To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: June 25, 2024
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Department Contact: |
Jenine Miller, Psy.D. |
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707-472-2341 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Fourth Amendment to Agreement No. BOS-22-063 with Redwood Community Services, Inc., in the Amount of $343,744, for a New Total of $2,459,812, to Provide Residential Treatment Facility Operations and Crisis Residential Services on a Transitional Basis to Mendocino County Adults, Ages 18 or Older, Who Are Experiencing a Mental Health Crisis, Effective March 16, 2022 through a New End Date of September 30, 2024 (Previous End Date: June 30, 2024)
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Recommended Action/Motion:
recommendation
Approve fourth amendment to Agreement No. BOS-22-063 with Redwood Community Services, Inc., in the amount of $343,744, for a new total of $2,459,812, to provide Residential Treatment Facility operations and crisis residential services on a transitional basis to Mendocino County adults, ages 18 or older, who are experiencing a mental health crisis, effective March 16, 2022 through a new end date of September 30, 2024 (previous end date: June 30, 2024); authorize the Health Services Director or designee to sign any future amendments that do not increase the maximum amount; and authorize Chair to sign same.
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Previous Board/Board Committee Actions:
March 15, 2022, Item No. 3(r), BOS approval of Agreement No. BOS-22-063.
May 23, 2023, Item No. 3(q), BOS approval of first Amendment No. BOS-22-063-A1.
July 25, 2023, Item No. 3(u), BOS approval of second Amendment No. BOS-22-063-A2.
September 12, 2023, Item No. 3(j), BOS approval of third Amendment No. BOS-22-063-A3.
Summary of Request:
Mendocino County Behavioral Health and Recovery Services (BHRS) independently provides, and contracts with community agencies to provide, specialty mental health services to beneficiaries with Mendocino County Medi-Cal, and that meet the medical necessity and access criteria for such services. BHRS contracts with local community agencies to ensure a local continuum of care for specialty mental health services, and to ensure compliance with the Department of Health Care Services.
On August 11, 2020, BHRS released Request for Proposal (RFP) No. MH-20-005 for Crisis Residential Treatment Facility Operations. The RFP resulted in submission of one qualified proposal from Redwood Community Services, Inc. (RCS). BHRS reviewed the proposal and awarded the Agreement to RCS. Agreement No. BOS-22-063 was executed by the Mendocino County Board of Supervisors (BOS) on March 15, 2022, through which RCS provides Residential Treatment Facility operations and crisis residential services on a transitional basis to Mendocino County adults, age 18 years or older, who are experiencing a mental health crisis and need a higher level of care than outpatient services. Through this Agreement, the length of stay at the facility is 30 days, with an average length of stay of 14 days. RCS provides these services with a goal to transition clients from higher, more expensive levels of mental health services to more independent, lower levels of care and housing in the community.
On May 23, 2023, the BOS approved first Amendment No. BOS-22-063-A1 to increase the Agreement total to $1,973,658. On July 25, 2023, the BOS approved second Amendment No. BOS-22-063-A2 as a short-term Amendment through September 30, 2023, reducing the total amount to $1,455,587, and updating the Exhibit B, Payment Terms. On September 12, 2023, the BOS approved third Amendment No. BOS-22-063-A3 to increase the amount to $2,116,068, and update the Exhibit A, Definition of Services, and Exhibit B, Payment Terms.
BHRS intends to have one universal contract for all contractors and until the current Specialty Mental Health RFP is completed, the Agreement No. BOS-22-063 is valid for an additional three-month period in order to maintain service coverage. As a result, the proposed fourth Amendment to BOS Agreement No. BOS-22-063, extends the term an additional three months through September 30, 2024, and increases the total amount by $343,744 for a new Agreement total of $2,459,812. Through this fourth Amendment, RCS will continue providing crisis residential treatment operations and crisis residential services throughout Mendocino County. Facility operations under Agreement No. BOS-22-063 are funded through Medi-Cal, Realignment, and the Mental Health Services Act, and there is a reduction in psychiatric hospitalization costs as a direct result of the Crisis Residential Treatment Facility, allowing for redirection of funding to cover the additional operational cost of this fourth Amendment.
Alternative Action/Motion:
Return to staff for alternative handling.
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: 4052 |
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current f/y cost: $2,459,812 for the full term of the Agreement. |
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annual recurring cost: N/A |
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budgeted in current f/y: No |
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if no, please describe: there is currently a ytd available amount of $3,343,294 in the fy 2023-24 budget for these types of services. contracts are not individually listed as allocated under this specific budget, and each contract only draws what is needed, some going under budget, leaving unused funds for other contracts that utilize their full amounts. |
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revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Tony Rakes, Acting Deputy CEO
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Approved |
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Date: June 25, 2024 |
Executed Item Type: Agreement |
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Number: 22-063-A4 |
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