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Health and Human Services Agency, Mental Health Division, recommending the Board consider the following:
1) Approve and authorize the Chair to sign Amendment 5 to Agreement for Services 132-S1311 with Sierra Child and Family Services, Inc. for the continued provision of Specialty Mental Health Services for children by extending the term through October 31, 2015 and increasing the not-to-exceed compensation of the Agreement by $450,000 for the period July 1, 2015 through October 31, 2015, for a maximum contractual obligation of $3,293,653; and
2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 132-S1311, 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: Federal and State Funds.
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DEPARTMENT RECOMMENDATION
Health and Human Services Agency (HHSA) recommends the County of El Dorado Board of Supervisors approve and authorize the Chair to sign Amendment 5 to Agreement for Services 132-S1311 with Sierra Child and Family Services, Inc. for the continued provision of Specialty Mental Health Services (SMHS) for children.
DISCUSSION / BACKGROUND
HHSA has contracted with Sierra Child and Family Services, Inc. for the provision of SMHS for children since 2007. Children are screened by HHSA Mental Health staff, and if determined to meet medical necessity, are referred for treatment to contracted providers. Sierra Child and Family Services, Inc. offers an array of specialty services, including 24-hour residential services.
On September 11, 2012, the Board of Supervisors approved Agreement for Services 132-S1311 with Sierra Child and Family Services, Inc. for the term July 1, 2012 through June 30, 2013 with a maximum contractual obligation of $655,000 (File ID 12-1108, Item 16). On June 25, 2013, the Board of Supervisors approved Amendment 1 to Agreement for Services 132-S1311, thereby extending the term to June 30, 2015 and increasing the maximum contractual obligation to $2,025,000 (File ID 13-0727, Item 41). On June 10, 2014, the Board of Supervisors approved Amendment 2 to Agreement for Services 132-S1311, with no change to the term, but increased the maximum contractual obligation to $2,566,000 (File ID 13-0727, Item 62). On July 17, 2014, the Purchasing Agent approved language revisions to Amendment 3 to Agreement for Services 132-S1311. There were no changes to the term or maximum contractual obligation. On December 16, 2014, the Board of Supervisors approved Amendment 4 to Agreement for Services 132-S1311, thereby increasing the maximum contractual obligation to $2,843,653 (File ID 13-0727, Item 26).
HHSA has issued a Request for Proposal (RFP) for SMHS. Continuation of this Agreement for an additional four months is necessary to ensure continued SMHS services while HHSA completes the RFP and evaluation process.
ALTERNATIVES
The Board of Supervisors may elect to not extend Agreement for Services 132-S1311; however, this action will result in disruption of SMHS for existing clients, an increased difficulty in meeting community needs, and failure of the County to comply with State mandated services.
OTHER DEPARTMENT / AGENCY INVOLVEMENT
County Counsel, Risk Management, Human Resources, and Procurement and Contracts
CAO RECOMMENDATION
It is recommended that the Board approve this item if it wants to continue to provide uninterrupted service to SMHS existing clients.
FINANCIAL IMPACT
There is no Net County Cost associated with this Agreement. Sufficient appropriations were included in the fiscal year 2014-15 budget, and will be included in future budgets for the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1. Clerk of the Board to obtain the signature of the Chair on two (2) originals of Amendment 5 to Agreement for Services 132-S1311.
2. Clerk of the Board to return one (1) fully executed Agreement to HHSA at 3057 Briw Road.
STRATEGIC PLAN COMPONENT
Health and Human Services Agency Strategic Plan Project 3.2, “External/Community Collaboration,” Objective 3.1.1: “Assure that all children entering the Child Welfare System are screened and assessed for Mental Health Services”; Objective 3.3.3: “Develop and implement programs in alignment with the currently approved Mental Health Service Act (MHSA) Plan.”
CONTACT
Don Ashton, M.P.A., Director