REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  September  12, 2017
CATEGORY:  Consent - Health and Human Services-14.

SUBJECT:

Agreement with Remi Vista, Inc.

Supervisorial District No. :  All

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

STAFF REPORT APPROVED BY:  Dianna L. Wagner, Branch Director, Children's Services Branch

RECOMMENDATION

Approve and authorize the Chairman to sign a retroactive renewal agreement with Remi Vista, Inc. in an amount not to exceed $525,000 to provide therapeutic behavioral services for eligible children for the period July 1, 2017 through June 30, 2018, with two automatic one-year renewals.

SUMMARY

The proposed agreement will allow Remi Vista, Inc., (Remi Vista) to continue to provide Therapeutic Behavioral Services (TBS) to eligible clients and their family members in Shasta County during Fiscal Years 2017-18, 2018-19 and 2019-20.

DISCUSSION

The Shasta County Managed Care Plan has a responsibility to provide mental health services to eligible Medi-Cal Beneficiaries. Resulting from a recent competitive procurement cycle for mental health services, the proposed agreement will allow Remi Vista to provide TBS to children, adolescents and young adults (up to 21 years of age) who fall within Shasta County’s eligible population.  Remi Vista provides intensive one-on-one TBS that requires a flexible staffing capacity to meet the needs of clients referred to the service. 

Remi Vista has been providing services for several years to eligible Shasta County clients.  The proposed agreement contains specific requirements to ensure maximum access to services for Shasta County clients and their families, including children placed in foster care. The Health and Human Services Agency (HHSA) has oversight processes in place and has been satisfied with their performance. Continual performance monitoring includes evaluating client outcomes by the implementation of the Child and Adolescent Needs and Strengths (CANS) tool as well as progress towards individual treatment goals.

The proposed agreement includes language to allow the HHSA Director or his or her designee to approve variances up to a maximum of 10 percent between categories within each budget line item with prior written approval, provided the maximum amount of compensation per County fiscal year of these agreements are not exceeded.  Allowing the Director to authorize this budget variance in the agreements will allow Remi Vista flexibility to provide the services most needed by the children.

Due to extended negotiations following the competitive procurement process which was conducted in December 2016 this agreement is retroactive.

ALTERNATIVES

The Board could choose not to execute the agreement, or to approve with modified terms or funding levels.

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 amount of the proposed agreement is included in the Mental Health (BU 410) FY 2017-18 Adopted Budget. Therapeutic Behavioral Services are funded through a combination of federal Medicaid funds (approx. 50%) with a county match which is largely met through a combination of 1991 and 2011 realignment revenue.  There is no additional General Fund impact associated with approval of the recommendation.