HomeMy WebLinkAboutMINUTES - 05241988 - R 1.54 1-054
to BOARD OF SUPERVISORS
Mark Finucane , Health Services Directoi/ "
FROM. By : Elizabeth A. Spooner , Contracts Administrator Contra
Costa}
DATE: May 10, 1988 County
Approval of Additional Standard Form FY 1987-88 Agreement for
SUBJECT; Residential Care Facility Operators y
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
1 . Approve standard form Emergency Residential Care Placement
Agreement with Priscilla and- Francisco Sioson effective May 1 ,
1988 , 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
(Gale Bataille) to execute , on behalf of the County, standard
form Emergency Residential Care Placement Agreement-',
June 30 , 1988 , with an automatic six-month extension from
July 1 , 1988 , through December 31 , 1988 , providing for a payment
of up to $18. 80 per client per day forsuch emergency residen-
tial care , with Priscilla and Francisco Sioson (dba Sunshine
Guest Home) , 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
3. Authorize the Auditor-Controller to pay up to $76 per month
for incidental expenses and personal needs to such clients who
are placed for emergency residential care in the above named
residential care facility under said Emergency Residential
Care Placement Agreement , 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
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) .
CONTINUED ON ATTACHMENT: X YES SIGNATURE;
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAT&�N OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED -,K- OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT y� ) 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.
CC: MAY 2 4 1988 Health Services (Contracts) ATTESTED _
Risk Management PHIL BATCHELOR. CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
Contractor
ICY_ DEPUTY
M382/7-83
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 ar• e 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 10 to 15 clients per year• .
GM