Title
a. Approve and authorize the Director of Health Services or designee to execute a Memorandum of Understanding (MOU) with Bradley Union School District for reimbursement to the County for the provision of mental health services, for a total maximum amount not to exceed $10,927 for the term retroactive to January 1, 2025 through June 30, 2025; and
b. Approve non-standard insurance and indemnification provisions in the MOU as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments to the MOU where the combined amendments do not exceed 10% ($1,092) of the original MOU amount, do not significantly change the scope of services, and do not increase the total not to exceed amount over $12,019.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute a Memorandum of Understanding (MOU) with Bradley Union School District for reimbursement to the County for the provision of mental health services, for a total maximum amount not to exceed $10,927 for the term retroactive to January 1, 2025 through June 30, 2025; and
b. Approve non-standard insurance and indemnification provisions in the MOU as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments to the MOU where the combined amendments do not exceed 10% ($1,092) of the original MOU amount, do not significantly change the scope of services, and do not increase the total not to exceed amount over $12,019.
SUMMARY/DISCUSSION:
Bradley Union School District (“School”) seeks to partner with the County of Monterey, on behalf of its Health Department Behavioral Health Bureau, for the provision of therapeutic services and mental health supports for students in the General Education program identified as having trouble with their educational goals due to social, emotional or behavioral issues. Through the MOU, County will deploy Psychiatric Social Workers (“Therapist”) and or Social Workers to the School to provide an array of therapeutic services to students including individual therapy, group therapy, family therapy, parent and/or teacher consultation, treatment planning, classroom observation, teacher training, parent education, support with psychiatric appointments, referrals for crisis intervention and teletherapy, as needed. Therapeutic Services shall also include intensive in-home behavioral intervention and support where indicated. The School agrees to pay the non-Federal Financial Participation (FFP) portion of the costs up to the total maximum MOU amount since County is reimbursed FFP directly by the Department of Health Care Services.
The MOU is effective retroactively from January 1, 2025, as the School District has identified a need to promptly support their students and initiate services. The MOU template provides for mutual indemnification and limitation of liability. The MOU template provides that both County and School must meet coverage limits for professional liability and commercial general liability (“CGL”), and additional insured endorsements for commercial general liability, which coverage limits are at or above the requirements for the County’s own service providers. The template further provides for the inclusion of professional liability and CGL coverage related to sexual misconduct.
This work supports the following County of Monterey Health Department 2025-2028 Strategic Goal(s): 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 and Auditor-Controller have reviewed and approved this MOU as to legal form and fiscal provisions, respectively. Risk Management has not approved this MOU due to non-standard indemnification, limitation of liability, and insurance provisions.
FINANCING:
This Agreement is funded by Federal Financial Participation (FFP) and School reimbursement as the local required match for FFP. The associated revenue and expenditures are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year (FY) 2024-25 Adopted Budget.
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: Jenny Pelagio, Management Analyst II, 837-7520
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachment:
Board Report
Memorandum of Understanding