Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a new one-year Mental Health Services Agreement between County of Monterey and Telecare Corporation for the provision of skilled nursing services to Monterey County adults with primary diagnoses of organic brain syndrome, traumatic brain injury, medical debilitation, and severe mental illness, for a maximum County obligation of $584,421 for the term of July 1,2022 through June 30, 2023; 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%) ($58,442) of the original Agreement amount and do not significantly alter 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 new one-year Mental Health Services Agreement between County of Monterey and Telecare Corporation for the provision of skilled nursing services to Monterey County adults with primary diagnoses of organic brain syndrome, traumatic brain injury, medical debilitation, and severe mental illness, for a maximum County obligation of $584,421 for the term of July 1,2022 through June 30, 2023; 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%) ($58,442) of the original Agreement amount and do not significantly alter the scope of services.
SUMMARY/DISCUSSION:
Telecare Corporation administers programs at two contracted facilities, Garfield Neurobehavioral Center and Morton-Bakar Center. Licensed as Skilled Nursing Facilities (SNF), both facilities provide treatments covering conditions ranging from Traumatic Brain Injury and other medical debilitation (Garfield Neurobehavioral) to psychosocial rehabilitation and skills-building support for older adults ages 57+ with a primary diagnosis of severe mental illness (Morton-Bakar Center).
The County currently maintains Agreement A-15380 with Telecare Corporation which will expire on June 30, 2022. This new Agreement continues the same contract provisions as in our previously approved Agreements with Telecare, with a 4% vendor rate increase due primarily to scheduled State Medi-Cal increases, however, this Agreement reallocates some underused services and funds to other Adult System of Care Contracts, with an overall 27% decrease in funding for the upcoming Fiscal Year. This Agreement adjustment better serves Monterey County clients and provides the necessary resources and maintains the appropriate options for clients to be placed in a facility that best suits their needs, and to live in the least restrictive community setting as possible considering their disabilities.
This Agreement meets the requirements of the State Welfare and Institutions Code 5600 (Bronzan-McCorquodale Act), the California Code of Regulations Titles 9 and 22, and sustains the continuity of care services to seriously mentally ill clients of Monterey County.
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 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 the County Counsel and Auditor-Controller have reviewed and approved this Agreement as to form and fiscal provisions, respectively.
FINANCING:
This Agreement is 100% funded by 1991 Mental Health Realignment revenues. The funds for this Agreement ($584,421) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2022-23 Recommended 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: Norm Morris, Management Analyst II, 796-1277
Approved by:
______________________________Date:_____________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachment:
Agreement