To: Board of Supervisors
From: Health and Human Services Agency
Meeting Date: January 26, 2021
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Department Contact: |
Jenine Miller |
Phone: |
472-2341 |
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Item Type: Regular Agenda |
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Time Allocated for Item: 15 Minutes |
Agenda Title:
title
Discussion and Possible Action Including Approval of Retroactive Second Amendment to BOS Agreement No. 19-193 with Redwood Quality Management Company, Inc., to Increase the Amount from $27,797,494.06 to $37,390,461.14 and Extend the End Date Six Months to June 30, 2021, to Arrange and Pay for Medically Necessary Specialty Mental Health Services and Mental Health Services Act Programs to All Ages of Medi-Cal Beneficiaries and the Indigent Population, Effective July 1, 2019 Through June 30, 2021
(Sponsor: Health and Human Services Agency)
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Recommended Action/Motion:
recommendation
Approve retroactive second amendment to BOS Agreement No. 19-193 with Redwood Quality Management Company, Inc., to Increase the Amount from $$27,797,494.06 to $37,390,461.14 and Extend the End Date Six Month to June 30, 2021, to Arrange and Pay for Medically Necessary Specialty Mental Health Services and Mental Health Services Act Programs to All Ages of Medi-Cal Beneficiaries and the Indigent Population, Effective July 1, 2019 Through June 30, 2021; authorize the Behavioral Health and Recovery Services Director to sign any future amendments to the agreement that do not increase the annual maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
Ongoing item. Last actions:
July 23, 2019, Item 5(d), Original Agreement, BOS Agreement No. 19-193;
July 14, 2020, Item 5(b), First Amendment, BOS Agreement No. 19-193-A1.
Summary of Request:
Redwood Quality Management Company (RQMC) has been arranging and paying 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, 2017. Functioning as the County’s Administrative Services Organization (ASO), RQMC oversees and manages the delivery of mental health services through a well-developed coalition of local subcontractors.
Behavioral Health and Recovery Services (BHRS) requests Board approval of a second amendment to the 2019-20 contract with RQMC. The Board of Supervisors approved amending the contract initially on July 14, 2020, to allow continuation of services through the first six months of Fiscal Year 20-21 while a Request for Proposal for specialty mental health services was issued. Services outlined in the contract include: specialty mental health services for children, youth, and adults; medication support services; services delivered as part of MHSA programs, including Community Services and Support (CSS) and Prevention and Early Intervention (PEI) services; and services for Mendocino County’s indigent population, including Misdemeanor Competency Restoration. The contract also specifies provision of administrative and utilization review services along with detailed reporting requirements to include both demographics and service delivery timelines.
Approval of the proposed second Amendment will allow RQMC to continue to provide required specialty mental health services on behalf of the County through the end of Fiscal Year 20-21 while the County completes the Request for Proposal process. After execution of the second amendment, the contract will cover payments to RQMC for services provided over two fiscal years, from July 1, 2019, through June 30, 2021. The total amount for Fiscal Year 19-20 is $18,939,760, and the total amount for Fiscal Year 20-21 is $18,450,701.14. The Fiscal Year 20-21 amount is less because the second amendment factors in a decrease in incoming funds that resulted in all contractors, including the ASO, taking a 5% to 15% reduction from 19-20 due to the impacts of the COVID-19 pandemic.
Issues related to the COVID-19 pandemic, which affected staff time and delayed completion of the Request for Proposal process, along with the need to ensure availability of funding have necessitated the request for retroactive approval of the Amendment.
Alternative Action/Motion:
Return to staff for alternative handling.
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: Medi-Cal FFP/ 1991 Realignment/MHSA/2011 Realignment |
budgeted in current f/y: Yes |
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current f/y cost: $18,939,760 (FY 19-20); $18,450,701.14 (FY 20-21) |
if no, please describe: |
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annual recurring cost: To be determined pending completion of RFP |
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, Deputy CEO |
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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, Deputy Clerk I |
Final Status:Approved |
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Date: January 27, 2021 |
Executed Item Type: Agreement Number: 19-193-A2 |
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Note to Department Number of Original Agreements Returned to Dept: 0 Original Agreement Delivered to Auditor? No |
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