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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health System
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DATE:
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April 21, 2009
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BOARD MEETING DATE:
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May 19, 2009
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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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Jean S. Fraser, Chief, Health System
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Louise Rogers, Director, Behavioral Health and Recovery Services
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SUBJECT:
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Second Amendment to the Agreement with Milhous Children’s Services, Inc.
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to execute a Second Amendment to the Agreement with Milhous Children’s Services, Inc. for Day Treatment Intensive Services, medication support services, mental health services, and crisis intervention services, increasing the Agreement maximum by $384,000 to a new maximum of $844,000 and extending the term through June 30, 2010.
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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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This amended Agreement contributes to this commitment and goal by providing Day Treatment Intensive Services, medication support, mental health services, and crisis intervention for San Mateo County youth.
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Behavioral Health and Recovery Services (BHRS) provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. The provision of intensive mental health for youth is one established level of care. The services provided in this Agreement contribute to this measure.
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Performance Measure:
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Measure
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FY 2008-09
Estimate
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FY 2009-10 Target
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Percentage of clients maintained in current or lower level of care.
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76%
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76%
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BACKGROUND:
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On October 16, 2007, the County Manager approved an Agreement with Milhous Children’s Services, Inc. for the provision of Day Treatment Intensive Services, medication support services, mental health services and crisis intervention services for severely emotionally disturbed San Mateo County youth. The Agreement was for a maximum obligation of $98,000 for the term July 1, 2007 to June 30, 2008. During the first half of FY 2008-09, the volume of services increased as two additional clients were placed with this provider. The original Agreement was amended to increase the maximum to $460,000 and the term was extended through June 30, 2009. The Amendment was approved by your Board on May 20, 2008.
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Under the B-1 Administrative Memorandum, services required for specific clients placed in out-of-county facilities by other agencies are exempt from the Request for Proposals process requirement. The clients currently receiving services in the Milhous residential program were placed by the Human Services Agency. BHRS is responsible for mental health services provided to these clients by Milhous.
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DISCUSSION:
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The volume of services provided by this contractor has continued to increase as two additional clients have been placed with this provider, bringing the total current client count to five. This Agreement is being amended a second time to increase the Agreement maximum and to extend the term through June 30, 2010. The amount of funding requested for the additional fiscal year is based on an annualized monthly rate for the first half of FY 2008-09. Payments are made for actual services provided.
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This Second Amendment to the Agreement has been reviewed and approved by County Counsel. It includes all provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination, equal benefits and jury service policy.
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FISCAL IMPACT:
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The term of this Second Amendment to the Agreement is July 1, 2007 through June 30, 2010. The maximum obligation is increased by $384,000 from $460,000 to a new maximum of $844,000. For FY 2008-09 $320,000 is included in the BHRS FY2008-09 Adopted Budget. Of that amount $160,000 will be from Medi-Cal, $102,400 will be from State allocations for AB 3632, and $57,700 will be Net County Cost. Similar arrangements will be made for FY 2009-10. The estimated Net County Cost for the entire Agreement is $151,920. $309,000 is included in the BHRS FY 2009-10 Recommended Budget.
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