To: Board of Supervisors
From: Behavioral Health
Meeting Date: September 12, 2023
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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 Third Amendment to BOS Agreement No. BOS-22-063 with Redwood Community Services, Inc., in the Amount of $660,481, for a New Total of $2,116,068, 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 June 30, 2024 (Previous End Date: September 30, 2023)
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Recommended Action/Motion:
recommendation
Approve third Amendment to BOS Agreement No. BOS-22-063 with Redwood Community Services, Inc., in the amount of $660,481, for a new total of $2,116,068, 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 June 30, 2024 (previous end date: September 30, 2023); authorize the Behavioral Health and Recovery 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
Summary of Request:
Mendocino County Behavioral Health & Recovery Services (BHRS) 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 specialty mental health. 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-RFP 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. 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. Under Agreement No. BOS-22-063, 55 clients were served and 2,895 services were billed from April 2022 to June 2023.
On May 23, 2023, the BOS approved the first Amendment to BOS Agreement No. BOS-22-063 to increase the Agreement total to $1,973,658. On July 25, 2023, the BOS approved the second Amendment to BOS Agreement No. BOS-22-063 to enter into a short-term Amendment through September 30, 2023, in order to review the Agreement terms, and to submit a new Amendment for the remaining Agreement period (October 1, 2023 through June 30, 2024). The second Amendment to BOS Agreement No. BOS-22-063 decreased the Agreement total to $1,455,587.
The proposed third Amendment to BOS Agreement No. BOS-22-063, updates the Agreement terms within Exhibit A, extends the term end date to June 30, 2024, and increases the total amount to $2,116,068, for additional operational costs for the Crisis Residential Treatment Facility. Facility operations are funded through Medi-Cal, Realignment, and the Mental Health Services Act, and a reduction in psychiatric hospitalization costs as a direct result of the Crisis Residential Treatment Facility will allow for redirection of funding to cover the additional operational cost. Once the proposed Amendment is executed, it will be effective for the full term of the Agreement, from March 16, 2022 through June 30, 2024.
Alternative Action/Motion:
Return to staff for alternative handling.
Does This Item Support the General Plan? Yes
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: Medi-Cal, Realignment, MHSA |
budgeted in current f/y: Yes |
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current f/y cost: $919,516 ($2,116,068 for the full term of the amended Agreement) |
if no, please describe: |
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annual recurring cost: Varies based on individual FY amounts for the full term of the Amendment. |
revenue agreement: No |
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budget clarification: N/A |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Executive Office |
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CEO Review: Yes |
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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: September 13, 2023 |
Executed Item Type: Agreement Number: 22-063-A3 |
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