HomeMy WebLinkAboutMINUTES - 10281997 - C48 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director f Contra
By: Ginger Marieiro, Contracts Administrator h
Costa
DATE: October 16, 1997
County
SUBJECT: Approval of Emergency Residential Care Placement Agreement #24-086-104 with
Faustina Egoian (dba Baldwin Manor)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
a. Approve and authorize the Health Services Director or his designee (Donna M.
Wigand) to execute on behalf of the County Emergency Residential Care
Placement Agreement #24-086-104 with Faustina Egoian (dba Baldwin Manor) , for
the period from August 15, 1997 through June 30, 1998, to provide emergency
residential care to mentally disturbed adults who are potentially eligible for
SSI/SSP, with a maximum payments of $694 per client per month through December
31, 1997, and a maximum payment of $716 per client per month beginning January
1, 1998; and
b. Authorize the Auditor-Controller to pay a maximum of $92 per month through
December 31, 1997, and a maximum of $97 per month beginning January 1, 1998,
to clients who are placed in the board and care facilities under said
Emergency Residential Care Placement Agreements for incidental expenses and
personal needs.
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) .
For those mental health clients who are not granted SSI/SSP (i.e. , are found
ineligible) , the County covers the residential care payments to the facility
operators through the County's established Mental Health Program Funding.
Initially, 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:
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
Agreement #24-086-104 will allow the Contractor to continue providing services
through June 30, 1998.
CONTINUED ON ATTACHMENT: YES SIGNATURE\ G
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE _OTHER
SIGNATURES): ;.-y- ,� � qq /
ACTION OF BOARD ON (id 1 I I I APPROVED AS RECOMMENDED J OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED �S
PHIL BATCHELOR,CLERK OF YHE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Donna Wigand (313-6411)
CC: Health Services (Contracts)
Risk Management ,x,{wDD�,
Auditor Controller BY, DEPUTY
Contractor