Inter-Departmental Correspondence
Health System



August 18, 2010


September 28, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Agreement with Edgewood Center for Children and Families



Adopt a Resolution:

A) Waiving the Request for Proposals process and authorizing the President of the Board to execute an Agreement with Edgewood Center for Children and Families for outpatient mental health services for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $1,100,132; and


B) 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.



Edgewood Center for Children and Families (Edgewood) has been providing school-based mental health services to San Mateo County children and youth since 1996. Edgewood provides three types of school-based mental health services for San Mateo County youth: day treatment, outpatient mental health services, and therapeutic behavioral services (TBS). Edgewood has also provided mental health outpatient services to youth and their families under the Mental Health Plan (MHP) since 1999.


In May of 2007 Behavioral Health and Recovery Services (BHRS) issued a Request for Proposals (RFP) for the provision of outpatient mental health services through the MHP. Edgewood responded with a proposal that was accepted. In February 2009 an RFP for child abuse treatment services was issued by BHRS. Edgewood, in collaboration with Youth and Family Enrichment services, submitted a proposal that was subsequently selected for the provision of these services.



Because the state has not finalized the FY 2010-11 budget and additional cuts to mental health outpatient services are anticipated, BHRS is requesting a waiver of the RFP requirement for outpatient mental health services provided through the MHP. BHRS will continue to accept “any qualified provider” who requests to contract with the County for these services as a means to encourage competition for public contracts.


Contractor shall provide school-based mental health services, mental health outpatient services authorized by the MHP, and child abuse treatment services. Child abuse treatment services are provided jointly by Children and Family Services of the Human Services Agency (HSA) and BHRS.


The Agreement and Resolution have been reviewed and approved by County Counsel. The Contractor’s insurance has been reviewed and approved by 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. This Agreement is on the Continuing Resolution.


Subsequent to the final adoption of the State budget it may be necessary to make changes to this contract in order to reflect legislative action. This contract is recommended to your Board at this time in order to provide a continuity of services to the community until final funding levels can be determined. The contract provides that the County may reduce the scope of the contract to reflect any shortfall in funding from State or federal allocations.


The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing mental health services to children and families. 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 child abuse treatment services is one established level of care. The services provided through this Agreement contribute to this measure. It is expected that 93% of clients will be maintained at a current or lower level of care.


Performance Measure:


FY 2009-10

FY 2010-11

Percentage of clients maintained at current or lower level of care.





The term of the Agreement is July 1, 2010 through June 30, 2011, and the maximum obligation is $1,100,132. Of that amount, it is anticipated that Medi-Cal Federal Financial Participation (FFP) will fund $396,542, State Early Periodic Screening Diagnosis and Treatment (EPSDT) will fund $120,432, and Healthy Kids, Healthy Families and other insurance will fund $26,051. Individuals with Disabilities Education Act will fund $50,000, Medi-Cal Administrative Activities (MAA) will fund $44,000, and HSA will provide $158,889 for child abuse treatment services. Sales tax through realignment will fund $65,731. The Net County Cost is $238,487, which includes required match for realignment. Funds for these services have been included in the BHRS tentatively Adopted FY 2010-11 Budget.