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TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director
By: Ginger Marieiro, Contracts Administrator
`- 1` Contra
Costa
DATE: \ January 1, 19.97 County
SUBJECT: Approval of Emergency Residential Care Placement Agreement 24-086-111 with Freddie
Gibbs, dba Cypress Care Home (Adult Mental Health Program)
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
a. Approve and authorize the Health Services Director or his designee (Donna Wigand)
to execute on behalf of the County, Standard Form Emergency Residential Care
Placement Agreement with the Freddie Gibbs, dba Cypress Care Home, effective
November 1, 1996 through June 30, 1997, to provide emergency residential care to
mentally disturbed adults who are potentially eligible for SSI/SSP, with maximum
payments of $682 per client per month through December 1996, and maximum payments
of $716 per client per month beginning January 1, 1997. These documents include
automatic six-month extensions for the period from July 1, 1997 through December
31, 1997.
b. Authorize the Auditor-Controller to pay a maximum of $90 per month through
December 1996, and a maximum of $95 per month beginning January 1, 1997, to
clients, who are placed in the board and care facilities under these Emergency
Residential Care Placement Agreements, for incidental expenses and personal
needs.
II. FINANCIAL IMPACT:
Under this program, the County pays State-established rates for the residential care
of mental health clients who are notes 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) .
I
For those mental health clients who are not granted SSI/SSP (i.e. , are found
ineligible) , the County's established Mental Health Program Funding covers the
residential care payments to the facility operators. Initially, ten to twenty percent
of the clients are found ineligible by the Federal Social Security Administration,
and some of these are ultimately found eligible through appeal processes.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For several years, the County's Mental Health Adult Services Program has used these
Agreements as an interim financing mechanism to facilitate the residential care of
mentally disabled clients and movement of clients, who are deemed eligible for
SSI/SSP, from State or local inpatient facilities to community-based facilities. This
Program provides residential care for 40 to 50 clients per year.
Approval of Emergency Residential Care Placement Agreement 24-086-111 will allow the
Contractors to provide services through June 30, 1997.
CONTINUED ON ATTACHMENT: YES SIG NA TUREt /�lGou
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIG'NATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
v 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
Contact: Donna Wigand (313-6411) OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED X4) 1117
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and County Administrator
Contractor
M382/7-83 13Y _ _ DEPUTY