Title
Approve and authorize the Director of Health to sign Amendment No. 5 to the Mental Health Services Agreement A-12268 with Door to Hope for the provision of mental health rehabilitation services. Amendment No. 5 revises the Scope of Services, Payment and Billing Provisions and Budget and Expenditure Reports, and increases Fiscal Year (FY) 2013-14 annual amount by $25,028 and FY 2014-15 annual amount by $126,344 for a revised total Agreement amount not to exceed $9,017,321.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health to sign Amendment No. 5 to the Mental Health Services Agreement A-12268 with Door to Hope for the provision of mental health rehabilitation services. Amendment No. 5 revises the Scope of Services, Payment and Billing Provisions and Budget and Expenditure Reports, and increases Fiscal Year (FY) 2013-14 annual amount by $25,028 and FY 2014-15 annual amount by $126,344 for a revised total Agreement amount not to exceed $9,017,321.
SUMMARY/DISCUSSION:
Door to Hope (DTH) facilitates various treatment centers for alcoholism, drug abuse and mental health rehabilitation services throughout the City of Salinas. This Agreement consists of five (5) program components: Families First and Foremost, Integrated Co-occurring Treatment (ICT), Monterey County Screening Team for Assessment, Referral and Treatment (MCSTART) ages 0 - 5 and MCSTART ages 6 - 11, Nueva Esperanza, and Santa Lucia.
Approval of this Amendment is mission critical to meet the requirements of the Mental Health Services Act (MHSA) and to sustain the continuity of core services to the children and their families in Monterey County. The goal of each program is to improve the child's and youth's development, improve overall functioning as well as family functioning, and reduce the possibility of future residential care, out-of-home placement, and/or hospitalization.
This Amendment recommends an increase in services to the Families First and Foremost and MCSTART ages 6 - 11 programs, and a decrease in services to the ICT program for a total increase of $25,028 for FY 2013-14. This Amendment also provides for a four (4%) percent service rate increase for the DTH programs for a total increase of $125,344 for FY 2014-15.
The 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 Monterey County Health Department 2011-2015 strategic plan initiative: 1) Empower the community to improve health through programs, policies, and activities. It also supports two of the ten essential public health services, specifically: 3) Inform, educate, and empower people about health issues, and 4) Mobilize community partnerships and action to identify and solve health problems.
OTHER AGENCY INVOLVEMENT:
County Counsel, Auditor-Controller, and Risk Management have reviewed and approved this Amendment as to legal form, fiscal provisions, and insurance requirements. Amendment No. 5 is on file with the Clerk of the Board.
FINANCING:
This Amendment is funded by Medi-Cal (74%) and Mental Health Services Act (MHSA) (26%) revenues. The funds for this Amendment ($3,221,821) are included in the Health Department's Behavioral Health (HEA012, Unit 8410) Fiscal Year 2013-14 Adopted Budget.
Prepared By: Gloria Rodriguez, Management Analyst II, 8986
Approved By: Ray Bullick, Director of Health, 4526
Attachment:
Amendment No. 5 is on file with the Clerk of the Board