To: Board of Supervisors
From: Behavioral Health
Meeting Date: July 11, 2023
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Department Contact: |
Jenine Miller |
Phone: |
707-472-2341 |
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Item Type: Regular Agenda |
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Time Allocated for Item: 30 Minutes |
Agenda Title:
title
Discussion and Possible Action Including Retroactive Approval of Agreements with 1. Redwood Quality Management Company DBA Anchor Health Management, Inc. ($3,600,000), 2. Redwood Quality Management Company DBA Anchor Health Management, Inc. Medication Support Services ($2,000,000), 3. Mendocino Coast Hospitality Center ($596,000), 4. Mendocino County Youth Project ($930,000), 5. Redwood Community Services ($11,179,365), and 6. Tapestry Family Services Inc. ($3,775,662) to Provide Specialty Mental Health Services to Eligible Medi-Cal Beneficiaries of Mendocino County for a Total Combined Amount of $22,081,027, Effective July 1, 2023 through June 30, 2024
(Sponsor: Behavioral Health and Recovery Services)
End
Recommended Action/Motion:
recommendation
Approve Agreements with 1. Redwood Quality Management Company DBA Anchor Health Management, Inc. ($3,600,000), 2. Redwood Quality Management Company DBA Anchor Health Management, Inc. Medication Support Services ($2,000,000), 3. Mendocino Coast Hospitality Center ($596,000), 4. Mendocino County Youth Project ($930,000), 5. Redwood Community Services ($11,179,365), and 6. Tapestry Family Services Inc. ($3,775,662) to provide Specialty Mental Health Services to eligible Medi-Cal beneficiaries of Mendocino County for a total combined amount of $22,081,027, effective July 1, 2023 through June 30, 2024; authorize the Behavioral Health and Recovery Services Director or designee to sign any future amendments to the agreements that do not increase the annual maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
On June 21, 2022, the Board of Supervisors approved the following Agreements: Agreement 22-162 with Redwood Quality Management Company DBA Anchor Health Management, Inc. Medication Support Services in the amount of $1,350,000, Agreement 22-164 with Mendocino Coast Hospitality Center in the amount of $592,000, Agreement 22-165 with Mendocino County Youth Project in the amount of $958,000, Agreement 22-166 with Redwood Community Services in the amount of $8,523,000, and Agreement 22-167 with Tapestry Family Services Inc in the amount of $3,910,000.
Summary of Request:
Redwood Quality Management Company DBA Anchor Health Management, Inc. has been providing Administrative Services, Utilization Review Services, Quality Assurance and Performance Improvement, Inpatient Hospitalization Fees, Physician Fees, and Youth Placement Fees for specialty mental health services on behalf of Mendocino County, as delineated in the Mental Health Plan (MHP) controlled by the California Department of Health Care Services (DHCS), and Mental Health Services Act Programs, since July 1, 2016. Functioning as the County’s Administrative Services Organization (ASO), AHM oversees and manages the delivery of mental health services through a well-developed coalition of local subcontractors.
Redwood Quality Management Company DBA Anchor Health Management, Inc., Medication Support Services provides specialty mental health medication support services to Mendocino County residents in Ukiah, Fort Bragg, and via telehealth. Redwood Quality Management Company DBA Anchor Health Management, Inc. has been providing specialty mental health medication support services for beneficiaries for several years.
Specialty Mental Health Services (SMHS) include: Medication Support Services, Assessment, Plan Development, Collateral, Rehabilitation, and Targeted Case Management. Specialty mental health services are provided to residents of Mendocino County who meet medical necessity and access criteria and have Medi-Cal or are indigent. Anchor Health Management, Inc. shall serve up to 800 beneficiaries under this contract.
Mendocino Coast Hospitality Center (MCHC) provides SMHS and Mental Health Servicer Act (MHSA) programs to Mendocino County adult residents in Fort Bragg. The SMHS to be provided by MCHC through the proposed Agreement include: Assessment, Plan Development, Collateral, Therapy, Rehabilitation, and Targeted Case Management. MCHC will serve up to 200 adult beneficiaries under SMHS. MHSA programs MCHC will provide include: Integrated Care Coordination for beneficiaries through an Adult Wellness and Recovery Center, Full Service Partnerships, and Behavioral Health Court to better serve consumers with severe mental illnesses. MCHC will serve up to 300 individuals through MHSA programs.
Mendocino County Youth Project (MCYP) provides SMHS and MHSA programs to Mendocino County youth (0-17) and transitional age youth (18-24) residents within the schools, community, and office. The SMHS to be provided by MCYP through the proposed Agreement include: Assessment, Plan Development, Collateral, Therapy, Rehabilitation, Targeted Case Management, and Intensive Care Coordination. MCYP will serve up to 250 youth (0-17) and up to 100 transitional age youth (18-24) beneficiaries under the SMHS. MHSA programs MCYP will provide include: Prevention and Early Intervention, Breaking the Silences, Community Supports and Services, and Full Service Partnerships. MCYP will serve up to 2oo individuals through these services.
Redwood Community Services, Inc. (RCS) provides SMHS and MHSA programs to Mendocino County youth (0-17), transitional age youth (18-24) and adults (25+) residents in Ukiah, Willits, and Fort Bragg within the schools, community, and office. The SMHS to be provided by RCS through the proposed Agreement include: Assessment, Plan Development, Collateral, Therapy, Rehabilitation, Targeted Case Management, Intensive Care Coordination, Intensive Home-Based Services, Therapeutic Behavioral Services, and Therapeutic Foster Care. RCS will serve up to 600 youth (0-17), up to 400 transitional age youth (18-24), and up to 600 adult beneficiaries, and provide 900 crisis services under SMHS. MHSA programs RCS will provide include: Integrated Care Coordination for beneficiaries through Wellness and Recovery Center, Crisis support and follow up services for Medi-Cal and indigent clients, Supported Housing Services, Full Service Partnerships, and Behavioral Health Court to better serve consumers with severe mental illnesses and severe emotional disturbances. RCS will serve up to 350 individuals through the Arbor program, 24 individuals through Transitional Age Youth Housing, and 300 individuals through Crisis Services under MHSA.
Tapestry Family Services Inc. (Tapestry) provides SMHS and MHSA programs to Mendocino County residents in Ukiah, Willits, Laytonville, and Covelo within the schools, community, and office. The SMHS to be provided by Tapestry through the proposed Agreement include: Assessment, Plan Development, Collateral, Therapy, Rehabilitation, Targeted Case Management, Intensive Care Coordination, Intensive Home-Based Services, Therapeutic Behavioral Health Services, and Therapeutic Foster Care. Tapestry will serve up to 250 youth (0-17) and up to 150 transitional age youth (18-24), and up to 300 adult beneficiaries (25 and over) under the specialty mental health contract. MHSA programs Tapestry will provide include: Integrated Care Coordination for beneficiaries through culturally specific outreach and services to Latino and Native American communities, Full Service Partnerships, and Behavioral Health Court to better serve consumers with severe mental illnesses and severe emotional disturbances. Tapestry will serve up to 50 individuals through these services.
Due to the implementation of CalAIMS and payment reform contract negotiations took longer than anticipated, necessitating consideration for retroactive approval.
All contracted providers will be providing SMHS as defined in these contracts and pursuant to Medicaid laws, and regulations, including the 1915(b) Waiver, the County of Mendocino State MHP Agreement, and BHRS policies and procedures. SMHS are provided to residents of Mendocino County who meet medical necessity and access criteria and have Medi-Cal or are indigent. All the service providers listed within this presented item are well established within their communities and have been providing services for several years. Redwood Quality Management Company DBA Anchor Health Management, Inc, the ASO, will provide administrative and utilization review of contracted providers in regard to SMHS.
Alternative Action/Motion:
Return to staff for alternative handling.
Does This Item Support the General Plan? Yes
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: Realignment, Medi-Cal, MHSA |
budgeted in current f/y: Yes |
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current f/y cost: $22,081,027 |
if no, please describe: N/a |
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annual recurring cost: TBD |
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: Darcie Antle, CEO |
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CEO Review: Choose an item. |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Approved with Modification |
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Date: July 11, 2023 |
Executed Item Type: Agreement Number: 23-123 Executed Item Type: Agreement Number: 23-124 Executed Item Type: Agreement Number: 23-125 Executed Item Type: Agreement Number: 23-126 Executed Item Type: Agreement Number: 23-127 |
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