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 I Adult Residential Facility in Salinas, CA for the provision of Board and Care Services for Monterey County Adult residents with severe psychiatric disabilities in the amount of $186,150 for Fiscal Year (FY) 2021-22, $186,150 for FY 2022-23, and $186,150 for FY 2023-24, for a maximum County obligation of $558,450 for the retroactive term of July 1, 2021 through June 30, 2024; and
b. Approve non-standard insurance provision in Agreement as recommended by the Director of Health; and
c. 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%) ($55,845) 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 I Adult Residential Facility in Salinas, CA for the provision of Board and Care Services for Monterey County Adult residents with severe psychiatric disabilities in the amount of $186,150 for Fiscal Year (FY) 2021-22, $186,150 for FY 2022-23, and $186,150 for FY 2023-24, for a maximum County obligation of $558,450 for the retroactive term of July 1, 2021 through June 30, 2024; and
b. Approve non-standard insurance provision in Agreement as recommended by the Director of Health; and
c. 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%) ($55,845) of the original Agreement amount and do not significantly alter the scope of services.
SUMMARY/DISCUSSION:
This Agreement with Benjamin Macasaet DBA New Horizon I Adult Residential Facility is for a retroactive three (3) fiscal year term from July 1, 2021 to June 30, 2024, which renews and updates Agreement A-14000 which termed out on June 30, 2021.
This agreement is late in being presented to your board, and is retroactive to July 1, 2021, because the vendor was unable to obtain insurance as per County Risk Management guidelines. The vendor has since remedied the situation and has been providing access to structured board and care services for up to thirty (30) Adult System of Care clients at New Horizon I during this Q1 of FY 2021. To offset increased Insurance premium costs to the vendor, the County has negotiated a $2 per person daily patch increase for this agreement, which adds $21,900 per year to the total County obligation.
New Horizon I Adult Residential Facility in Salinas, California meets all licensing requirements for Community Care facilities as authorized by the State Department of Social Services. The New Horizon I facility provides care, supervision, and community-based activities that create a normalizing experience for adults with severe psychiatric disabilities, as defined in Section 1502 of the California Health and Safety Code.
Monterey County Behavioral Health has contracted with New Horizon I for a number of years.
The services benefit those individuals identified to be in most need of help, such as recently
discharged patients from locked facilities. The structured activities of the services are geared to
successfully assist the residents to reintegrate back into the community.
This Agreement contains a non-standard insurance provision of claims-based coverage. This Agreement also 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:
The office of the 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 Realignment revenues. The funds for this Agreement ($186,150) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2021-22 Adopted Budget. The funds for this Agreement for FY 2022-23 ($186,150) and FY 2023-24 ($186,150) will be included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2022-23 and Fiscal Year 2023-24 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, 796-1277
Approved by:
______________________________Date:_____________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachment:
Agreement