COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health System

 

DATE:

May 20, 2009

BOARD MEETING DATE:

June 9, 2009

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Jean S. Fraser, Chief, Health System

SUBJECT:

Continuation of Contracts

 

RECOMMENDATION:

Adopt a Resolution authorizing the Controller to continue payments on Health Department contracts from July 1, 2009 through September 30, 2009.

 

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal 8: Help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life.

This Resolution authorizing the continuation of contracts contributes to this goal by allowing the Controller to make payments on contracts at the existing rates through September 30, 2009, in order to ensure continuous provision of services to residents.

 

BACKGROUND:

The Health System has a number of contracts for services that will expire on or before June 30, 2009 and are pending completion. These contracts, listed in the Resolution, will be submitted for renewal or extension by the end of September 2009.

 

DISCUSSION:

To ensure continued provision of services during this period, it is necessary to authorize the Controller to continue to make payments to these contractors at the existing rates through September 30, 2009. This Resolution allows contractors to provide necessary services in a timely fashion and will allow the Health System the time needed to complete negotiations. This Resolution requires that all terms and conditions of the existing agreements are met.

The contracts included in the Resolution are largely for services provided by the Behavioral Health and Recovery Services Division. Reduction in the allowable Medi-Cal rates for services resulted in delays in contract negotiations with community-based providers. We expect to bring most of the contracts to your Board in July. Many of the smaller contracts will be submitted for County Manager approval in July and August.

The completion of contracts from Aging and Adult Services was delayed due to the late notice from the State regarding available funding for Area Agency on Aging services. We expect those contracts to be presented to your Board as a package in September.

County Counsel has reviewed and approved the Resolution as to form.

 

FISCAL IMPACT:

Funds for the annual costs of these contracts have been included in the Health System FY 2009-10 Recommended Budget.