To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
Mental Health Organizational Provider Services Agreement with Remi Vista, Inc. Regarding the Provision of Children’s Specialty Mental Health Treatment Services, Therapeutic Behavioral Services 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 Mental Health Organizational Provider Services Agreement with Remi Vista, Inc. regarding the provision of children’s specialty mental health treatment services, therapeutic behavioral services and intensive home-based services to eligible Medi-Cal beneficiaries residing in Humboldt County for the period of January 1, 2020 through June 30, 2022;
2. Authorize the Department of Health and Human Services - Mental Health Director, or designee, to execute any and all subsequent amendments to the attached agreement 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 (1) fully executed original copy of the attached agreement to the Department of Health and Human Services - Contract Unit for further processing.
Body
SOURCE OF FUNDING:
Mental Health Fund (1170)
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.
DHHS - Mental Health has previously contracted with Remi Vista, Inc. on numerous occasions. On each occasion, Remi Vista, Inc. has demonstrated expertise in providing a full range of children’s specialty mental health treatment services, therapeutic behavioral services and intensive home-based services, including, without limitation, psychological assessment, individual therapy, family therapy, case management and crisis intervention services to eligible Medi-Cal beneficiaries residing in Humboldt County.
The attached agreement will allow eligible Medi-Cal beneficiaries residing in the county to receive children’s specialty mental health treatment services, therapeutic behavioral services and intensive home-based services from Remi Vista, Inc. for the period from January 1, 2020 through June 30, 2022. It should be noted that the attached agreement comes to the Board after the start date due to inadvertent delays that occurred during the contract negotiation process.
Accordingly, DHHS - Mental Health recommends that the Board approve, and authorize the Chair of the Board to execute, the attached agreement. It is also recommended that the Board authorize the DHHS - Mental Health Director, or designee, to execute any and all subsequent amendments, after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to avoid unnecessary delays in the provision of services.
FINANCIAL IMPACT:
The attached agreement has a maximum amount payable of $4,475,000 for the period of January 1, 2020 through June 30, 2022. In no event shall the maximum amount paid exceed $895,000 for fiscal year (FY) 2019-20 and $1,790,000 per year for FY 2020-2021 and 2021-2022.
Expenditure appropriations related to the attached agreement have been included in the approved FY 2019-2020 budget for DHHS - Mental Health Administration Fund 1170, budget unit 424 and will be included in proceeding FYs as described above. Funding is available through Medi-Cal federal financial participation and state general fund and realignment revenues received by DHHS - Mental Health for early periodic screening diagnosis and treatment. As a result, Board approval of the agreement will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by protecting vulnerable populations , improving the safety and health of our communities and providing appropriate levels of services.
OTHER AGENCY INVOLVEMENT:
N/A
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to approve this agreement however, this is not recommended as it would require DHHS - Mental Health to directly provide the specialty mental health treatment, therapeutic behavioral and intensive home-based services currently being provided by Remi Vista, Inc., which is not feasible at this time.
ATTACHMENTS:
1. 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 for Fiscal Years 2019-2020 through 2021-2022
PREVIOUS ACTION/REFERRAL:
Board Order No.: D-15; C-27; C-15; C-17; C-15; D-19; C-30; C-11
Meeting of: 06/17/08; 06/22/10; 06/12/12; 08/13/13; 07/19/16; 06/26/18; 10/22/19
File No.: 16-8288, 16-5364, 16-2593, 16-1099, 16-4862, 18-763, 19-1498