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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health Department
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DATE:
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November 28, 2005
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BOARD MEETING DATE:
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December 6, 2005
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director of Health
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Gale Bataille, Director, Mental Health Services
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SUBJECT:
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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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VISION ALIGNMENT:
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Commitments: to Ensure Basic Health and Safety for All, and Responsive, Effective, and Collaborative Government.
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Goals 8 and 20: Help vulnerable people - the aged, disabled, mentally ill, at risk youth, and others - achieve a better quality of life; and Government decisions are the result of careful consideration of future impact, rather than temporary relief or immediate gain.
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The approval of these rates contributes to these commitments and goals by establishing rates for mental health services.
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Performance Measure(s):
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Measure
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FY 2004-05
Actual
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FY 2005-06
Projected
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Percent increase in third party revenues and client fees over prior year
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-2%
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5%
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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 2005-06. 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 2005-06, or the projected actual cost of each service. These rates are late because the State maximum allowable rates are not released until October. The proposed rates for FY 2005-06 in the table below are effective as of July 1, 2005.
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Service
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FY 2004-05
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FY 2005-06
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Day Treatment Intensive
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$204.14 per day
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$217.82 per day
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Day Treatment Rehabilitative
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$118.94 per day
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$141.22 per day
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Crisis Stabilization
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$110.14 per day
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$119.70 per hour
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Medication Support
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$5.32 per minute
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$5.74 per minute
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Crisis Intervention
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$4.33 per minute
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$4.76 per minute
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Case Management
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$2.33 per minute
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$2.52 per minute
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Mental Health Services
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$2.77 per minute
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$3.07 per minute
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Therapeutic Behavioral Services
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$2.63 per minute
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$2.81 per minute
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For contracts with service providers, rates are negotiated specific to each contractor. For renewal contracts, rates are typically based upon the actual costs of each provider as identified in annual cost reports submitted to Mental Health.
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FISCAL IMPACT:
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The proposed client fee schedule will yield a projected total of about $274,000 in client fees and third party insurance reimbursement in FY 2005-06. The revenues included in the FY 2005-06 Mental Health Services adopted budget reflect these rates.
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