File #: 18-1776    Version: 1
Type: Agenda Item Status: Approved
File created: 11/5/2018 In control: Board of Supervisors
On agenda: 12/11/2018 Final action: 12/11/2018
Title: Health and Human Services Agency recommending the Board: 1) Approve and authorize the Chair to sign Agreement for Services 3522 with Tahoe Youth and Family Services, Inc., for the provision of Specialty Mental Health Services for children and young adults, in the amount of $115,596, for the term of two and one-half (2.5) years from January 1, 2019 through June 30, 2021; 2) Make findings in accordance with County Ordinance 3.13.030 that it is more economical and feasible to contract with Tahoe Youth and Family Services for services provided under this Agreement 3522 because the County does not have the qualified staff nor the facilities to provide said services; and 3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 3522, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management. FUNDING: 50% Medi-Cal; 50% a combinati...
Attachments: 1. A -Approved CRS, Tahoe Youth & Family, 3522, 12-11-18, 2. B - Agmt 3522 12/11/18, 3. Executed Agreement 3522
Related files: 18-0663, 15-1128
Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Agreement for Services 3522 with Tahoe Youth and Family Services, Inc., for the provision of Specialty Mental Health Services for children and young adults, in the amount of $115,596, for the term of two and one-half (2.5) years from January 1, 2019 through June 30, 2021;
2) Make findings in accordance with County Ordinance 3.13.030 that it is more economical and feasible to contract with Tahoe Youth and Family Services for services provided under this Agreement 3522 because the County does not have the qualified staff nor the facilities to provide said services; and
3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 3522, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management.

FUNDING: 50% Medi-Cal; 50% a combination of Mental Health Services Act and 1991 / 2011 Realignment.
Body
DISCUSSION / BACKGROUND:
Acting as the Mental Health Plan (MHP) for the County of El Dorado, the County has the obligation to provide eligible County residents (including children and young adults), with access to designated Specialty Mental Health Services (SMHS), including acute psychiatric care, in accordance with Welfare and Institutions Code (WIC) Section 5600 et seq., 5775 et seq., 14000 et seq., and 17000 et seq.

On July 28, 2015, the Board of Supervisors approved Request for Proposal 15-952-043 (File ID No. 15-0852; Agenda Item 9), which allowed the Health and Human Services Agency (HHSA) to seek vendors to provide SMHS. This resulted in the County contracting with Tahoe Youth and Family Services (TYFS) in Agreement for Services 332 on October 13, 2015. (File ID No 15-1136; Agenda Item 16)

On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) issued the Final Rule, which aligns ...

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