Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a Memorandum of Understanding (MOU) with International School of Monterey for reimbursement to the County of Monterey for the provision of mental health services, for a total maximum amount not to exceed $33,613 for the term retroactive to July 1, 2023, through June 30, 2024;
b. Approve and authorize the Director of Health or Assistant Director of Health to execute an Interagency Agreement, Exhibit F to the MOU, with International School of Monterey for the term retroactive to July 1, 2023, through June 30, 2024;
c. Approve non-standard insurance and indemnification provisions in the MOU as recommended by the Director of Health; and
d. Approve and authorize the Director of Health or Assistant Director of Health to execute up to three future amendments where the combined amendments do not exceed 10% ($3,361) of the original MOU amount, do not significantly change the scope of services, and do not exceed maximum amount of $36,974.
Report
RECOMMENDATION:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a Memorandum of Understanding (MOU) with International School of Monterey for reimbursement to the County of Monterey for the provision of mental health services, for a total maximum amount not to exceed $33,613 for the term retroactive to July 1, 2023, through June 30, 2024;
b. Approve and authorize the Director of Health or Assistant Director of Health to execute an Interagency Agreement, Exhibit F to the MOU, with International School of Monterey for the term retroactive to July 1, 2023, through June 30, 2024;
c. Approve non-standard insurance and indemnification provisions in the MOU as recommended by the Director of Health; and
d. Approve and authorize the Director of Health or Assistant Director of Health to execute up to three future amendments where the combined amendments do not exceed 10% ($3,361) of the original MOU amount, do not significantly change the scope of services, and do not exceed maximum amount of $36,974.
SUMMARY/DISCUSSION:
The International School of Monterey (“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 of Monterey will deploy Psychiatric Social Workers (“Therapist”) and or Social Workers to the School to provide an array of therapeutic services to students. Additionally, County of Monterey will deploy Therapist to the School to provide an array of services to special education students pursuant to a student’s Individualized Education Plan (IEP). Services include individual and group counseling to the student, individual or group counseling provided to parents of special education students; consultation services provided to parents, students, teachers, and other school personnel; and planning and implementing a program of psychological counseling. The School agrees to pay the non-Federal Financial Participation (FFP) portion of the cost up to the total maximum MOU amount since County of Monterey is reimbursed the FFP directly by the Department of Health Care Services. This MOU is presented late to the Board due to a delay in receiving the signature pages due to the School’s approval process that requires their school board’s approval prior to signature to the MOU.
The MOU template provides mutual indemnification and limitation of liability. The MOU template provides that both County of Monterey 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 of Monterey’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 2018-2022 Strategic 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 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) FY 2023-24 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: Charise Walters, Management Analyst II, 755-4703
Approved by:
______________________________Date:_________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachments:
Board Report
Memorandum of Understanding