Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a Mental Health Services Agreement between the County of Monterey and Lakemary Center for the provision of residential and psychiatric services to Monterey County youth that require a moderate to severe level of residential care, in the amount of $784,750 for Fiscal Year (FY) 2022-23, $784,750 for FY 2023-24, and $784,750 for FY 2024-25 for a total Agreement amount not to exceed $2,354,250 for the term retroactive to July 1, 2022 through June 30, 2025; and
b. Approve non-standard insurance provisions in Agreement, as recommended by the Director of Health; and
c. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($235,425) of the original Agreement amount and do not significantly alter the scope of services.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a Mental Health Services Agreement between the County of Monterey and Lakemary Center for the provision of residential and psychiatric services to Monterey County youth that require a moderate to severe level of residential care, in the amount of $784,750 for Fiscal Year (FY) 2022-23, $784,750 for FY 2023-24, and $784,750 for FY 2024-25 for a total Agreement amount not to exceed $2,354,250 for the term retroactive to July 1, 2022 through June 30, 2025; and
b. Approve non-standard insurance provisions in Agreement, as recommended by the Director of Health; and
c. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($235,425) of the original Agreement amount and do not significantly alter the scope of services.
SUMMARY/DISCUSSION:
Monterey County Health Department, Behavioral Health Bureau currently maintains Agreement A-13251 with Lakemary Center which will expire on June 30, 2022. Founded in 1969, Lakemary Center in Paola, Kansas is a 65-bed Psychiatric Residential Treatment Facility (PRTF), licensed by the State of Kansas to provide educational and psychiatric treatment for children aged 6-21 years with dual diagnoses of intellectual and /or developmental disabilities and psychiatric disorders, including Autistic Spectrum Disorder. Lakemary Center provides tailored services for children with deficits in a variety of adaptive functioning areas, including communication, self-care, functional academics, social skills, leisure skills, and community use skills. Behavioral presentations addressed include high levels of aggression, self-injury, elopement, property destruction, and other high-risk behaviors.
This Agreement contains the non-standard insurance provision of Commercial General Liability claims-based coverage. This Agreement also 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 County Counsel, Risk Management, and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is 100% funded by Special Education Local Plan Area (SELPA) funds that pay for children who are placed through the Individual Education Plan (IEP). The funds for this Agreement ($784,750) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2022-23 Adopted Budget. Transactions relating to future fiscal years will be included in each respective 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: Pat Bass, Management Analyst II, 755-4538
Approved by:
_____________________________Date:______________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachment:
Agreement