Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  11-000654

 

MEETING DATE:

05/24/11

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

All Districts

SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Mary Hale (714) 834-7024 

 

 

 

 

 

Subject:  Master Agreement for MH Outpatient 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: N/A

Annual Cost:
FY 2011-12: $4,700,000

 

 

 

    Staffing Impact: No

# of Positions:

Sole Source: No

    Current Fiscal Year Revenue: N/A

    Funding Source: Fed: 75% (Individuals with Disabilities Education Act), State: 25% (Mental Health           Services Act/Prop 63)

 

    Prior Board Action: Minute Order 4/20/10 - Master Agreement for MH Outpatient Services

 

RECOMMENDED ACTION(S):

 

 

1.

Approve the Master Agreement for the provision of Mental Health Outpatient Services, with an aggregate maximum obligation of $4,700,000 for the period of July 1, 2011 through June 30, 2012.

 

2.

Authorize the Health Care Agency Director, or designee, on behalf of the Board of Supervisors, to execute the Agreements with various providers.

 

 

 

 

SUMMARY:

 

The Health Care Agency requests approval of the Master Agreement for the provision of Mental Health Outpatient Services.

 

 

 

 

 

 

 

 

BACKGROUND INFORMATION:

 

The Health Care Agency (HCA) currently contracts with 20 out-of-state residential facilities through a Master Agreement for the provision of Mental Health Outpatient Services for Orange County children and adolescents for School Related Special Education Services, pursuant to Chapter 26.5 of the Government Code (formerly referred to as the AB 3632 program).  The current Master Agreement will expire on June 30, 2011, and the proposed new Master Agreement will continue services through June 30, 2012.

 

Although the AB3632 mandate was suspended in FY 2010-11, HCA continued to provide these services and will be reimbursed through Agreements with the Orange County Department of Education and the School Districts. For FY 2011-12, Federal IDEA funds will continue to be available and AB100 provides that Mental Health Services Act funds will be allocated to fund any additional costs.

 

Outpatient services include individual and group therapy, crisis intervention, medication support, and case management. These services are provided to children and adolescents who qualify for the special education program under the requirements of the School Related Special Education Services. 

 

As of January 2011, there were 103 Orange County children and adolescents placed in out-of-state residential facilities.  The placement of Orange County clients in these out-of-state facilities is necessary due to a number of reasons, such as failure in multiple Orange County residential programs, admission refusal by multiple California programs due to the severity of HCA clients, and/or the inability of in-state programs to meet the unique needs of specific children and youth (e.g., deaf clients or dually diagnosed mentally retarded/severely emotionally disturbed clients). The facilities are certified by the California Department of Education as a nonpublic, nonsectarian school or agency (Education Code 56366.1) and are also nonprofit and licensed in their own state by their department of social services. 

 

Participating providers are compensated at fixed daily rates, which are all-inclusive rates that provide reimbursement for individual, group and family therapy, medication evaluation and monitoring, and case management services.  The estimated FY 2011-12 costs for services to be provided under the Master Agreement are $4,700,000.  The funding level for the proposed Master Agreement is the same as FY 2010-11. 

 

Outcomes focus on educational achievement and accomplishment of Individualized Education Plan goals and objectives.  Measured outcomes are designated by a desired discharge condition, which includes discharge from the facility due to graduation from high school, or discharge from the facility due to the need for a less restrictive setting including return to home. During the past calendar year, there were 97 client discharges, of which, 39 clients were a result of graduation from high school, and 27 clients were a result of the need for a less restrictive setting. Overall, 66 of the total discharges reflect the desired outcome. The goal for FY 2011-12 is to maintain or improve the current outcomes.

 

The individual Agreements under the Master Agreement do not have any subcontracts.

 

The 20 individual providers currently under this Master Agreement are:

 

Name

Location

Utah Youth Village dba Alpine Academy

Erda, Utah

Cathedral Home for Children

Laramie, Wyoming

Chileda Institute, Inc.

LaCrosse, Wisconsin

Cinnamon Hills Youth Crisis Center

St. George, Utah

Clarinda Academy

Clarinda, IA

Colorado Boys Ranch Youth Connect

La Junta, Colorado

Daystar Residential, Inc.

Manvel, Texas

Devereux Arizona

Scottsdale, Arizona

Devereux Cleo Wallace

Westminster, Colorado

Devereux Florida

Orlando, Florida

Devereux Texas Treatment Network

League City, Texas

Excelsior Youth Centers, Inc.

Aurora, Colorado

Griffith Centers for Children, Inc.

Westminster, Colorado

Heritage Schools Inc. Residential Center

Provo, Utah

Inter-Mountain Deaconess Home for Children

Helena, Montana

Mingus Mountain Academy

Prescott Valley, Arizona

Red Rock Canyon School

St. George, Utah

The Learning Clinic, Inc.

Brooklyn, Connecticut

West Ridge Academy

West Jordan, Utah

Yellowstone Boys and Girls Ranch

Billings, Montana

 

The Health Care Agency requests your Honorable Board to approve the Master Agreement for the provision of Mental Health Outpatient Services as referenced in the Recommended Actions.

 

 

 

FINANCIAL IMPACT:

 

These Agreements are included in the Health Care Agency's FY 2011-12 Requested Budget.

 

Services under this Master Agreement have multiple contractors that share an aggregate maximum funding amount. Funding for these contracts will vary depending upon referrals and utilization of services. Should services need to be reduced or terminated due to lack of funding, the Agreements contain language that allows HCA to give 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 for clients, if necessary. HCA Staff has reviewed each contractor's financial documentation, including their most recent financial statements. At this time, there appears to be no issues that would impact the contractor's ability to perform the services.

 

 

 

STAFFING IMPACT:

 

N/A

 

 

 

ATTACHMENT(S):

 

A.  Master Agreement for provision of Mental Health Outpatient Services
B.  Redline Version to Attachment A