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Health and Human Services Agency recommending the Board:
1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Stanford Youth Solutions, Inc. doing business as Stanford Sierra Youth and Families for the provision of Specialty Mental Health Services for children and young adults provided under Agreement 5616 because specialty skills and qualifications not expressly identified in County classifications are involved in the performance of the work;
2) Approve and authorize the Chair to sign Agreement for Services 5616 with Stanford Sierra Youth and Families, in the amount of $842,333, for the term of 3 years from July 1, 2021 through June 30, 2024; and
3) Authorize the Health and Human Services Agency Director, or designee, to execute further documents relating to Agreement for Services 5616, contingent upon County Counsel and Risk Management approval, including amendments which do not increase the maximum dollar amount or term of the Agreement.
FUNDING: 50% Federal Medi-Cal, 13% Realignment, and 37% Mental Health Services Act.
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DISCUSSION / BACKGROUND:
The Mental Health Plan (MHP) in each county is responsible for providing or arranging for the provision of Specialty Mental Health Services (SMHS) to local residents that are Medi-Cal beneficiaries. Beneficiaries become eligible for SMHS when an identified mental health condition has a significant impact on the individual’s life functioning. SMHS require a specialized skill set and treatment approach and are not effectively remediated by a general provider in the field of mental health. Acting as the MHP for the County of El Dorado, the County has the obligation to provide eligible children, youth, and young adult residents with access to designated 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.
This proposed Agreement with Stanford Youth Solutions, Inc., doing business as Stanford Sierra Youth and Families (SSYF) is a renewal of Agreement #3523 approved by the Board on December 4, 2018 that will provide SMHS to children, youth, and young adults. The proposed Agreement would also ensure compliance with all Federal and State requirements, and will continue to uphold parameters such as consistency in service delivery expectations, performance measures and outcomes, productivity, and funding. To date, SSYF performance measures for services provided under Agreement #3523, such as timely access to services and services offered, have indicated that they are providing high quality SMHS to eligible children and young adults of the community.
In accordance with Board of Supervisors Procurement Policy C-17, Section 7.11, the contractor selection process for service contracts in excess of $100,000 must include a review of the scope of services and contractor’s professional qualifications by a group of individuals (including at least one representative from outside the department requesting the services) qualified to judge the contractor’s ability to perform the services. HHSA has documentation on file that such a review was performed for Agreement #5616 with SSYF.
ALTERNATIVES:
Should the Board decline to approve this recommendation, the Health and Human Services Agency (HHSA) would continue to provide services through contracts with other vendors. However, HHSA will be limited in its capacity to provide SMHS, and clients currently receiving services from SSYF will experience a disruption in the continuity of said services.
PRIOR BOARD ACTION:
1) 10/13/15, 15-1141, HHSA Stanford Youth Solutions Agreement 177-S1611 (348)
2) 12/04/18, 18-1777, HHSA Stanford Youth Solutions, Agreement 3523
3) 04/14/20, 20-0336, HHSA Stanford Youth Solutions, Agreement 3523 Amendment 1
4) 04/21/20, 20-0291, HHSA Resolution to amend Services Agreements COVID-19
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Procurement and Contracts, Human Resources, and Risk Management. Auditor Controller was notified.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
This Agreement for Services is a renewal of a prior year agreement and continues to be funded with Mental Health Services Act and State Realignment funding, as well as Medi-Cal reimbursement of approximately 50%. The maximum obligation has increased in conjunction with an approximate 3% rate increase each fiscal year. Funds have been allocated for this Agreement in Fiscal Year 2021-22 and will continue to be allocated in future fiscal years for the duration of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Agreements for Services #5616.
2) Clerk of the Board to return one (1) fully executed Agreement to HHSA Contracts Unit at 3057 Briw Road.
STRATEGIC PLAN COMPONENT:
County of El Dorado Strategic Plan Goal: Healthy Communities - Improved health, well-being and self-sufficiency of El Dorado County communities, residents, and visitors.
CONTACT
Don Semon, Director, Health and Human Services Agency