REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  January  23, 2018
CATEGORY:  Consent - Health and Human Services-6.

SUBJECT:

Second amendment to agreement with Northern Valley Catholic Social 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, Children's Services

RECOMMENDATION

Approve and authorize the Chairman to sign a retroactive amendment, effective October 1, 2017, to the agreement with Northern Valley Catholic Social Service, Inc., to provide youth specialty mental health services, to increase the maximum compensation by $799,598 for a new total in an amount not to exceed $3,193,079 during the term of the agreement, and to extend the term from October 1, 2017 through June 30, 2018.

SUMMARY

The proposed second amendment will allow Northern Valley Catholic Social Service (NVCSS) to continue to provide youth specialty mental health services to Medi-Cal eligible clients and their family members and care providers through June 30, 2018.

DISCUSSION

As required by Code of Federal Regulations Title 42 and the California Department of Health Care Services (DHCS) this agreement with NVCSS is entered into as part of Shasta County’s Mental Health Plan (MHP) requirements.

NVCSS has been providing medically necessary Early Periodic Screening, Diagnosis, and Treatment (EPSDT) youth specialty mental health services for several years to eligible Shasta County clients. Despite the delay in finalizing the terms of a renewal agreement with NVCSS to continue providing these services, we are required, pursuant to 42 Code of Federal Regulations § 438.206 and the MHP to maintain availability of services. 

To ensure services continue to be provided a contract amendment of nine months is proposed so that the County may continue to provide services and meet our contractual obligations to the Department while continuing to negotiate and finalize a renewal agreement with NVCSS.   HHSA is developing a new agreement with NVCSS to begin after the end of the fiscal year.

ALTERNATIVES

The Board could choose not to approve the amendment or to approve with modified terms or funding levels.

OTHER AGENCY INVOLVEMENT

County Counsel has approved the second amendment as to form.  Risk Management reviewed the original agreement and there have been no changes to insurance or indemnification and no expansion of the scope of work.  The recommendation has been reviewed by the County Administrative Office.

FINANCING

The HHSA Mental Health (BU 410) fiscal year 2017-18 Adopted Budget includes sufficient appropriation authority for the activities described in this agreement. Specialty Mental Health Medi-Cal 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 with the approval of this recommendation.