Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a new three-year Mental Health Services Agreement with CF Merced Behavioral, LLC DBA Merced Behavioral Center for the provision of mental health services to gravely disabled Monterey County adult residents with severe psychiatric disabilities in a secure Skilled Nursing Facility as an Institution for Mental Disease (IMD), for a maximum County obligation of $3,450,896 for the retroactive term of July 1, 2023, through June 30, 2026; and
b. Approve and authorize the Director of Health or Assistant Director of Health to execute up to three future amendments that do not exceed 10% ($345,089) of the original Agreement, do not significantly change the scope of services, and do not exceed maximum amount of $3,795,985.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a new three-year Mental Health Services Agreement with CF Merced Behavioral, LLC DBA Merced Behavioral Center for the provision of mental health services to gravely disabled Monterey County adult residents with severe psychiatric disabilities in a secure Skilled Nursing Facility as an Institution for Mental Disease (IMD), for a maximum County obligation of $3,450,896 for the retroactive term of July 1, 2023, through June 30, 2026; and
b. Approve and authorize the Director of Health or Assistant Director of Health to execute up to three future amendments that do not exceed 10% ($345,089) of the original Agreement, do not significantly change the scope of services, and do not exceed maximum amount of $3,795,985.
SUMMARY/DISCUSSION:
The County of Monterey currently maintains the three-year Agreement A-14797 with CF Merced Behavioral, LLC DBA Merced Behavioral Center which will expire on June 30, 2023. CF Merced Behavioral, LLC DBA Merced Behavioral Center is an Institute for Mental Disease (IMD) for adults with psychiatric impairments and disabilities that require a locked skilled nursing level of care. Treatment services include an individualized program to meet the specific needs of each client and a structured regimen with individualized services to assist clients in their development of new skills.
This new Agreement with CF Merced Behavioral, LLC continues the provisions of the expiring contract, however, based on historical demand and usage reduces funding 16%, sufficient to support up to thirteen (13) Monterey County residents, while successfully maintaining the same rate for the first FY of the new Agreement as in FY 2022-23. Approval of this Agreement meets the requirements of the State Welfare and Institutions Code 5600 (Bronzan-McCorquodale Act) and the California Code of Regulations Titles 9 and 22 and sustains the continuity of care services to seriously mentally ill clients of Monterey County.
This agreement is late in being presented to your Board due to a delay by the vendor in providing updated Insurance as required by County Risk Management provisions, and an additional delay by the vendor in reviewing and signing the draft contract.
This Agreement contains the County’s standard 30-day “no cause” provision (Section IV, B) and an additional defunding provision (Section IV, D), which provides the County the ability to amend or terminate the Agreement in the event of a reduction and/or termination of funding.
This work supports the following Monterey County Health Department 2018-2022 Strategic Plan Goal: 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of the ten essential public health services, specifically: 7) Link people to needed personal health services and assure the provisions of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel and Auditor-Controller have reviewed and approved this Agreement as to form and fiscal provisions, respectively.
FINANCING:
This Agreement is 100% funded by 1991 Realignment revenues. The funds for this Agreement ($1,111,896) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) FY 2023-24 Adopted Budget. The funds for this Agreement for FY 2024-25 ($1,149,856) and FY 2025-26 ($1,189,144) will be included in the respective Health Department’s Behavioral Health (HEA012, Unit 8410) FY 2024-25 and FY 2025-26 Requested Budgets.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared By: Norm Morris, Management Analyst II, 796-1277
Approved by:
______________________________Date:____________________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachments:
Board Report
Agreement