Title
a. Approve and authorize the Director of Health Services or designee to execute a Memorandum of Understanding (MOU) for the provision of therapeutic services to students attending Monterey Office of Education for Monterey County Alternative Education retroactive to March 15, 2025 through June 30, 2025 for a total maximum revenue to the County of Monterey in an amount not to exceed $13,951; and
b. Approve the non-standard insurance and indemnification provisions in the MOU as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments to the MOU that do not exceed 10% ($1,395) of the initial amount specified in the MOU and that do not significantly change the scope of services, for a total not to exceed $15,346.
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 Memorandum of Understanding (MOU) for the provision of therapeutic services to students attending Monterey Office of Education for Monterey County Alternative Education retroactive to March 15, 2025 through June 30, 2025 for a total maximum revenue to the County of Monterey in an amount not to exceed $13,951; and
b. Approve the non-standard insurance and indemnification provisions in the MOU as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments to the MOU that do not exceed 10% ($1,395) of the initial amount specified in the MOU and that do not significantly change the scope of services, for a total not to exceed $15,346.
SUMMARY/DISCUSSION:
Monterey Office of Education for Monterey County Alternative Education wishes to continue its partnership with the County of Monterey, on behalf of its Health Department Behavioral Health Bureau, for the provision of therapeutic services and mental health support for students identified as having trouble with their educational goals due to social, emotional or behavioral issues for the remainder of the 2024-25 academic school year, with limited services during the summer months. Through the MOU, County will deploy Psychiatric Social Workers (“Therapist”) and or Social Workers to School Districts to provide an array of therapeutic services to students including individual therapy, group therapy, family therapy, parent and/or teacher consultation, treatment planning, classroom observation, teacher training, parent education, support with psychiatric appointments, referrals for crisis intervention, and intensive in-home behavioral intervention and support as needed through the General Education program. The MCOES agrees to pay the non-Federal Financial Participation (FFP) portion of the costs up to the total maximum MOU amount since County is reimbursed FFP directly by the Department of Health Care Services. The estimated expected revenue of $13,951 from this MOU in FY 2024-25 may vary based on changes in MCOE’s budget and County staffing.
This MOU is retroactive to March 15, 2025 due to an immediate need for therapeutic and mental health supports for MCOE students. The MOU template provides for mutual indemnification and limitation of liability. The MOU template provides that both County and Districts 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’s 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 2025-2028 Strategic Plan Goal: 2. Provide Exceptional Person-Centered Care through Accessible, Community-Focused 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 provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel and Auditor-Controller have reviewed and approved this request as to legal form and fiscal provisions, respectively. Risk Management cannot approve this request due to unforeseeable non-standard indemnification, limitation of liability, and insurance provisions.
FINANCING:
This Agreement is funded by Federal Financial Participation (FFP) and the MCOE. The associated revenue and expenditures are included in the Health Department’s Behavioral Health (HEA 012, Unit 8410) FY 2024-25 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: Jenny Pelagio, Management Analyst II, 837-7520
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Memorandum of Understanding