Item Coversheet

REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS


BOARD MEETING DATE:  September  12, 2017
CATEGORY:  Consent - Health and Human Services-13.

SUBJECT:

Renewal Agreement with Catholic Charities CYO of the Archdiocese of San Francisco, dba St. Vincent’s School for Boys

DEPARTMENT: Health and Human Services Agency-Children's Services

Supervisorial District No. :  All

DEPARTMENT CONTACT:  Dianna L. Wagner, Branch Director, Children’s Services (530) 225-5705

STAFF REPORT APPROVED BY:  Dianna L. Wagner, Branch Director

Vote Required?

Simple Majority Vote
General Fund Impact?

No Additional General Fund Impact 

RECOMMENDATION

Approve and authorize the Chairman to sign a retroactive renewal agreement with Catholic Charities CYO of the Archdiocese of San Francisco, d.b.a. St. Vincent’s School for Boys in an amount not to exceed $450,000 to provide mental health services to eligible children for the period July 1, 2017 through June 30, 2018, with two automatic one-year renewals.

SUMMARY

The proposed renewal agreement allows Catholic Charities CYO of the Archdiocese of San Francisco, dba St. Vincent’s School for Boys (Catholic Charities) to continue providing medically necessary mental health treatment for Shasta County youth who are placed out of county in residential facilities designed to address their care and supervision as well as mental health needs. 

DISCUSSION

Catholic Charities has provided residential and mental health treatment services to Shasta County youth over the past 6 years.  Currently, there is one youth placed at Catholic Charities.  This facility offers a variety of mental health treatment services in coordination with residential program services to Shasta County youth who are Medi-Cal beneficiaries. The proposed agreement will allow continued services for the youth currently receiving services, and for additional Shasta County youth and their families considered appropriate for these services in the future. 

 

Youth who are placed in out-of-home care by either the Health and Human Services Agency (HHSA) or the Probation Department, or children who are placed voluntarily by their parents through the Adoption Assistance Program, become eligible for Medi-Cal.  Medically necessary Medi-Cal mental health services for eligible children are considered an entitlement.  As part of its Managed Care Plan responsibility for specialty mental health services, the HHSA is responsible for determining medical necessity, authorizing, and paying for these services.

 

The services provided by Catholic Charities include mental health services designed to reduce serious behaviors and symptoms resulting from a mental illness that can require acute psychiatric hospitalization, and the need for a highly structured and supervised placement.  The goal of placement in this facility is to improve the youth’s functioning such that the youth can move to a resource home or relative care when appropriate.  Progress in treatment for each individual is evaluated through quarterly reports on the frequency of behaviors that result in the need for group home level of care as well as tracking of progress toward treatment goals. 

 

This agreement is retroactive due to the new statewide Continuum of Care Reform and Assembly Bill 403 which impacts regulations for group homes that are converting to Short Term Residential Therapeutic Programs (STRTP).

ALTERNATIVES

The Board could choose not to approve the retroactive renewal agreement or to approve with modified terms or funding.

OTHER AGENCY INVOLVEMENT

County Counsel has approved the agreement as to form.  Risk Management has approved the agreement.  The recommendation has been reviewed by the County Administrative Office. 

FINANCING

The maximum compensation of this agreement was determined based on historical utilization of this provider.  These costs are included in the FY 2017-18 Mental Health Adopted Budget (BU 410).  The agreements are fee-for-service and costs will only be incurred when a Shasta County youth is receiving mental health services that have been authorized by Shasta County.  These agreements are funded with federal funds (approximately 50 percent) and a County match which is met through a combination of 1991 and 2011 realignment revenue.  Residential costs, which are not included in these agreements, are supported through the Social Services foster care payment system.  There is no additional county General Fund impact with the approval of the recommendation.

ATTACHMENTS:
DescriptionUpload DateDescription
Contract - Catholic Charities8/17/2017Contract - Catholic Charities