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Home My WebLink AboutMINUTES - 12121990 - 1.59 /V ' . 1-059 BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts Administrator Costa DATE: November 30, 1989 County SUBJECT: Approve Renewal of Two Mental Health Program Novation Contracts for Fiscal Years 1989-90 and 1990-91 with Phoenix Programs, Inc. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director or his designee (Stuart McCullough) to execute on behalf of the County, two standard form Novation Contracts #24-385-6 and" #24-751-48 with Phoenix Programs, Inc. , upon approval of each contract document by the County Administrator or his designee, for the continued provision of mental health program services for a two-year period. from July 1, 1989 through June 30, 1991, as set forth below. Contract #24-751-48 includes (1) a $20, 000 reduction in the FY 1989-90 Fiscal Year Payment Limit in accordance with Board action of September 19, 1989 on Alcohol/Drug Abuse/Mental Health Budget Reductions, and (2) an additional $80, 000 reduction to finance an increase in the FY 1989-90 Fiscal year Payment Limit for the Mental Health Homeless Program Contract #24-385-6. These contracts include a six-month automatic extension from June 30, 1991 through December 31, 1991. These Novation Contracts are for a two-year term in accordance with the policy of the Board of Supervisors as established on June 27, 1989 for Contracts with Nonprofit Agencies. II. FINANCIAL IMPACT: These contracts are funded in the Health Services Department Budget for Fiscal Year 1989-90 (Org. #5,942) and are financed over the two-year period by Federal Medi-Cal, Federal McKinney Homeless Block Grant Funds, State Categorical Homeless Mental Health Funds, State Short- Doyle Mental Health Program Funds, and County funding estimated for each fiscal year as follows: Homeless Program Mental Health Contract Program Contract #24-385-6 #24-751-48 Federal Medi-Cal Funds (FFP) $ -0- $ 183,422 Federal McKinney Homeless Grant 60, 645 -0- State Categorical Homeless Funds 439, 198 -0- State Short-Doyle Mental Health Funds -0- 1, 477, 918 County Funds 145, 800 184 ,922 FY 1989-90 PAYMENT LIMIT $ 645, 643 $1, 477,918 FY 1990-91 PAYMENT LIMIT 645, 643 1,477 ,918 TOTAL CONTRACT PAYMENT LIMIT $1, 291, 286 $2, 955,836 Six-Month Automatic Extension $ 322,820 $ 738,959 Payment Limit (7/91 - 12/91) CONTINUED ON ATTACHMENT: X_ YES SIGNATURE; ! / I RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM END . N OF BOA/Rb COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON FPP 1//��: 2 ,9$`7 APPROVED AS RECOMMENDED ,X OTHER I' VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES:_ NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ONDECT��HEq DATE QQQSHOWN. CC: Health Services (Contracts) ATTESTED -__. — " 2 1989 Risk 11anagement PHIL BATCHELOR. CLERK OF THE BOARD OF Auditor—Controller SUPERVISORS AND COUNTY ADMINISTRATOR Contractor M382/7-83 BY. .DEPUTY w Two Mental Health Program Novation Contracts Fiscal Year 1989-90 and 1990-91 with Phoenix Program, Inc. Board Order Page 2 Contract #24-751-48 places the contractor at risk for serving a sufficient number of federally-eligible clients to earn the Federal Medi-Cal revenue in the Habilitative Day Treatment Program budget. The fiscal year payment limits set forth above do not include any cost-of- living increases for Fiscal Year 1989-90. In the event that the Board of Supervisors authorizes cost-of-living adjustments expressly for these contracts before December 31, the fiscal year payment limits for these contracts may be modified by written Administrative Amendment executed by the contractor and the County Administrator, or his designee, to reflect any such cost-of-living increases, except that this provision shall not be construed to require agreement to any such increases. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: This contractor has been operating these same contract programs for the County continuously for many years. These mental health adult program services „continue to be a vital and important part of the County's continuum of care for County residents with problems of emotional and mental illness, as follows: A. Mental Health Homeless Program Contract #24-385-6. This contractor has been providing these mental health homeless outreach program services (three multi-purpose centers and a 20-bed shelter) for the homeless mentally disabled under an automatic extension of the FY 1988-89 Contract #24-385-4 (as amended by Contract Amendment Agreement #24-385-5) . Novation Contract #24-385-6 replaces the six-month automatic extension under the prior contract. The $80, 000 shift of funds from Contract #24-751-48 to this mental health homeless program is needed to cover increases in program operating costs. The fiscal year payment limit continues to include $60,645 in Federal Block Grant Funds under the Stewart B. McKinney Homeless Assistance Act. On December 6, 1988, the Board approved the Department's Proposal for Stewart B. McKinney Homeless Assistance Act Block Grant Funding to receive $60, 645 in McKinney Homeless Federal Block Grant Funds from the State Department of Mental Health. The entire Block Grant amount is to be used to augment the East County Multi-Service Center/Shelter Services Program operated by Phoenix Programs, Inc. under this contract. This contract represents the County's primary effort to provide services to the homeless mentally disabled population. It provides ongoing operating funding for mental health homeless outreach facilities in West County (San Pablo) , Central County (Concord) , and East County ; (Antioch) . B. Mental Health Services Contract #24-751-48. This contractor has been providing these mental health program services for mentally disturbed adults under an automatic extension of the FY 198"8-89 Contract #24-751-47. Novation Contract #24-751-48 replaces the six-month extension under the prior contract. The $20, 000 budget reduction and $80, 000 shift in program funding for this contract has resulted in the closing of the six-bed Casa Cecilio Chi Residential Program in San Pablo on or about October 31, 1989. In its place, a less costly semi-supervised living residential treatment program (known as the Clean and Sober Satellite House) was initiated on November 1, 1989, for up to five dual diagnosis adult clients who have the dual problems of mental illness and substance abuse. These contract services are a vital and important part of the County's continuum of mental health services for seriously mentally disordered adults in the central and western regions of Contra Costa County. The contract services include the closing of a residential treatment program in San Pablo (Casa Cecilio Chi) , the opening of a new semi-supervised living residential treatment program in West County, and the ongoing operation of residential treatment programs in Richmond (Nyumba Chuki) , and Concord (Nierika House) ; a semi-supervised community living program in Central County; a Medi-Cal habilitative day treatment program in Concord (Concord Day Treatment Center) ; a vocational services program (Phoenix Enterprises) ; and a day socialization program (co-located with the Concord Day Treatment Program) .