To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
First Amendment to the Mental Health Organizational Provider Services Agreement with Remi Vista, Inc. Regarding the Provision of Children’s Specialty Mental Health Treatment, Therapeutic Behavioral and Intensive Home-Based Services to Eligible Medi-Cal Beneficiaries Residing in Humboldt County
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve, and authorize the Chair of the Board to execute, the attached first amendment to the mental health organizational provider services agreement with Remi Vista, Inc. regarding the provision of children’s specialty mental health treatment, therapeutic behavioral and intensive home-based services to eligible Medi-Cal beneficiaries residing in Humboldt County for the period of July 1, 2018 through June 30, 2020;
2. Authorize the Department of Health and Human Services - Mental Health Director, or a designee thereof, to execute any and all subsequent amendments to the mental health organizational provider services agreement with Remi Vista, Inc. after review and approval by County Counsel, Risk Management and the County Administrative Office; and
3. Direct the Clerk of the Board to return one fully executed original copy of the attached first amendment to the mental health organizational provider services Agreement with Remi Vista, Inc. to the Department of Health and Human Services - Contract Unit for further processing.
Body
SOURCE OF FUNDING:
Mental Health Fund
DISCUSSION:
The Humboldt County Board of Supervisors has authorized the Department of Health and Human Services - Mental Health (DHHS - Mental Health) to operate the County of Humboldt’s Mental Health Plan. The provision of specialty mental health treatment services to all Medi-Cal beneficiaries residing in Humboldt County that meet necessary criteria is, and will remain, the responsibility of DHHS - Mental Health. Therefore, since April 1998, DHHS - Mental Health has contracted with qualified specialty mental health treatment providers, including Remi Vista, Inc., who have historically served Medi-Cal beneficiaries residing in Humboldt County. DHHS - Mental Health has established a provider network with in-county as well as out-of-county providers for referrals of Medi-Cal beneficiaries residing in Humboldt County to ensure that such beneficiaries have a choice of appropriate providers.
On June 26, 2018 (Item C-30), the Board approved the current mental health organizational provider services agreement with Remi Vista, Inc. regarding the provision of children’s specialty mental health treatment, therapeutic behavioral and intensive home-based services to eligible Medi-Cal beneficiaries residing in Humboldt County for the period of July 1, 2018 through June 30, 2020. The attached first amendment to the mental health organizational provider services agreement with Remi Vista, Inc. will adjust the annual maximum amount payable thereunder, update the general reporting requirements set forth therein and add a provision regarding counterpart execution thereof.
Accordingly, DHHS - Mental Health recommends that the Board approve, and authorize the Chair of the Board to execute, the attached first amendment to the mental health organizational provider services agreement with Remi Vista, Inc. regarding the provision of children’s specialty mental health treatment, therapeutic behavioral and intensive home-based services to eligible Medi-Cal beneficiaries residing in Humboldt County for the period of July 1, 2018 through June 30, 2020. It is also recommended, that the Board authorize the DHHS - Mental Health Director, or a designee thereof, to execute any and all subsequent amendments to the mental health organizational provider services agreement with Remi Vista, Inc., after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to avoid unnecessary delays in the provision of needed children’s specialty mental health treatment, therapeutic behavioral and/or intensive home-based services.
FINANCIAL IMPACT:
The mental health organizational provider services agreement with Remi Vista, Inc. has a maximum amount payable of $2,980,000.00 for the period of July 1, 2018 through June 30, 2020. The attached first amendment will not increase the maximum amount payable for the provision of children’s specialty mental health, therapeutic behavioral and intensive home-based services provided pursuant to the terms and conditions of the mental health organizational provider services agreement with Remi Vista, Inc.
Expenditure appropriations related to the attached first amendment to the mental health organizational provider services agreement with Remi Vista, Inc. are included in the approved fiscal year 2018-19 and 2019-20 budgets for DHHS - Mental Health Administration Budget Unit 1170-424. Funding for the attached first amendment to the mental health organizational provider services agreement with Remi Vista, Inc. is available through federal Medi-Cal financial participation and state realignment for mental health managed care and early periodic screening diagnosis and treatment. As a result, approval of the attached first amendment to the mental health organizational provider services agreement with Remi Vista, Inc. will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by protecting vulnerable populations, improving the safety and health of our communities and providing appropriate levels of services.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to approve the attached first amendment to the mental health organizational provider services agreement with Remi Vista, Inc. regarding the provision of children’s specialty mental health treatment, therapeutic behavioral and intensive home-based services to eligible Medi-Cal beneficiaries residing in Humboldt County. However, this alternative is not recommended since it would not allow for the reimbursement of unanticipated costs incurred during fiscal year 2018-19 as a result of DHHS - Mental Health’s increased utilization of the children’s specialty mental health, therapeutic behavioral and intensive home-based services provided by Remi Vista, Inc.
ATTACHMENTS:
1. First Amendment to the Mental Health Organizational Provider Services Agreement with Remi Vista, Inc. dated June 26, 2018
2. Mental Health Organizational Provider Services Agreement with Remi Vista, Inc. Regarding the Provision of Children’s Mental Health Treatment, Therapeutic Behavioral and Intensive Home-Based Services to Eligible Medi-Cal Beneficiaries Residing in Humboldt County dated June 26, 2018
PREVIOUS ACTION/REFERRAL:
Board Order No.: D-15; C-27; C-15; C-17; C-15; D-19; C-30
Meeting of: 06/17/08; 06/22/10; 06/12/12; 08/16/13; 07/01/14; 07/19/16; 06/26/18
File No.: 19-1498