To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
Agreement with Remi Vista, Inc. for the Provision of Mental Health Services, Therapeutic Behavioral Services, and Intensive Home-Based Services for Fiscal Years 2022-23 through 2023-24
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 or Realignment Beneficiaries residing in Humboldt County for the period from July 1, 2022 through June 30, 2024; and
2. Authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to the attached 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 (1) fully executed original copy of the attached 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:
Behavioral Health Fund (1170)
DISCUSSION:
The Board of Supervisors has authorized the Department of Health and Human Services - Behavioral Health (“DHHS - Behavioral 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 - Behavioral Health. Therefore, since April 1998, DHHS - Behavioral Health has contracted with qualified specialty mental health providers who have historically served Medi-Cal beneficiaries residing in Humboldt County. DHHS - Behavioral 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 - Behavioral 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 Mental Health Organizational Provider Services Agreement will allow eligible Medi-Cal beneficiaries residing in Humboldt 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 July 1, 2022, through June 30, 2024.
Accordingly, DHHS -Behavioral Health recommends that the Board of Supervisors 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. It is also recommended that the Board authorize the DHHS - Behavioral Health Director, a designee thereof, to execute any and all subsequent amendments to the attached 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 any unnecessary delays in the provision of needed children’s specialty mental health treatment services, therapeutic behavioral services, and/or intensive home-based services.
FINANCIAL IMPACT:
The attached mental health organizational provider services agreement with Remi Vista, INC. has a maximum amount payable of Three Million Five Hundred Eighty Thousand Dollars ($3,580,000.00) for the contract term. In no event shall the maximum amount paid under the attached mental health organizational provider services agreement with Remi Vista, INC. exceed One Million Seven Hundred Ninety Thousand Dollars ($1,790,000.00) per fiscal year for fiscal years 2022-2023 and 2023-2024. If local, state or federal funding is reduced or eliminated, the County of Humboldt may reduce the above-referenced maximum amount payable or terminate the attached mental health organizational provider services agreement in its entirety.
Expenditure appropriations related to the attached Mental Health Organizational Provider Services Agreement with Remi Vista, INC. have been included in the proposed fiscal year 2022-2023 budget for DHHS - Behavioral Health Administration budget unit 1170-424. Funding for the attached mental health organizational provider services agreement is available through federal Medi-Cal financial participation and state realignment for child welfare services, mental health managed care and early periodic screening diagnosis and treatment. As a result, approval of the attached 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 providing opportunities for improved safety and health, protecting vulnerable populations and providing appropriate levels of services.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to approve 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. However, this alternative is not recommended since it would require DHHS - Behavioral Health to directly provide the specialty mental health treatment services, therapeutic behavioral services, 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 Services, Therapeutic Behavioral Services, and Intensive Home-Based Services for Fiscal Years 2022-2023 through 2023-2024.
PREVIOUS ACTION/REFERRAL:
Board Order No.: D-15; C-27; C-15; C-17; C-15; D-19; C30; C-14
Meeting of: 6/17/08; 6/22/10; 6/12/12; 8/16/13; 7/1/14; 7/19/16, 6/26/18; 1/7/20
File No.: 16-8288, 16-5364, 16-2593, 16-1099, 16-4862, 18-763, 19-1498; 19-1775