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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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June 6, 2008
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BOARD MEETING DATE:
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June 17, 2008
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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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Louise Rogers, Director, Behavioral Health & Recovery Services
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SUBJECT:
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Amendment to the Agreement with AchieveKids
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RECOMMENDATION:
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Adopt a Resolution:
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1) Authorizing the President of the Board to execute an Amendment to the Agreement with AchieveKids for the provision of non-public school-based mental health services for children and adolescents, increasing the maximum obligation by $305,670 from $159,200 to $464,870 and extending the term of the Agreement through June 30, 2009; and
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2) Authorizing the Director of Health or the Director's designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate) and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.
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VISION ALIGNMENT:
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Commitment: Ensure basic health and safety for all.
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Goal 8: Help vulnerable people—the aged, disabled, mentally ill, at-risk youth and others—achieve a better quality of life.
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The amended Agreement contributes to this commitment and goal by providing non-public school-based mental health services for emotionally disturbed children and adolescents.
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Behavioral Health and Recovery Services (BHRS) provides a range of services to consumers of mental health services in order for them to remain in the lowest possible level of care. The provision of intensive mental health services for youth is one established level of care. The services provided through this Agreement contribute to this measure.
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Performance Measure:
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Measure
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FY 2007-08 Estimate
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Percentage of clients maintained at current or lower level of care.
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76%
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BACKGROUND:
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For 15 years BHRS has contracted with AchieveKids for the provision of non-public school-based mental health services for children and adolescents (ages six to eighteen) with various emotional, behavioral, and developmental difficulties. Children are placed at AchieveKids by local school districts throughout the County through Individual Education Plan (IEP) team processes. The IEP team consists of the youth’s parent(s) or guardian(s) and representatives from the public school district and BHRS. BHRS is responsible for providing mental health services for these clients under Government Code, Title 1, Division 7, Chapter 26.5, and as an adjunctive service in this process, does not have authority to select placements for these children. Under the B-1 Administrative Memorandum, the selection of providers of these services is exempt from the County Request for Proposals (RFP) requirement.
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On September 25, 2007, your Board approved an Agreement with AchieveKids by Resolution 69015 for the term July 1, 2007 through June 30, 2008 for a maximum obligation of $159,200. Under that Agreement AchieveKids provides non-public school-based mental health services.
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DISCUSSION:
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Due to the increase in referrals to non-public schools the number of clients served by this provider increased in FY 2007-08. This increase will be maintained for FY 2008-09. The Agreement is being amended to increase the volume of client services, and to extend the term through June 30, 2009.
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The Amendment to the Agreement has been reviewed and approved by County Counsel and Risk Management. The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.
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FISCAL IMPACT:
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The term of the amended Agreement is July 1, 2007 through June 30, 2009. The Agreement maximum is being increased by $305,670 from $159,200 to $464,870 for the two-year term. The budgeted maximum for FY 2007-08 is increased by $69,800 to a new maximum of $229,000, which is included in the BHRS FY 2007-08 Adopted Budget. Of the increase for FY 2007-08, State and Federal Medi-Cal funds will cover $22,825; Individuals with Disabilities Education Act (IDEA) funds and SB90 funds will cover $17,939; Realignment will cover $11,377; and Net County Cost is $17,659. The budgeted maximum for FY 2008-09 is $235,870, which is included in the BHRS FY 2008-09 Recommended Budget. State and Federal Medi-Cal funds will cover $77,129 of the costs; Individuals with Disabilities Education Act (IDEA) funds and SB90 funds will cover $60,619; Realignment will cover $38,447; and Net County Cost is $59,675, which includes a three percent Cost of Living Allowance (COLA).
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