REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  February  6, 2018
CATEGORY:  Consent - Health and Human Services-8.

SUBJECT:

First Amendment with Victor Treatment Center, Inc.

Supervisorial District No. :  All

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

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

RECOMMENDATION

Approve and authorize the Chairman to sign an amendment to the agreement with Victor Treatment Centers, Inc. for the provision of specialty mental health services to eligible children to add intensive case coordination and intensive home-based services and increase maximum compensation by $1,600,000, for a new maximum compensation amount not to exceed $2,200,000 during the entire term of the agreement, retaining the term July 1, 2017 through June 30, 2018, with two automatic one-year renewals.

SUMMARY

This proposed first amendment will allow Victor Treatment Centers, Inc. (Victor Treatment) to add two additional services and increase maximum compensation for the two services and the increase in clients due to presumptive transfer.

DISCUSSION

Effective January 1, 2017, Assembly Bill (AB) 403 (Chaptered 773, Statues of 2015) established a new community care facility category called Short-term residential therapeutic program (STRTP) governed by the Continuum of Care Reform. Victor Treatment has been approved as a STRTP residential facility that provides an integrated program of specialized and intensive care and supervision, services and supports, treatment, and short-term 24-hour care and supervision to children and nonminor dependents.   

Effective July 1, 2017, AB 1299 requires County Mental Health Plans and Child Welfare to implement presumptive transfer for foster youth specialty mental health services. Presumptive transfer means a prompt transfer of the responsibility for the provision of, or arranging and payment for specialty mental health services from the County of original jurisdiction to the county in which the foster youth resides. Victor Treatment has provided residential and specialty mental health services to Shasta County foster youth and foster youth from other counties for many years.  Due to AB 403 statutory changes there has been an increased focus on local placements at the facility to ensure our foster youth are placed in their county of jurisdiction.  Due to AB 1299 statutory changes there are a number of counties relinquishing the responsibility of specialty mental health services of their foster youth onto Shasta County via presumptive transfer.

Services provided are designed to reduce serious behaviors and symptoms resulting from a mental illness that can require acute psychiatric hospitalization and the need for highly structured and supervised placement. The goal of placement in these facilities is to improve the youth’s functioning such that the youth can move to a lower level of care when appropriate. In addition, effective July 1, 2017 the Department of Health Care Services has lifted previous limitations now making available to Medi-Cal beneficiaries both Intensive Care Coordination (ICC) which is a targeted case management service that facilitates assessment of, care planning for and coordination of services, including urgent services for youth identified as needing intensive services and Intensive Home Based Services (IHBS) which are mental health rehabilitation services that are individualized, strength-based interventions designed to ameliorate mental health conditions that interfere with a youth’s  functioning  which are both being added through this amendment.

ALTERNATIVES

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

OTHER AGENCY INVOLVEMENT

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

FINANCING

The maximum amount of the agreement with Victor Treatment Centers Inc. is $2,200,000, and is based on increased number of placements and the presumptive transfer of foster youth from their county of original jurisdiction to Shasta County where they are residing. These costs are included in the Adopted FY 2017-18 Mental Health budget (BU 410). The agreements are fee for service and costs will only be incurred when Shasta County youth and those that the County accepts presumptive transfer for are receiving mental health services from Victor Treatment Centers Inc.  This agreement is funded with federal funds (approximately 50%) and a county match which is largely met through a combination of 1991 and 2011 Realignment revenue.  Residential costs, which are not included in this agreement, are supported through the Social Services foster care payment system.  There is no additional County General Fund impact with approval of this recommendation.