, 2006. This MOU describes responsibilities specific to the County, the State, and joint responsibilities. It also describes evaluation and fiscal requirements.
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The County operation of the Canyon Oaks Youth Center will maximize the collaboration of public child service agencies to effectively serve our most at-risk adolescents, many who have experienced multiple placements and rejections from facilities unable to meet their intensive care and supervision needs. This program will focus on community/school re-integration in the shortest time possible through active collaboration with our interagency partners and the parents/caregivers of clients. The approval of this MOU between CDSS and the County is the last technical requirement for the operation of Canyon Oaks under the State administrative waiver authority.
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This MOU has been initiated by CDSS, and was received by Mental Health in March of this year. It has been reviewed by the Human Services Agency, County Counsel and Risk Management. CDSS requires that your Board approve the MOU in order for Mental Health to receive AFDC-FC rate payments.
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Vision Alignment
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This MOU with the CDSS 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 MOU contributes to this commitment and goal by providing in-county residential mental health services to severely emotionally disturbed San Mateo County youth.
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Fiscal Impact
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The MOU with the California Department of Social Services is necessary to permit the Human Services Agency to draw down and pay Residential Care Level 14 (RCL)-Foster Care Rates for youth who are placed at Canyon Oaks. The FY 2004-05 Recommended Budget for Canyon Oaks Youth Residential Treatment Center is $2,502,014. This program is funded through a combination of Federal, State and local revenue sources. Annual projected RCL revenue is $872,986. Remaining program revenues include: EPSDT Medi-Cal (State and Federal shares) $265,073; Federal SAMHSA Block Grant $46,017; State Special Education allocation $142,500, which covers 57% of the cost of AB 3632 services; Realignment $1,038,485; and County General Fund $136,953 as required match for EPSDT and unfunded portion of mandated 3632 services.
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