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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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May 14, 2010
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BOARD MEETING DATE:
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June 8, 2010
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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 & Recovery Services
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SUBJECT:
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Agreement with Children’s Health Council
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RECOMMENDATION:
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Adopt a Resolution:
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1) Waiving the Request for Proposals requirement to select providers of mental health services authorized by the Mental Health Plan; and
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2) Authorizing the President of the Board to execute an Agreement with Children’s Health Council for the provision of non-public school-based mental health services for emotionally and behaviorally disturbed children and adolescents, and mental health services for developmentally disabled clients authorized by the Mental Health Plan, for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $534,980; and
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3) Authorizing the Chief of the Health System or 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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BACKGROUND:
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For over fourteen years Children’s Health Council (CHC) has provided intensive non-public school-based mental health services for San Mateo County children with complex emotional, behavioral, and developmental problems. Children are placed at CHC by local school districts throughout the County through Individual Education Plan (IEP) team processes. The IEP team includes the youth’s parent(s) or guardian(s), and representatives from the public school district and Behavioral Health and Recovery Services (BHRS). Under Government Code, Title 1, Division 7, Chapter 26.5, BHRS is responsible for providing mental health services for these clients and, as an adjunctive service in this process, does not have authority to select placements for these children. Under the B-1 Administrative Memorandum, these services are exempt from the County Request for Proposals (RFP) requirement.
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Since 2006 CHC has provided outpatient mental health services authorized by the Mental Health Plan (MHP). In May 2007 BHRS released an RFP to select agency providers of outpatient mental health services authorized by the MHP. CHC did not respond to the RFP but subsequently agreed to continue to provide these services for developmentally disabled clients. Last year your Board approved a waiver of the RFP requirement for the provision of these outpatient mental health services by CHC.
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DISCUSSION:
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BHRS is recommending an Agreement with CHC for FY 2010-11 for the provision of non-public school-based mental health services and managed care outpatient mental health services authorized through the MHP. Services will include medication assessment and treatment; classroom interventions; individual, group, and family therapy; plan development; crisis intervention; and, referrals to community services.
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BHRS is requesting a waiver of the RFP requirements for this Agreement for the provision of mental health services authorized by the MHP. CHC is the only known qualified provider of these services for developmentally disabled clients.
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The Agreement has been reviewed and approved by Risk Management, and the Agreement and Resolution have been approved by County Counsel. 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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The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing non-public school-based mental health services for emotionally disturbed children and adolescents. 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 services for youth is one established level of care. The services provided through this Agreement contribute to this measure. It is anticipated that 76% of clients will be maintained at their current or lower level of care.
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Performance Measure:
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Measure
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FY 2009-10
Estimate
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Clients maintained at their current or lower level of care.
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76%
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FISCAL IMPACT:
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The term of the Agreement is July 1, 2010 through June 30, 2011, and the maximum obligation is $534,980. Of that amount, it is anticipated that Medi-Cal Federal Financial Participation will fund $90,000, Medicare will fund $10,000, private payors will fund $43,497, Individuals with Disabilities Education Act (IDEA) will fund $365,765, and Healthy Kids will fund $13,049. The remaining $12,669 is Net County Cost. Funds for these services will be included in the BHRS FY 2010-11 Recommended Budget.
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