HomeMy WebLinkAboutMINUTES - 12111990 - 1.79 /' -71 .
�W . •i3oARU of SUPERVISORS , �r'• Contra
FROM: Mark Finucane , Health Services Director
By: Elizabeth A. Spooner ,, Contracts Administrato Costa
DATE: November 20, 1990 County
SUBJECT: Approval of Standard Form FY 1990-91 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 , 1990 , 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, 1991 , with an automatic six-month extension from
July 1 , 1991 , through December 31 , 1991 , providing for a payment
of up to $626 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 up to $83 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
(set forth in the attached Residential Care Daily Rate Schedule)
for the residential. care of mental health clients who are not
het 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 ap cation) .
CONTINUED ON ATTACHMENT: x YES SIGNATURE
���"�2��
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM ND ION OF BOAR COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON ME I 1 14!;0APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
X 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.
DEC ! 1 1990
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and C:,Lnty Administratrr
Contractor
M382/7-83 BY DEPUTY
FY 1990-91
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
EMERGENCY RESIDENTIAL CARE FACILITY OPERATORS
FY 1990-91
Agreement
Number Residential Care Facility Operator
24-086-3 (16) Eleanor Cohen (dba Cohen Family Home)
24-086-12 (17) Phoenix Programs, Inc.-
24-086-44 (15) Ruth Lawton (dba Lawton Family Home)
24-086-60 (12) Oneata and Frederick Williams (dba Williams
Board and Care Home)
24-086-66 (16) Ivy Louise Cook (dba Cook Board and Care)
24-086-82 (10) Eloise Singleton (dba Eloise's Board & Care)
24-086-96 (1) Rosevelt Robinson (dba Robinson and Roberts
Residential Care Home)
24-086-97 (5) Corene James (dba James Board & Care Facility)
24-086-101(4) Rica Torneros (dba Torneros Residential Care
Home)