Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a retroactive Memorandum of Understanding (MOU) with International School of Monterey, for reimbursement to the County of Monterey for the provision of mental health services for a maximum compensation not to exceed of $38,132 for the term April 1, 2022 through June 30, 2023; and
b. Approve and authorize the Director of Health or Assistant Director of Health to execute a retroactive Interagency Agreement, Exhibit F to the MOU, with International School of Monterey for the term of July 1, 2022 through June 30, 2023; and
c. Approve non-standard insurance and indemnification provisions in the MOU as recommended by the Director of Health.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a retroactive Memorandum of Understanding (MOU) with International School of Monterey, for reimbursement to the County of Monterey for the provision of mental health services for a maximum compensation not to exceed of $38,132 for the term April 1, 2022 through June 30, 2023; and
b. Approve and authorize the Director of Health or Assistant Director of Health to execute a retroactive Interagency Agreement, Exhibit F to the MOU, with International School of Monterey for the term of July 1, 2022 through June 30, 2023; and
c. Approve non-standard insurance and indemnification provisions in the MOU as recommended by the Director of Health.
SUMMARY/DISCUSSION:
The International School of Monterey seeks to partner with the County of Monterey, on behalf of its Health Department Behavioral Health Bureau, for the provision of therapeutic services and mental health supports for students in the General Education program identified as having trouble with their educational goals due to social, emotional or behavioral issues. Through the MOU, County will deploy Psychiatric Social Workers (“Therapist”) and or Social Workers to the school 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. Additionally, County will deploy Therapist to the school to provide an array of services to special education students pursuant to a student’s Individualized Education Plan (IEP). Services include individual and group counseling to the student, individual or group counseling provided to parents of special education students; consultation services provided to parents, students, teachers, and other school personnel; and planning and implementing a program of psychological counseling for special education students and parents pursuant to a student’s IEP.
The school 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. Since prior to the expiration of the former MOU, County has been working to obtain the required insurance and the school board’s approval to process the MOU.
The MOU template provides for mutual indemnification and limitation of liability. The MOU template provides that both County and School 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 own 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 2018-2022 Strategic Goals: 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 Offices of County Counsel and Auditor-Controller have reviewed and approved this MOU as to legal form and fiscal provisions, respectively. Risk Management has not approved this MOU due to non-standard indemnification, limitation of liability, and insurance provisions.
FINANCING:
This Agreement is funded by Federal Financial Participation (FFP) and school reimbursement as the local required match for FFP. The associated revenue and expenditures are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) FY 2021-22 and FY 2022-23 Adopted 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 Mendoza Jimenez, Director of Health, 755-4526
Attachments:
Board Report
Memorandum of Understanding