File #: A 15-041    Name: Amend. #1 to Milhouse # A-12575
Type: BoS Agreement Status: Passed
File created: 2/24/2015 In control: Board of Supervisors
On agenda: 3/10/2015 Final action: 3/10/2015
Title: a. Authorize the Director of Health to execute Amendment No. 1 to Mental Health Services Agreement A-12725 with Milhous Children's Services, Inc. to revise the Business Associate Agreement; and b. Authorize the Director of Health to execute Amendment No. 1 to add board and care services; and c. Authorize the Director of Health to execute Amendment No. 1 to increase FY 2014-15 by $474,192, FY 15-16 by $474,192, and FY 2016-17 by $474,192, for a new total Agreement amount not to exceed $2,279,966.
Sponsors: Ray Bullick
Attachments: 1. Board Report, 2. Milhous_Amdt#1 to A-12725_FY14-15.pdf, 3. Fully Executed_Milhous Agreement_FY 2014-17 and BO.pdf, 4. Completed Board Order, 5. Fully Executed Agreement, Amendment No. 1 between the County of Monterey and Milhous Children's Services, Inc.
Title
a. Authorize the Director of Health to execute Amendment No. 1 to Mental Health Services Agreement A-12725 with Milhous Children's Services, Inc. to revise the Business Associate Agreement; and
b. Authorize the Director of Health to execute Amendment No. 1 to add board and care services; and
c. Authorize the Director of Health to execute Amendment No. 1 to increase FY 2014-15 by $474,192, FY 15-16 by $474,192, and FY 2016-17 by $474,192, for a new total Agreement amount not to exceed $2,279,966.
 
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a.   Authorize the Director of Health to execute Amendment No. 1 to Mental Health Services Agreement A-12725 with Milhous Children's Services, Inc. to revise the Business Associate Agreement; and
b.   Authorize the Director of Health to execute Amendment No. 1 to add board and care services; and
c.   Authorize the Director of Health to execute Amendment No. 1 to increase FY 2014-15 by $474,192, FY 15-16 by $474,192, and FY 2016-17 by $474,192, for a new total Agreement amount not to exceed $2,279,966.
 
SUMMARY/DISCUSSION:
Milhous Children's Services, Inc. ("Milhous") currently provides mental health services to Monterey County young adults in accordance with the client's individual education plan and other identified needs. Milhous provides an array of mental health services and rehabilitative care to Monterey County children. Children placed in Milhous suffer from seriously emotional and behavioral problems, which interfere with their ability to effectively function within their home and in the community. The services provided at Milhous are designed to prevent placement in more restrictive and costlier settings such as inpatient hospitals, out of state residential or juvenile justice facilities.
 
Amendment No. 1 will add Group Home RCL 14 Board and Care services for clients placed through the Individual Education Plan (IEP).  Monterey County Behavioral Health Bureau will seek reimbursement from the local Special Education Local Plan Area (SELPA) for the Group Home RCL 14 Board and Care service.
This work supports the Monterey County Health Department 2011-2015 strategic plan initiative: 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 County Counsel and Auditor-Controller have reviewed this Amendment No. 1 as to legal form and fiscal provisions, respectively.  Amendment No. 1 is on file with the Clerk to the Board.
 
FINANCING:
This Agreement is funded by Early Periodic Screening, Diagnosis, and Treatment (25%), Federal Financial Participation (30%), Realignment (5%), and Special Education Local Plan Area (SELPA) (40%) funds that pay for children who are placed through the Individual Education Plan (IEP).  The funds for this Agreement are included in the Health Department's Behavioral Health Bureau (HEA012, Unit 8410) FY 2014-15 Adopted Budget.
 
Prepared by:   Charise Walters, Management Analyst, 4703
Approved by:  Ray Bullick, Director of Health, 4527
 
Attachments:  
Amendment No. 1 to Agreement A-12725 is on file with Clerk of the Board.
Agreement A-12521 is on file with Clerk of the Board.