Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  18-000040

 

MEETING DATE:

04/24/18

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

3

SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Jeff Nagel (714) 834-7024 

 

 

Richard Sanchez (714) 834-2830

 

 

Subject:  Agreement for Full Service Partnership/Wrap for Co-Occurring Disorders Services

 

      ceo CONCUR

County Counsel Review

Clerk of the Board

          Concur

Approved Agreement to Form

Discussion

 

 

3 Votes Board Majority

 

 

 

    Budgeted: Yes

Current Year Cost:   $372,368

Annual Cost: FY 2018-19 $2,764,906
FY 2019-20 $2,515,307

 

 

 

    Staffing Impact:

No

# of Positions:

Sole Source:   No

    Current Fiscal Year Revenue: N/A

  Funding Source:      See Financial Impact Section

County Audit in last 3 years: No

 

 

    Prior Board Action:          5/13/2014 #29

 

RECOMMENDED ACTION(S):

 

 

1.

Approve the selection of and the Agreement with Children's Hospital of Orange County dba CHOC Children's for provision of Children and Transitional Age Youth Full Service Partnership/Wraparound Services for Co-Occurring Disorders for the period May 1, 2018, through June 30, 2020, for a total maximum obligation of $5,652,581.

 

2.

Authorize the Health Care Agency Director, or designee, to exercise a contingency contract cost increase in an amount not to exceed 10% of a full fiscal year of funding for the Agreement with Children's Hospital of Orange County, dba CHOC Children's, for the entire term and within the scope of work set forth in the Agreement, pursuant to Contract Policy Manual Section 3.4-114.

 

3.

Authorize the Health Care Agency Director, or designee, to execute the Agreement as referenced in the Recommended Action above.

 

 

 

 

 

SUMMARY:

 

Approval of the Agreement with Children's Hospital of Orange County dba CHOC Children’s for provision of Children and Transitional Age Youth Full Service Partnership/Wraparound Services for Co-Occurring Disorders will further the County's goal of increasing access to a full range of behavioral services for the special needs population of youth with both mental illness and a physical disease/disability.

 

 

BACKGROUND INFORMATION:

 

On May 13, 2014, your Honorable Board approved the Mental Health Services Act Three-Year Program and Expenditure Plan for FY 2014-17.   In accordance with  Mental Health Services Act (MHSA) principles and guidelines, the public input process for that plan identified a group of underserved youth whose physical disease/disability is complicated by their serious emotionally   disturbance/severe mental illness (SED/SMI)

 

The Health Care Agency (HCA) released a Request for Proposals (RFP) for Children and Transitional Age Youth Full Service Partnership/Wraparound (FSP/Wrap) Services for Co-Occurring Disorders on August 15, 2017, via BidSync. There were two responders to the RFP and department staff have concluded due diligence on the vendor. Reference checks were satisfactory and completed with Health Care Agency staff regarding similar projects.

 

 An evaluation panel, consisting of two HCA representatives and three non-HCA representatives, evaluated the proposals and recommended award of agreement   to Children's Hospital of Orange County, dba CHOC Children's . (CHOC).

 

CHOC  will provide the full range of FSP/Wrap services, which include direct mental health care; medication support services; individual, group and family therapy; crisis intervention; case management; and supportive services in the community targeting job acquisition, school success and   housing stability. Crisis support services will be available 24/7. FSPs are family-focused, client-centered programs where individualized, client-driven service plans are developed.  They will focus on client strengths and meet the needs of SED and/or SMI children, transitional age youth, and their families across all life domains in order to promote success in school, employment, safety, wellness, and recovery through a “whatever-it-takes” approach as well as coordination with and/or utilization of available community resources. 

 

Performance outcomes for this program are state mandated and include increased levels of school attendance and achievement, increased levels of employment, decreased use of inpatient psychiatric beds, decreased involvement with law enforcement, and a decrease in homelessness.  These areas are monitored for change and individual client plans are modified to foster success. In addition, each client’s progress will be monitored on an ongoing basis to assess the client’s distress related to interpersonal difficulties, depression, and anxiety and other related symptoms.

 

The proposed Agreement will not have any subcontracts.

 

HCA requests that the Board authorize the HCA Director, or designee, to amend, as needed, the maximum obligation of the proposed Agreement by an amount not to exceed 10% of a full fiscal year of funding for the Agreement over the entire term and within the scope of work set forth in the Agreements, pursuant to Contract Policy Manual Section 3.4-114. The contingency provision would be exercised in the event of an unanticipated increase in the projected services needed for the clients being served.

 

The Health Care Agency requests that the Board approve the selection of and the Agreement with Children's Hospital of Orange County dba CHOC Children's for provision of Children and Transitional Age Youth  Full Service Partnership/Wraparound Services for Co-Occurring Disorders as referenced in the Recommended Actions.

 

This item is coming to your Board with less than 30 days prior to execution of the Agreement due to a delay in finalizing the CHOC Inpatient Agreement language, some of which was incorporated into this Agreement. This Agreement was brought to your Board at the earliest Board date available to expedite the implementation of this new program that will fill an unmet need in Orange County.  

 

 

 

FINANCIAL IMPACT:

 

Appropriations for this Agreement are included in the Health Care Agency's FY 2017-18 Budget and will be included in the budgeting process for future years.

 

Funding Sources:

 

State: 85% (Mental Health Services Act/Prop 63)

Fees/Other: 15% (Federal Financial Participation Medi-Cal)

 

Should services need to be reduced or terminated due to lack of funding, this Agreement contains language that allows HCA to give a 30-days' notice to either terminate or renegotiate the level of services to be provided.  The notice will allow HCA adequate time to transition or terminate services to clients, if necessary.  Additionally, the RFP states in part that HCA reserves the right to modify the RFP, cancel the solicitation at any time, in whole or in part; reject any or all Applications: agreements for all or some of the stated services; and based upon the County's needs or availability of funding at the time of selection or during agreement negotiations, modify the scope of services described herein.

 

 

 

STAFFING IMPACT:

 

N/A

 

ATTACHMENT(S):

 

Attachment A - Agreement for Provision of Children and Transitional Age Youth Full Service Partnership/Wraparound Services for Co-Occurring Disorders
 Attachment B - Contract Summary Form
Attachment C - Scoring Summary