HomeMy WebLinkAboutMINUTES - 10241989 - 1.55 1-055 oc
"BOARD OF SUPERVISORS
FROM: hContra
Mark Finucane, Health Services Director W Costa
By: Elizabeth A. Spooner, Contracts Administrato
DATESCounty
October 12, 1989 4io
SUBJECT: Approve Standard Form FY 1989-90 Emergency Residential Care
Placement Agreement with Oneata and Frederick Williams
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
1. Approve standard form Emergency Residential Care
Placement Agreement with Oneata and Frederick Williams
effective October •1, 1989, under the County's Continuing Care
(Short-Doyle Opt-Out) Program to provide emergency residen-
tial 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 Agreement #24-086-
60(11) effective October 1, 1989 through June 30, 1990, with
an automatic six-month extension from July 1, 1990 through
December 31, 1990, providing for a payment of up to $599 per
client per month for such emergency residential care, with
Oneata and Frederick Williams (dba Williams Board and Care
Home) , 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 $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 facility under said Emergency
Residential Care Placement Agreement 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.
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
CONTINUED ON ATTACHMENT: YES SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM ND TION OF BOAR COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON QU 1 24 1.489 APPROVED AS RECOMMENDED _ OTHER
VOTE OF SUPERVISORS
- 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
OF SUPERVISORS ON THE DATE SHOWN.
OCT 2 4 1989
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor,Clerk of the Board of
Auditor--Controller Supervisors and County Administrator
CoptractQr
M382/7-83 BY
, DEPUTY
Board Order
#24-086-60(11)
Page 2
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 retroactive-
ly 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 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
eligible for SSI, as the County Mental Health Continuing Care
Program has been doing for several years. This Program has
the potential to provide residential care for 40 to 50
clients per year.