HomeMy WebLinkAboutMINUTES - 02111986 - 1.43 BOARD OF SUPERVISORS `
FROM: Mark Finucane, Health Services Director Contra
a
By: Elizabeth A. Spooner, Contracts Administrator C,WIa
DATE: January 30, 1986 cum
SUBJECT: Change in Maximum Payment Rates under Standard Form FY 1985-86
Novation Agreements for Residential Care Facility Operators
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Authorize the Auditor-Controller to pay new rates, effective February 1, 1986,
under the Standard Form FY 1985-86 Emergency Residential Care Placement Agreements
that were approved by the County Board of Supervisors on December 10, 1985, as
follows:
1. Up to $17.46 per client per day to the 26 residential care facility opera-
tors specified on the attached Addendum under the County's Continuing Care
(Short-Doyle Opt-Out) for providing emergency residential care to mentally
disturbed persons who are potentially eligible for SSI/SSP, subject to the
budgetary limitations set forth in the County Mental Health/Short-Doyle Budget,
and subject to changes in such daily payment rate as may be ordered by the
County Board of Supervisors; and
2. Up to $70 per month for incidental expenses and personal needs to such
clients who are placed for emergency residential care in the above named resi-
dential care facilities under said Emergency Residential Care Placement
Agreements, subject to the budgetary limitations set forth in the County Mental
Health/Short-Doyle Budget and subject to changes in such monthly payment amount
as may be ordered by the County Board of Supervisors.
II. FINANCIAL IMPACT:
Under this program, the County pays the State-established rates for the residential
care of mental health clients who are not yet receiving SSI/SSP (but who are poten-
tially 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 claims 90% State Short-Doyle reimbursement for the residen-
tial care funds that the County has paid to the facility operators, with the
remaining 10% balance being County matching funds. 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 .
CONTI O ON ATTACHMENT: X YES SIGNATURE:
COMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAT OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON ^ APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 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.
]�Xcc: Health Services (Contracts) ATTESTED L _ e "q
County Administrator PHIL BATCHELOR, CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
Contractor
92/7-83 BY ,DEPUTY
Residential Care Placement Agreements
Board Order
Page 2
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
In January, 1986, the County Health Services Department received notification from
the State Department of Mental Health regarding changes in Community Residential
Care Facilities Rates (DMH Letter No.85-46). The above action is recommended to
implement the new State-established rates for the County's Emergency Residential
Care Placement Agreements.
These Agreements represent an interim financing mechanism to facilitate the residen-
tial care and movement of mentally disabled clients from State or local inpatient _
facilities to community based facilities for those clients who are deemed eligible
for SSI, as the County Mental Health Continuing Care Program has been doing for
several years. This Program provides residential care for 40 to 50 clients per
year.
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ADDENDUM
RESIDENTIAL CARE FACILITY OPERATOR LISTING
Number Residential Care Facility Operator
1. 24-086-3 (11) Eleanor Cohen (dba Cohen Family Home, Richmond)
2. 24-086-6 (12) Loreca Felts (dba Felts Board and Care Home, Richmond)
3. 24-086-8 (12) Faye Johnson (dba Johnson's Board and Care Home, Concord)
4. 24-086-12 (12) Phoenix Programs, Inc., Concord
5. 24-086-25 (10) Edward and Corrine DeBacker (dba DeBacker Care Home, Concord)
6. 24-086-44 (10) Ruth Lawton (dba Lawton Family Home, Richmond)
7. 24-086-59 (12) Vivian Rhine (dba Viv's Residential Care Home, Richmond)
8. 24-086-60 (10) Oneata Williams (dba Williams' Board and Care, E1 Cerrito)
9. 24-086-61 (12) Annie B. Williams (dba Annie Williams Residential Care Home
for Adults, Richmond)
10. 24-086-66 (11) Ivy Louise Cook (dba Cook's Board and Care Home, Pinole)
11. 24-086-69 (11) Mable Dyer (dba Dyer Family Care Home, Richmond)
12. 24-086-72 (10) General and Sarah Lee (dba Lee's Boarding Home, Richmond)
13. 24-086-73 (9) Minnie Cannon (dba Minnie's Guest Home, Richmond)
14. 24-086-74 (8) Lillie Maria Goldsby (dba Maria's Evanual Boarding Home, Richmond)
15. 24-086-.79 (8) Cilar Thomas (dba Cilar Thomas' Board and Care Home, Richmond)
16. 24-086-80 (8) Virginia Chestnut (dba Ginny's Guest Home, Richmond)
17. 24-086-81 (5) Beulah Cook (dba Cook's Guest Homes #1 and #2, Pittsburg)
18. 24-086-82 (5) Eloise Singleton (dba Eloise Board and Care, Richmond)
19. 24-086-83 (5) Sue Gremmit (dba Gremmit Family Home, Richmond)
20. 24-086-88 (3) Bernadine Mitchell (dba Lawrance's Board and Care, Richmond)
21. 24-086-91 (3) Marina Ruiz (dba Ruiz Resident Care Home, Concord)
22. 24-086-92 (3) Mae Francis Love (dba Mae F. Love, Richmond)
23. 24-086-93 (3) Ella Mae Vaughn (dba Friendly Village Rest Home, Richmond)
24. 24-086-95 (2) Melvin Knox (dba Knox Residential Home for Independent Living,
Richmond)
25. 24-086-97 Corene James (dba James Board 6 Care Facility, Antioch)
26. 24-086-98 Janice Grant (dba Grant Facility, Richmond)