Title
Mental Health Department recommending Chairman be authorized to sign Amendment I to Agreement 011-S0611 with Sierra Family Services, a division of Sierra Boys Ranch, increasing compensation by $75,000 to $475,000 to provide specialty mental health services to County-authorized minors on an "as requested" basis for said Department .
RECOMMENDED ACTION: Approve.
FUNDING: Med-Cal, State EPSDT and Realignment funding.
Body
BUDGET SUMMARY: |
|
|
Total Estimated Cost |
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$475,000 |
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|
|
Funding |
|
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Budgeted |
$475,000 |
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New Funding |
$ |
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Savings |
$ |
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Other |
$ |
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Total Funding Available |
$475,000 |
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Change To Net County Cost |
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$0 |
Fiscal Impact/Change to Net County Cost: The total funding for this agreement is $475,000 for the two year contract. Funding is provided by Medi-Cal, Early and Periodic Screeing Diagnosis and Treatment (EPSDT) and Realignment. There is no change to Net County Cost.
Background: The Mental Health Department has contracted with Sierra Child and Family Services, Inc. to provide specialty mental health services for children on an "as requested" basis. The term of this Agreement is from July 1, 2005 through June 30, 2007.
As per the requirements of the State's Short-Doyle MediCal reimbursement policies, the compensation terms of the contract provide that the County pay the contractor "provisional rates" for the services provided that approximate actual costs. At the end of the contractor's fiscal year, the contractor is required to provide the County with an annual legal entity Cost Report (as prescribed by the State) and a certified copy of an Audit Report from an independent CPA firm for the purposes of determining actual and reimbursable costs for services provided under the agreement, less any reimbursements received on behalf of patients covered by the Agreement.
Reason for Recommendation: Amendment I provides for an increase in the not-to-exceed amount from $400,000.00 to $475,000.00 so that the department can fully reimburse the contractor for their fiscal year 2005-2006 cost report settlement.
The Procurement and Contracts Division has processed Amendment I to the subject agreement. In accordance with Board of Supervisors Policy C-17, Section 7.4.2, the Purchasing Agent concurs with the department's request to amend this agreement.
The Purchasing Agent concurs that the department's request is in compliance with Board of Supervisors Policy C-17, Sections 7.4.2, 7.5, and 7.10. Outside review of the contractor's qualifications to perform the needed services and the review of any competitive selection process is not required as the amendment simply permits final payment to the vendor based on actual costs incurred for services performed prior to the expiration date of June 30, 2007.
A new agreement with this vendor is already in place.
Action to be taken following Board approval: Board Clerk's Office will forward the executed amendment to Mental Health for further processing.
Contact: John Bachman, Mental Health
Concurrences: This amendment has been approved by County Counsel and Risk Management and a copy is on file in the Board Clerk's Office.