HomeMy WebLinkAboutMINUTES - 10241989 - 1.54 1-®54/01
BOARD OF SUPERVISORS
Contra
FROM: Mark Finucane , Health Services Director
By : Elizabeth A. Spooner , Contracts Administrator Costa
DATE: October 12, 1989
County
SUBJECT•
Approval of Standard Form FY 1989-90 Novation Agreements for
Emergency 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 (Novation ) with residential care facility operators ,
effective July 1 , 1989 , 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
(Max Cowsert ) to execute , on behalf of the County, standard
form Emergency Residential Care Placement Agreements through
June 30, 1990, with an automatic six-month extension from
July 1 , 1990 , through December 311, 1990 , providing for a payment
of up to $599 per client per month 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 payment rate as may
be ordered by the County Board of Supervisors ; and
3 . Authorize the Auditor-Controller to pay upfo $79 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. (2e,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM ND TION OF BOARd COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON OCT 2 4 7989APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) 1 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
OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED OCT 2 4 1989
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and County Administrator
Contractor J\..
M382/7-83 BY 4 i
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 .
GM
ADDENDUM
EMERGENCY-RESIDENTIAL-CARE -FACILITY -OPERATORS
Agreement
"Number Residential Care Facility Operator
24--086-3 (15) Eleanor Cohen (dba Cohen Family Home)
24-086-12 (16) Phoenix Programs, Inc.
24-086-44 (14) Ruth Lawton (dba Lawton Family Home)
24-086-66 (15) Ivy Louise Cook (dba Cook Board and Care)
24-086-79 (12) Cilar Thomas (dba Cilar Thomas Home)
24-086-82 (9) Eloise Singleton (dba Eloise's Board & Care)
24-086-97 (4) Corene James (dba James Board & Care Facility)
24-086-99 (4) Rile & Fay Benf ord (dba Benf ord's Adult
Residential Care Facility)
24-086-101(3) Rica Torneros (dba Torneros Residential Care
Home)
24-086-102(2) Priscilla & Francisco Sioson (dba Sunshine
Guest Home)