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HomeMy WebLinkAboutMINUTES - 07252000 - C46-C51 TO: BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator '•fes ,r' Contra DATE: July 11, 2000 Costa County SUBJECT: Approval of Life Support Residential Care Placement Agreement #24-368-12 (5) with Carefilled Homes (dba Willow House) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)6 BACKGROUND AND JUSTIFICATION RECOMMZMED ACTYON: A. Approve and authorize the Health Services Director or his designee (Donna Wigand) to execute on behalf of the County, Life Support Residential Care Placement Agreement #24- 368-12 (5) with Carefilled Homes (dba Willow House) , for the period from July 1, 2000 through June 30, 2001, to provide residential care for mentally disordered offenders under the County's Conditional Release Program (CONREP) . B. Approve the following rates for specialized room, board, care and supervision provided under this Agreement: 24.16 per day, per client for each 31 day calendar month; 24.97 per day, per client for each 30 day calendar month; and 25.83 per day, per client for each 29 day calendar month. FINANCIAL IMPACT: This Agreement is totally State-funded under County's Standard Agreement #29-441-21 with the State Department of Mental Health for the CONREP Program. No County funds are required. REASONS FOR RECOMMENDATIONS/BACKGROUND: The County's Standard Agreement #29-441-21 with the State Department of Mental Health provides for State funding of County Mental Health services for certain patients returning to the community from the State Hospital system, pursuant to Section 1604 of the Penal Code. This program, known as the Conditional Release Program, or CONREP, is totally State-funded and allows the County to use a portion of these funds to pay the costs of specialized room, board, care and supervision for certain program clients who might otherwise require some other form of public assistance. On September 21, 1999, the Board of Supervisors approved Contract #24-368-12 (4) with Carefilled Homes (dba Willow House) , for the period from July 20, 1999 through June 30, 2000, to provide residential care for mentally disordered offenders under the County's Conditional Release Program (CONREP) . Approval of Contract #24-368-12 (5) will allow the Contractor to continue to provide residential care services to CONREP clients, through June 30, 2001. CONTINUEP Obl,ATTACHMENT:-- y2ir SIGNATURE - ILRECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE __L.e`APPROVE OTHER SIG 6UREM: CL6Z,(,; ��,ZX ACTION OF BOARDO U APPROVED AS RECOMMENDED t9 OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT } AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED��U�l y J�cC9L3t J PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Lonna Wigand (313-6411) CC: Health Services(Contracts) Risk Management Auditor Controller BYDEPUTY Contractor LA/j TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director .��, By: Ginger Marieiro, Contracts Administrator ` Contra July 11, 2000 COStr't DATE: County SUBJECT: Approval of Contract #74-029-1 with John Kady SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on behalf of the County, Contract #74-029-1 with John Kady, in the amount of $61,720, for the period from July 1, 2000 through June 30, 2001, for the provision of consultation and technical assistance with regard to vocational rehabiliation services for Mental Health Division clients. FISCAL IMPACT: This Contract is 100% Mental Health Realignment funds, BACKGROUNDjREASON(S) FOR RECOMMENDATION(S) : On January 4, 2000, the Board of Supervisors approved Contract #74-029 with John Kady, for the provision of consultation and technical assistance to the Department, with regard to vocational rehabiliation services for Mental Health Division clients for the period from December 16, 1999, through June 30, 2000. Approval of Contract #74-029-1 will allow the Contractor to continue providing services through June 30, 2001. CONTINUEDA Z� Ct r.c-e RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME DATION OF BOARD COMMITTEE PPROVE OTHER SIQN6IUR (S)'. Z' -4-4 �" ACTION OF BOARD ON 0�5- � APPROVED AS RECOMMENDED eL(— OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT—02---i AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED Q" S c20C)C' PHIL BAT0iELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand, L.C.S.W. (313-6411) CC: Health Services(Contract) Auditor-Controller Risk Management By DEPUTY Contractor TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator .''`� ,+ Contra Costa DATE: July 12, 2000 County SUBJECT: Approval of Contract #24-998-2 with George Ponomareff, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director or his designee (Donna Wigand) to execute on behalf of the County, Contract #24-998-2 with George Ponomareff, M.D. , in the amount of $63, 773, for the period from July 1, 2000 through June 30, 2001, for psychiatric services to County patients at the Adult Mental Health Clinic in Concord. FISCAL IMPACT• This Contract is funded by Mental Health Realignment funding, off-set by Medi-Cal, Medicare, private insurance and patient fee collections, and is included in the Department ' s Fiscal Year Budget . BACKGROt=/REASON(S) FOR RECOMMENDATIONS For a number of years the County has contracted with Medical, Dental and Mental Health Specialists to provide specialized professional services which are not otherwise available in its hospital and health centers . On December 1, 1999, the Board of Supervisors approved Contract #24- 998-1 with George Ponomareff, M.D. , to provide psychiatric services to County patients at the Adult Mental Health Clinic in Concord, for the period from December 1, 1999 through June 30, 2000 . Approval of Contract #24-998-2 will allow Contractor to continue providing services through June 30, 2001 . r� CONTINUED,,r T 1 RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMIGIENDATION OF.BOARD COMMITTEE APPROVE OTHER BIG ATURE(SL j" , ACTION OF BOARD v7 6C, APPROVED AS RECOMMENDED >C OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT )I AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JLd!C �Jam,, a co U PHIL BATCH LOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna. Wigand (313-6411) CC: Health Services(Contract) Auditor-Controller Risk Management BY ! ► 1, DEPUTY Contractor CA TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director pf By: Ginger Marieiro, Contracts Administrator Contra July 12, 2000 Costa DATE: County SUBJECT: Approval of Contract #24-602-17 with Seneca Residential and Day Treatment Center, Inc. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONtS1: Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on behalf of the County, Contract #24-602-17 with Seneca Residential and Day Treatment Center, Inc. in the amount of $273 ,750, for the period from July 1, 2000 through June 30, 2001, for the provision of intensive day treatment for County-referred minors. FISCAL IMPACT• This Contract is funded 100% by Mental Health Realignment. CHILDREN'S IMPACT STATEMENT: This Mental Health Program supports the following Board of Supervisors' community outcomes: "Children Ready For and Succeeding in School"; "Families that are Safe, Stable, and Nurturing" ; and "Communities that are Safe and Provide a High Quality of Life for Children and Families" . Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS) . BACKGROUNDIREASON(S) FOR RECOMMENDATION(S)_: This Contract meets the social needs of County' s population in that it provides a multi-disciplinary treatment program as an alternative to hospitalization for minors who need active psychiatric treatment for acute mental, emotional or behavioral disorders. On August 17, 1999, the Board of Supervisors approved Novation Contract #24-602-16 with Seneca Residential and Day Treatment Center, Inc. , for the period from July 1, 1999 through June 30, 2000, for the provision of intensive day treatment, mental health, medication support, crisis & case management services for County-referred minors. Approval of Contract #24-602-17 will allow the Contractor to continue providing services through June 30, 2001. CONTINUED T; '"" RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER PaIG ATURE(.�5): C�azgez ACTION OF BOARD O JUL 2 26,00 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED Z" -2,2 u PHIL BA CHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand, I,.C.5.W. (313-6411) CC: Health Services(Contract) Auditor-Controller Risk Management BY l�'? DEPUTY Contractor tM' "io: BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator •+'' ,/ Contra July 12, 2000 Costa DATE: County SUBJECT: Approval of Contract #24-794-5(4) with Alta Bates Medical Center for its Herrick Hospital SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(SI : Approve and authorize the Health Services Director or his designee (Donna Wigand) to execute on behalf of the County, Contract #24-794-5 (4) with Alta Bates Medical Center for its Herrick Hospital, for the period from July 1, 1999 through June 30, 2000, for Fee-For-Service (FFS) Medi-Cal acute psychiatric inpatient services, to be paid in accordance with the following rate schedule: $515. 00 For each Medi-Cal "Acute Psychiatric Day of Service", $600.00 For each non-Medi-Cal "Acute Psychiatric Day of Service", and $273 .35 For each "Administrative Day" . FISCAL IMPACT• This Contract is funded 100% by acute psychiatric inpatient consolidation funds. BACKGROUNDIREASON(S) FOR RECOMMENDATION(8I : Chapter 633 , Statutes of 1994, AB 757, authorized the transfer of state funding for Fee-For-Service/Medi-Cal (FFS/MC) acute psychiatric inpatient hospital services from the Department of Health Services to the Department of Mental Health (DMH) . On January 1, 1995, the DMH transferred these funds and the responsibility for authorization and funding of Medi-Cal acute psychiatric inpatient hospital services to counties that chose to participate in this program. On July 12, 1994, the Board of Supervisors notified the State of its intent to function as the Local Mental Health Care Plan and to assume the responsibility of inpatient consolidation. The State requires that counties contract with those hospitals which are designated "safety net providers" and certain hospitals designated as "traditional providers" Therefore, the County is required to contract with Herrick Hospital (a traditional provider. ) On October 27, 1998, the Board of Supervisors approved Contract #24-794-5 (3) with Alta Bates Medical Center for its Herrick Hospital for the period from July 1, 1998 through June 30, 1999 . Approval of Contract #24-794-5 (4) will allow the Contractor to continue providing services through June 30, 2000. CONTINUE129NATTA6TURE2=e�� 4�1 RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE 1--'APPROVE OTHER ACTION OF BOARDOCAJ APPROVED AS RECOMMENDED _ X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED --2000 PHIL BATOiELOR,CLERK OF THE BOARD OF Donna Wigand, L.C.S.W. (313-6411) SUPERVISORS AND COUNTY ADMINISTRATOR Contact person: CC: Health Services(Contract) Auditor-Controller Risk Management By)-yl aA,1 ,.. , DEPUTY Contractor WILL•lAM B. WALKER, M. D. CONTRA COSTA HEALTH SERV CE5 DIRECTOR DONNA WIGAND, LCSW ,,,�,/ MENTALHEALTH MENTAL HEALTH, DIRECTOR r� _..._�.....a.____. CONTRA COSTA ADMINISTRATION L T H S E R� Y ICES � � � 595 Center Avenue, Suite 200 HEA �/ Martinez, California 94553 DATE: May 22, 2000 Ph (925) 313-64 11 Fax {925} 3 13-6449 TO: William Walker, M.D., Health Services Director ATTN: Ginger Marieiro, Contracts & Grants Administrator FROM: Donna M. Wigand, LCSW, Mental Health DirectOD4n� 411 SUBJECT: Request for Retroactive Approval for Contract with Alta Bates Medical Center (Herrick Hospital) #24-794-5(4) Statement of Need for Retroactive Contract #24-794-5(4): According to Medi-Cal consolidation regulations, the rates for a hospital are negotiated by the county where the hospital is located, in this case Alameda County. Mental Health Division staff experienced some difficulty in obtaining these rates in a timely manner. The negotiations this year were evidently complicated, and thereby delayed, by hospital reorganization issues. Benefit to Contra Costa County: This contract is necessary to provide inpatient psychiatric care to adults who are seriously and persistently mental ill as an alternative to the State Hospital. Authorization of Services: These services were requested/authorized by the Crisis Services Program Chief, who is granted this authority by the Mental Health Director, pursuant to the California Welfare and Institutions Code, and under the Bronzon-McCorquodale Act, W&I Section 5608. Cof"o 5ta a("rruii i Su5',iar'. 4bLsE Ser%ices - ror'tra Costa Emeroer ' dI,d!Se%ice= • lont'a Cosa En.'Of':1l2ridl`I!a,t^ onira Costa Health"Ian ax • -or;a Co5i3 Hazarmu>,dote."ia 5 1,ograms •-CI'.t'a co.-.a Me"td.rred.`.fl x .J"tra COy.a PucliL Heap, • '-013ra cost-,RegiOral Mei-,.: &iter * �ortrd CoSta Health Cep ier5 TO: BOARD OF SUPERVISORSy`�d{ %' , FROM: William Walker, M.D. , Health Services Director -,� Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: July 12, 2000 County SUBJECT: Approval of Novation Contract #24-838-6 with Contra Costa Association for Retarded Citizens, Inc. SPECIFIC REQUEST(S)OR RECOMMENDATIONISI&BACKGROUND AND JUSTIFICATION RECOMMEI+MION(S) : Approve and authorize the Health Services Director or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-838-6 with Contra Costa Association for Retarded Citizens, Inc. in the amount of $130,000, for the period from July 1, 2000 through June 30, 2001, for the provision of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program services at Lynn Center. This Contract includes a six-month automatic extension through December 31, 2001, in the amount of $65,000. FISCAL IMPACT: This Contract is funded as follows: $ 66,600 Federal FFP Medi-Cal Funds 63.400 State EPSDT Funds $130,000 Total CHILDREN'S IMPACT STATEMENT: This EPSDT Program supports the following Board of Supervisors' community outcomes: "Children Ready For and Succeeding in School" ; "Families that are Safe, Stable, and Nurturing"; and "Communities that are Safe and Provide a High Quality of Life for Children and Families". Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS) ; an increase in family satisfaction as measured by the Parent Satisfaction Survey; and a decrease in out-of-home placements. BACKGROUNDZREASON(S) FOR RECOMMENDATION(S) : This Contract meets the social needs of County's population in that it provides in-home, transition, and outpatient services for Medi-Cal eligible children and their families enrolled in Lynn Center's EPSDT program in order to keep these clients out of higher levels of care, including State Hospitals. On August 17, 1999, the Board of Supervisors approved Contract #24-838-5 with Contra Costa Association for Retarded Citizens, Inc. , for the period from July 1, 1999 through June 30, 2000, (which included a six-month automatic extension through December 31, 2000) for the provision of EPSDT Program services at Lynn Center. Approval of Novation Contract #24-838-6 will replace the six-month automatic extension under the prior Contract, and allow the Contractor to continue providing services through June 30, 2001. CONTINUED ON T....,--Xkl!( SIGNAJ=�L�A' RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM NDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD 2 QQ U APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT_. ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Verson: D nn Wi a , L.C.S.W. (313-6411) CC: Health Services Con act Auditor-Controller Risk Management BY y 1 ). /�� � DEPUTY Contractor