Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a three (3) year Mental Health Services Agreement with Benjamin Macasaet dba New Horizon II Adult Residential Facility in Salinas, CA for the provision of mental health services for Monterey County adult residents with severe psychiatric disabilities in the amount of $140,525 for Fiscal Year (FY) 2019-20, $140,525 for FY 2020-21, and $140,525 for FY 2021-22, for a maximum County obligation of $421,575 for the term of July 1, 2019 through June 30, 2022; 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%) ($42,157) 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 three (3) year Mental Health Services Agreement with Benjamin Macasaet dba New Horizon II Adult Residential Facility in Salinas, CA for the provision of mental health services for Monterey County adult residents with severe psychiatric disabilities in the amount of $140,525 for Fiscal Year (FY) 2019-20, $140,525 for FY 2020-21, and $140,525 for FY 2021-22, for a maximum County obligation of $421,575 for the term of July 1, 2019 through June 30, 2022; 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%) ($42,157) of the original Agreement amount and do not significantly alter the scope of services.
SUMMARY/DISCUSSION:
The County currently maintains Agreement A-13307 with Benjamin Macasaet dba New Horizon II Adult Residential Facility, which will expire on June 30, 2019. New Horizon II Adult Residential Facility (AFR) is a licensed Community Care Facility authorized by the State Department of Social Services, as defined in Section 1502 of the Health and Safety code. New Horizon II ARF provides community-based activities that create a normalizing experience for adults with severe psychiatric disabilities, which benefit persons determined to be most in need of help, particularly those recently discharged from psychiatric locked facilities. These structured activities provided by New Horizon II ARF successfully assist its residents to reintegrate into the community.
This New Horizon II renewal Agreement continues the rates and provisions of the expiring Agreement an additional three-years, through FY 2021-22, allowing for a daily maximum accommodation of twenty-four (24) beds for Monterey County clients requiring access to this level of care at a $15.00 per client per day patch rate, and one (1) bed at an Enhanced Services rate of $25.00 per day. These daily supplemental rates at the New Horizon II facility are a highly cost-effective alternative to higher cost facilities outside of the County.
The approval of New Horizon II ARF provides for the continuity of mental health services to adults with severe psychiatric disabilities and complies with the requirements of the Welfare and Institutions Code Section 5600 (Bronzan-McCorquodale Act).
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-Risk Management and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions respectively.
FINANCING:
This Agreement is 100% funded by 1991 Realignment revenues. The funds for this Agreement ($140,525) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year (FY) 2019-20 Requested Budget. The funds for this Agreement for FY 2020-21 ($140,525) and FY 2021-22 ($140,525) will be included in the respective Health Department’s Behavioral Health (HEA012, Unit 8410) FY 2020-21 and FY 2021-22 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: Norm Morris, Management Analyst II, 1277
Approved By: Elsa M. Jimenez, Director of Health, 4526
Attachment:
Agreement is on file with the Clerk of the Board