Title
a. Approve and authorize the Director of Health Services or designee to execute a non-standard Professional Agreement with retired annuitant Benjamin Reyes Mandac, M.D., to provide medical services with physician malpractice coverage provided by the County retroactively from April 5, 2025, to April 3, 2026, with a contract limit of $118,580 for 35% Full Time Equivalent (0.35 FTE) work; and
b. Approve and authorize the Director of Health Services or designee to sign up to three future amendments that do not significantly change the scope of services nor add funds to the agreement with a contract limit of $118,580 for 35% Full Time Equivalent (0.35 FTE) work.
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 non-standard Professional Agreement with retired annuitant Benjamin Reyes Mandac, M.D., to provide medical services with physician malpractice coverage provided by the County retroactively from April 5, 2025, to April 3, 2026, with a contract limit of $118,580 for 35% Full Time Equivalent (0.35 FTE) work; and
b. Approve and authorize the Director of Health Services or designee to sign up to three future amendments that do not significantly change the scope of services nor add funds to the agreement with a contract limit of $118,580 for 35% Full Time Equivalent (0.35 FTE) work.
SUMMARY DISCUSSION:
The County of Monterey Health Department, Public Health Bureau, Children’s Medical Services Division, California Children’s Services (CCS) program provides diagnostic and treatment services, medical case management, and physical and occupational therapy services to children under age 21 with CCS-eligible medical conditions. Examples of CCS-eligible conditions include, but are not limited to, chronic medical conditions such as cystic fibrosis, hemophilia, cerebral palsy, heart disease, cancer, traumatic injuries, and infectious diseases producing major sequelae. CCS also provides medical therapy services at local public schools. Health and Safety Code, Section 123800 et seq. is the enabling statute for the CCS program. Dr. Mandac serves as the California Children’s Services Medical Consultant. The Medical Consultant is a member of the CCS team of public health professionals dedicated to assuring the highest quality medical care for the children of Monterey County with special medical needs. The Medical Consultant determines medical eligibility for the CCS program and, in some cases, determines benefit eligibility. State CCS Regulations and Numbered Letters provide the framework for local CCS program eligibility determinations and require medical interpretation for consistent decision making. The Medical Consultant participates in state and regional CCS working groups to ensure consistent application of State guidance across the state. The Medical Consultant is also a member of the CCS Medical Therapy Program, whose clinics are MediCal Certified Outpatient Rehabilitation Centers that provide medically necessary physical and occupational therapy to CCS clients. As such, the Medical Consultant participates in required utilization review and performs yearly annual review and medical eligibility determinations.
Due to an anomaly in the earlier contract between this provider and the County, the parties seek to replace that contract with the proposed one, and for that reason it is being entered into “retroactively.”
This work supports the County of Monterey Health Department 2025-2028 Strategic Plan Goals:
3. Enhance employee wellbeing and workforce capacity; and 4. Deepen organizational effectiveness and support long-term sustainability. It also supports four of the ten essential public health services, specifically: 1. Assess and monitor population health status, factors that influence health, and community needs and assets; 2. Investigate, diagnose, and address health problems and hazards affecting the population; 4. Strengthen, support, and mobilize communities and partnerships to improve health; and 10. Build and maintain a strong organizational infrastructure for public health.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel has reviewed and approved this Agreement as to legal form. Auditor-Controller has reviewed and approved this Agreement as to fiscal provisions.
FINANCING:
This Agreement is funded 100% by the grant Medical Therapy Program. There are sufficient appropriations in the Health Department’s (001-4000-8124-HEA003) FY 2025-26 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: Veronica Salinas, Management Analyst, 755-4630
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Agreement