COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

 

DATE:

March 25, 2004

BOARD MEETING DATE:

April 6, 2004

 

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Gale Bataille, Director, Mental Health Services

SUBJECT:

Rates for Mental Health Services

 

Recommendation

 

Adopt a resolution setting rates for Mental Health Services.

 

Background

 

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.

 

Discussion

 

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.

 

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

 

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.

 

Vision Alignment

 

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.

 

Fiscal Impact

 

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.