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TO .� � `BOARD OF SUPERVISORS '_'/
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FRaM: Mark Finucane , Health Services Director Y - C''��,,��..�}}tIQ
By : Elizabeth A. Spooner , Contracts Administrator �Jlh7lC�
DATE: October 29, 1987 C""' "1
SUBJECT: Approval of Additional Standard Form FY 1987--88 Agreements for
Residential Care Facility Operators
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
1 . Approve standard form Emergency Residential Care Placement
Agreements with residential care facility operators , effective
November 1 , 1987 , as specified on the attached Addendum, under
the County ' s Continuing Care (Short--Doyle Opt--Out) Program to
provide emergency residential care to mentally disturbed persons
who are potentially eligible for SSI/SSP; and
2 . Authorize the Health Services Director , or his designee
(Gale Bataille) to execute , on behalf of the County, standard
form Emergency Residential Care Placement Agreements through
June 309 1988 , with an automatic six--month extension from
July 1 , 1988 , through December 31 , 1988 , providing for a payment
of up to $18 . 35 per client per day for such emergency residen-
tial care , with the licensed residential care facility operators
specified in the attached Addendum, 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
3 . Authorize the Auditor--Controller to pay up to $74 per month
for incidental expenses and personal needs to such clients who
are placed for emergency residential care in the above named
residential 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 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) .
CONTINUED ON ATTACHMENT; __ YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATII OF BOARD CbMMITTEE
APPROVE OTHER
SIGNATURE(S):
O
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT 2_. AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES:_— AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVI S CQV THE DATE SHOWN.
JRIG: Health Services (Contracts)
M County Administrator ATTESTED 7
Auditor-Controller. PHIL BATCHELOR. CLERK OF THE BOARD OF
Contractor SUPERVISORS AND COUNTY ADMINISTRATOR
BY
'R24-83 —,DEPUTY
Residential Care Placement Agreements
Board Order
Page 2
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 residential 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 .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
These Agreements . represent an interim financing mechanism to
facilitate the residential care and movement of mentally
disabled clients from State or local inpatient facilities to
community based facilities for those clients who are deemed eli-
gible 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
Agreement
Number Residential Care Facility Operator
1 . 24-086-72 ( 11 ) General and Sara Lee (dba Lee ' s Boarding Home)
2 . 24-086-80 (09 ) Virginia Chestnut (dba Ginny' s Guest Home)
3 . 24-086-83 (06) Sue Gremmit (dba Gremmit Family Home)
4 . 24-086-100 Thelma Penning (dba Penning Family Care Home)