HomeMy WebLinkAboutMINUTES - 08051997 - C90 C9A
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director
By: Ginger Marieiro, Contracts Administrator 'f-=l .;. Contra
DATE: July 24, 1997 Costa
County
SUBJECT: Approval of Emergency Residential Care Placement Agreement #24-086-115 with
Sandmound Guest Home (Adult Mental Health Program)
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
a. Approve and authorize the Health Services Director or his designee (Donna M.
Wigand) to execute on behalf of the County Standard Form Emergency Residential
Care Placement Agreement #24-086-115 with Sandmound Guest Home, effective June
1, 1997 through June 30, 1998, with a six-month automatic extension through
December 31, 1998, to provide emergency residential care to mentally disturbed
adults who are potentially eligible for SSI/SSP, with a maximum payments of $694
per client per month through December 31, 1997, and a maximum payment of $716 per
client per month beginning January 1, 1998; and
b. Authorize the Auditor-Controller to pay a maximum of $92 per month through
December 31, 1997, and a maximum of $97 per month beginning January 1, 1998, to
clients who are placed in the board and care facilities under said Emergency
Residential Care Placement Agreements for incidental expenses and personal needs.
II. FINANCIAL IMPACT:
Under this program, the County pays the State-established rates for the residential
care of mental health clients who are not vet receiving SSI/SSP (but who are
potentially eligible and have made formal application to the Social Security
Administration for SSI/SSP) , contingent upon the client's signing an agreement with the
County to reimburse the County from the SSI/SSP money, once it is finally granted by
the federal government (usually 3 to 6 months retroactively back to the month of
application) .
For those mental health clients who are not granted SSI/SSP (i.e. , are found
ineligible) , the :County covers the residential care payments to the facility operators
through the County's established Mental Health Program Funding. Initially, ten to
twenty percent ' of the clients are found ineligible by the Federal Social Security
Administration, depending on changes in Federal guidelines, and then some of these are
ultimately found eligible through appeal processes.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For several years, :.the County's Mental Health Adult Services Program has used these
Agreements as an interim financing mechanism to facilitate the residential care of
mentally disabled clients and movement of clients, who are deemed eligible for SSI/SSP,
from State or local inpatient facilities to community-based facilities. This Program
provides residential care for 40 to 50 clients per year. Approval of Emergency
Residential Care Placement Agreement #24-086-115 will allow the Contractor to provide
service through June 30, 1998.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIG'NATURE(S)
ACTION OF BOARD ON !� I I of y APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
Y UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
Contact: Donna Wigand, L.C.S.W. (313-6411) OF SUPERVISORS ON THE DATE SHOWN.
S ,�9
CC: Health Services (Contracts) ATTESTED ,
Risk Management Phil Batehehtt,&A of the Board of
Auditor-Controller Suvervisors and County Administrator
Contractor
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