Health and Human Services Agency (HHSA) recommending the Board:
1) Adopt and authorize the Chair to sign Resolution 065-2026, which will
supersede and replace Resolution 230-2024, which delegates authority to
the HHSA Director, or Chief Assistant Director, to execute Short-Term
Residential Therapeutic Program (STRTP) agreements for the provision of
Specialty Mental Health Services (SMHS), when urgent youth client
placements are needed, using the other counties STRTP agreement when
necessary, or using one of the three County Counsel and Risk
Management-approved contract templates with county Mental Health Plans
(MHPs) or out-of-County STRTP facility providers, and any amendments
approved by County Counsel and Risk Management that do not increase
the maximum obligation or extend the term of the agreements, as follows:
a) STRTP Provider Agreement (PA) template for contracting with
out-of-county STRTP facility providers for placement of youth clients, for a
total term not to exceed five years, effective on the date the first youth was
admitted to the facility (with retroactive start dates permitted for urgent
cases), for a maximum obligation of $600,000 per agreement;
b) STRTP County MHP Agreement template for contracting with other
county MHPs, which allows placement of multiple youth clients into the
contracting county’s STRTP, for a total term not to exceed five years,
effective on the date the first youth was admitted to the facility (with
retroactive start dates permitted for urgent cases), for a maximum
obligation of $600,000 per agreement;
c) STRTP Reciprocal Agreement template for use with other county MHPs
for placement of County youth in an out-of-county STRTP, or allowing
acceptance of out-of-county youth in the County’s contracted STRTP, for a
term of three years effective on the date the first youth is admitted to the
facility (retroactive start permitted for urgent cases), and a maximum
obligation not to exceed $600,000 per agreement; and
d) Other counties’ STRTP Agreements, when necessary, with other county
MHPs using the other counties’ template when the scope of work is similar
to STRTP SMHS services shown in Attachment C, and is approved by
County Counsel and Risk Management, for a term of three years effective
on the date the first youth is admitted (with retroactive start dates permitted
for urgent cases), for a maximum obligation of $600,000 per agreement;
and
2) Make findings in accordance with Procurement Policy C-17 Section
3.4(3) exempting the competitive bidding process for the resulting STRTP
agreements, with Purchasing Agent concurrence, as competitive bidding
would produce no economic benefit to the County.
FUNDING: Federal Medi-Cal, Realignment and State Mental Health
Service Act funding.