File #: 11-1228    Version: 1
Type: Agenda Item Status: Approved
File created: 10/21/2011 In control: Board of Supervisors
On agenda: 11/15/2011 Final action: 11/15/2011
Title: Health Services Department, Mental Health Division, recommending the Board authorize the Chair to sign Amendment I to Agreement 322-S1111 (123-105-M-E2010) with Tahoe Youth and Family Services, modifying contract articles for Compensation and Notices to Parties, and updating Exhibit A, “Program Definitions and Service Requirements for Children’s Services,” to remove language pertaining to AB 3632 (repealed by the State), with no change to the term or not-to-exceed amount, for specialty mental health services for seriously emotionally disturbed minors on an "as-requested" basis for said Department. FUNDING: Medi-Cal/Early and Periodic Screening, Diagnosis and Treatment (EPSDT), as well as Mental Health Realignment, as determined by the funding sources available and appropriate for each youth.
Attachments: 1. A - Blue route A-1, 322-S1111.pdf, 2. B - A-1, 322-S1111.pdf, 3. C - 322-S1111.pdf
Title
Health Services Department, Mental Health Division, recommending the Board authorize the Chair to sign Amendment I to Agreement 322-S1111 (123-105-M-E2010) with Tahoe Youth and Family Services, modifying contract articles for Compensation and Notices to Parties, and updating Exhibit A, "Program Definitions and Service Requirements for Children's Services," to remove language pertaining to AB 3632 (repealed by the State), with no change to the term or not-to-exceed amount, for specialty mental health services for seriously emotionally disturbed minors on an "as-requested" basis for said Department.
 
FUNDING:  Medi-Cal/Early and Periodic Screening, Diagnosis and Treatment (EPSDT), as well as Mental Health Realignment, as determined by the funding sources available and appropriate for each youth.
Body
BUDGET SUMMARY:
 
 
Total Estimated Cost
 
$64,000
 
 
 
     Funding
 
 
          Budgeted
$64,000
 
          New Funding
$
 
          Savings
$
 
          Other
$
 
     Total Funding Available
$64,000
 
Change To Net County Cost
 
$0
      
Fiscal Impact/Change to Net County Cost:  There is no Net County Cost associated with this Amendment I.  Amendment I does not modify the not-to-exceed amount of the original Agreement.
 
Compensation for Services:   Payments are made to Contractor based upon monthly invoicing at specified billing rates for actual services performed and documented per contract requirements. Services and rates are detailed on page 4 of the contract.
 
Contract Termination:  This Agreement includes the County's standard Fiscal Considerations termination language, as well as a provision for the County to terminate the Agreement without cause with seven (7) calendar days written notice.
 
Background:  The original Agreement 322-S1111 was approved by the Board of Supervisors on March 1, 2011 via Board item 11-0154.  Amendment I modifies the language in the Compensation article which allows the vendor to increase or decrease their rates with written notice to the HSD Director or designee. The final cost of services paid will be the lowest of the following:
 
·      the vendor's published rate (on page 4 of the contract);
·       the Statewide Maximum Allowable rate (set by the State);
·       or the vendor's actual cost, which is determined after it has prepared its  annual cost report.
 
Amendment I also updates the Notices article and updates Exhibit A, "Program Definitions and Service Requirements for Children's Services," to remove language pertaining to AB 3632, which has been repealed by the State.
 
Reason for Recommendation:  This contract provides specialty mental health services to youth served by Tahoe Youth. Specialty mental health services provided under this Agreement include assessments, case management, Therapeutic Behavioral Services, crisis intervention, as well as individual, group and family therapy.
 
The services requested by MHD from Tahoe Youth are intended to keep youth out of higher and far more expensive levels of care.
 
This Agreement covers the period March 1, 2011 through June 30, 2012.
 
Action to be taken following Board approval:
 
1.      Chair to sign three (3) original Amendments.
2.      Board Clerk's Office to return two (2) original Amendments to the Health Services Department, Mental Health Division.
3.      Mental Health Division to distribute as appropriate.
 
Contact:  Daniel Nielson, ext 7275
 
Concurrences:  Amendment I has been approved by County Counsel and Risk Management and a copy is on file in the Board Clerk's Office.