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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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April 2, 2010
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BOARD MEETING DATE:
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April 27, 2010
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Four-fifths
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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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Appropriation Transfer Request for Behavioral Health and Recovery Services
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RECOMMENDATION:
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Approve an Appropriation Transfer Request (ATR) for $612,500 from Departmental Reserves and from Other Charges to Services and Supplies.
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BACKGROUND:
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For FY 2009-10 the State eliminated Medi-Cal funding for outpatient managed care mental health services. During the FY 2009-10 September revisions Behavioral Health and Recovery Services (BHRS) identified outpatient managed care mental health services as potentially needing additional funding in order to maintain the provision of services to eligible clients. At that time BHRS identified Departmental Reserves to fund services for the first quarter of this fiscal year in order to minimize the impact on clients due to the discontinuation of services.
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DISCUSSION:
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Departmental Reserves in the amount of $312,500 will be used to cover decreases in State General Funds for outpatient mental health managed care services. In addition, $300,000 will be transferred from Other Charges to Services and Supplies in order fund unanticipated contract costs for this fiscal year.
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Approval of this ATR contributes to the Shared Vision 2025 outcome of a Healthy Community by enabling BHRS to provide needed outpatient and other mental health services to clients needing these 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 outpatient mental health services is one established level of care. It is anticipated that 87% of clients receiving these services will be maintained at current or lower level of care.
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Performance Measure:
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Measure
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FY 2008-09
Actual
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FY 2009-10
Projected
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Percentage of clients maintained at current or lower level of care.
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87%
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87%
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FISCAL IMPACT:
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The ATR transfers $312,500 from BHRS Departmental Reserves to Other Charges to Services and Supplies, and transfers $300,000 from Other Charges to Services and Supplies. There is no Net County Cost impact associated with this ATR.
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