HomeMy WebLinkAboutMINUTES - 03221988 - 1.55 I
TO BOARD OF SUPERVISORS �y
FROM: Mark Finucane , Health Services Director tSGN Contra
By : Elizabeth A. Spooner , Contracts AdministratorCosta
DATE: March 10, 1988 L
1 @ County
SUBJECT: Change in Maximum Payment Rates under Standard Form FY 1987-88
Agreements for Residential Care Facility Operators
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Authorize the Auditor-Controller to pay new rates , effective
March 1 , 1988, under the Standard Form FY 1988-88 Emergency
Residential Care Placement Agreements that were approved by the
County Board of Supervisors on August 18 , 1987 and November 10 ,
1987 as follows :
1 . Up to $18 . 80 per client per day to the residential care
facility operators specified on the attached Addendum under
the County ' s Continuing Care (Short-Doyle Opt-Out ) for pro-
viding emergency residential care to mentally disturbed per-
sons who are potentially eligible for SSI/SSP, 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
2 . Up to $76 per month for incidental expenses and personal
needs to such clients who are placed for emergency residen-
tial 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
(life support/interim funding) for the residential care of men-
tal 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) .
CONTINUED ON ATTACHMENT: X YES SIGNATURE: ,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDA T6-
OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S): /�^^
ACTION OF BOARD ON _. F. 2 1QRA APPROVED AS RECOMMENDED OTHER
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I
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
N
X 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.
MAR 2 2 1988
cc: Health Services (Contracts) ATTESTED
Risk Management PHIL BATCHELOR. CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
Contractor
BY � � ,DEPUTY
M382/7-83
• Residential Care Placement Agreements
Board Order
Page 2 l
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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 (life
support/interim funding) that the County has paid to the faci-
lity 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:
In January 1988 , the County Health Services Department received
notification from the State Department of Mental Health
regarding changes in Community Residential Care Facilities Rates
(DMH Letter No .87-28) . The above action is recommended to
implement the new State-established rates for the County ' s
Emergency Residential Care Placement Agreements .
These Agreements represent an interim funding mechanism to faci-
litate the residential care and movement of mentally disabled
clients from State or local inpatient facilities to community
based facilities for those clients who are deemedleligible for
SSI , as the County Mental Health Continuing Care Program has
been doing for several years . This Program provides residential
care for up to 40 to 50 clients per year .
GM
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ADDENDUM
RESIDENTIAL CARE FACILITY OPERATOR LISTING
Number Residential Care Facility Operator
1 . 24-086-3 ( 13 ) Eleanor Cohen (Cohen Family Home, Richmond)
2 . 24-086-12 ( 14 ) Phoenix Programs , Inc . , Concord
3 . 24-086-25 ( 12 ) Edward and Corrine DeBacker (DeBacker
Family Home , Richmond)
4 . 24-086-44 ( 12) Ruth Lawton (Lawton Family Home , Richmond)
5 . 24-086-59 ( 14 ) Vivian Rhine (Viv' s Res . Care Home , Richmond)
6 . 24-086-66 ( 13 ) Ivy Louise Cook (Cook' s Board & Care , Pinole)
7 . 24-086-69 ( 13 ) Mable Dyer (Dyer Family Care Home , Richmond)
8 . 24-086-72 ( 11 ) General & Sarah Lee (Lee ' s Boarding Home ,
Richmond)
9 . 24-086-79 ( 10 ) Cilar Thomas (Thomas Board & Care ) Richmond)
10 . 24-086-82 (7 ) Eloise Singleton (Eloise Board & Care ,
Richmond)
11 . 24-086-97 (2) Corene James (James Board & Care , Antioch)
12 . 24-086-99 (2 ) Rile & Fay Benford (Benford ' s Adult Res .
Facility)
13 . 24-086-101 ( 1 ) Rica Torneros (Torneros Res . Care Home ,
Pittsburg)
14. 24-086-83 (6 ) Sue Gremmit (Gremmit Family Home , Richmond)
GM