Title
a. Approve and authorize the Director of Health Services or designee to execute a retroactive non-standard Professional Services Agreement with California Public Employees' Retirement System (CalPERS) retired annuitant Benjamin Reyes Mandac, MD, for the term April 4, 2026 through April 2, 2027 for a maximum County obligation of $123,322;
b. Approve non-standard risk provisions in Agreement as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to sign up to three (3) future amendments that do not exceed 10% ($12,332) of the original contract amount, do not significantly change the scope of services, and do not increase the total not to exceed amount over $135, 654.
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 retroactive non-standard Professional Services Agreement with California Public Employees' Retirement System (CalPERS) retired annuitant Benjamin Reyes Mandac, MD, for the term April 4, 2026 through April 2, 2027 for a maximum County obligation of $123,322;
b. Approve non-standard risk provisions in Agreement as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to sign up to three (3) future amendments that do not exceed 10% ($12,332) of the original contract amount, do not significantly change the scope of services, and do not increase the total not to exceed amount over $135, 654.
SUMMARY:
The California Children’s Services (CCS) program provides diagnostic and treatment services, medical case management, and physical and occupational rehabilitative care to children under 21 with CCS-eligible medical conditions such as cystic fibrosis, hemophilia, cerebral palsy, cancer and traumatic injuries. Dr. Mandac serves as the CCS Medical Consultant. Approval of this agreement will allow Dr. Mandac to continue to provide pediatric rehabilitation expertise to the CCS program and to support physical and occupational therapists at the County’s CCS outpatient rehabilitation centers.
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 rehabilitative care to children under 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. Health and Safety Code, Section 123800 et seq. is the enabling statute for the CCS program.
Benjamin Reyes Mandac, MD, currently serves as the CCS Medical Consultant, reporting to the CCS Medical Director. The Medical Consultant is a member of the CCS team of public health and health care professionals dedicated to assuring the highest quality medical and rehabilitative care for children with special medical needs living in Monterey County. The Medical Consultant determines patient medical eligibility for the CCS program and, in some cases, determines benefit eligibility. The Medical Consultant provides medical interpretation of State CCS Regulations and Numbered Letters which provide the framework for local CCS program eligibility determinations. In addition, the Medical Consultant participates in state and regional CCS working groups to ensure consistent application of State guidance across California.
The CCS program operates three county clinics that are certified by the California Department of Health Care Services as outpatient rehabilitation centers. Rehabilitative care services are provided at these centers by a team of health professionals, including physicians, surgeons, physical and occupational therapists, nutritionists, aides and durable medical equipment providers. As a pediatrician certified by the American Board of Physical Medicine and Rehabilitation, Dr. Mandac provides pediatric rehabilitation expertise to physical and occupational therapists that provide rehabilitative care to CCS-eligible clients. Dr. Mandac also is responsible for selecting, orientating, educating and training physicians and surgeons that participate in the medical therapy team. Finally, Dr. Mandac participates in required patient care utilization review and performs annual medical therapy eligibility determinations.
OTHER AGENCY INVOLVEMENT/COMMITTEE ACTIONS:
The Offices of the County Counsel and Auditor-Controller have reviewed and approved this agreement as to legal form and fiscal provisions, respectively.
This Agreement was signed by Benjamin Reyes Mandac, MD, on March 6, 2026.
FINANCING:
This agreement is 100% funded through CCS grant. There are sufficient appropriations in the Health Department’s (001-4000-8124-HEA003) FY 2025-26 Adopted Budget and the FY 2026-27 Proposed Budget.
BOARD OF SUPERVISORS STRATEGIC PLAN GOALS:
This recommendation advances the Board of Supervisors’ Strategic Plan Goal to create safe and healthy communities where all can thrive, particularly children with CCS-eligible disabling conditions and their families. This recommendation supports the key objective to provide exceptional health programs to support quality of life for residents.
Mark a check to the related Board of Supervisors Strategic Plan Goals:
_X_ Well-Being and Quality of Life
____ Sustainable Infrastructure for the Present and Future
____ Safe and Resilient Communities
____ Diverse and Thriving Economy
____ Dynamic Organization and Employer of Choice
Prepared by: Veronica Salinas, Management Analyst II, 755-4630
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Professional Services Agreement