Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a Mental Health Services Agreement for the term retroactive to March 4, 2019 through June 30, 2023 with Koinonia Foster Homes, Inc. DBA Koinonia Homes for Teens for the provision of mental health services in the amount of $883 for Fiscal Year (FY) 2018-19; $26,401 for FY 2019-20; $324,247 for FY 2020-21; $324,247 for FY 2021-22; and $324,247 for FY 2022-23, for a total Agreement amount not to exceed $1,000,025; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($100,002.50) of the original Agreement amount and do not significantly change the scope of services.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a Mental Health Services Agreement for the term retroactive to March 4, 2019 through June 30, 2023 with Koinonia Foster Homes, Inc. DBA Koinonia Homes for Teens for the provision of mental health services in the amount of $883 for Fiscal Year (FY) 2018-19; $26,401 for FY 2019-20; $324,247 for FY 2020-21; $324,247 for FY 2021-22; and $324,247 for FY 2022-23, for a total Agreement amount not to exceed $1,000,025; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($100,002.50) of the original Agreement amount and do not significantly change the scope of services.
SUMMARY/DISCUSSION:
Koinonia Foster Homes, Inc. DBA Koinonia Homes for Teens (“Koinonia”) is a Short-term Residential Therapeutic Program (STRTP) providing residential and specialty mental health services including specialized and intensive care, support, and 24-hour supervision on a short-term basis for children and youth with complex and severe needs. The goal of the program is to provide therapeutic interventions to treat and ameliorate the behavioral health symptom and improve function so that children and adolescents may move to a less restrictive and intensive treatment setting. Koinonia has been providing services to Monterey County youth who require the highest level of care to prevent their placement into an inpatient hospital or out-of-state residential or juvenile justice facility.
The term of this Agreement is retroactive to March 4, 2019 due to changes under AB 403 Continuum of Care Reform requiring all group homes to convert to an STRTP, and placing fiscal responsibility for Medi-Cal Specialty Mental Health Services to the Mental Health Plan (MHP) for Child Welfare and Juvenile Probation youth in STRTP placement. This Agreement is being presented late to the Board because the facility did not actively notify the MHP of jurisdiction that the children/youth placed at the facility were now receiving Medi-Cal Specialty Mental Health Services.
This Agreement contains the County’s standard 30-day “no cause” provision (Section IV, B) and an additional defunding provision (Section IV, D), which provides the County the ability to amend or terminate the Agreement in the event of a reduction and/or termination of funding.
This work supports the following Monterey County Health Department 2018-2022 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:
County Counsel and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by Federal Financial Participation (FFP 70%) and 2011 Realignment- Early Periodic Screening and Diagnostic Testing (EPSDT 30%). The funds for this Agreement are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year (FY) 2020-21 Adopted Budget. The funds for this Agreement for FY 2021-22 and FY 2022-23 will be included in the respective Health Department’s Behavioral Health (HEA012, Unit 8410) FY 2021-22 and FY 2022-23 Requested Budgets.
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 Jimenez, Director of Health, 755-4526
Attachment:
Agreement is on file with Clerk of the Board