REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  September  18, 2018
CATEGORY:  Consent - Health and Human Services-7.

SUBJECT:

Renewal agreement with North Valley Catholic Social Service

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

RECOMMENDATION

Approve and authorize the Chairman to sign a retroactive renewal agreement with Northern Valley Catholic Social Service, Inc., in an amount not to exceed $2,169,196 to provide youth specialty mental health services for the period July 1, 2018 through June 30, 2020.

SUMMARY

The agreement will allow Northern California Catholic Social Service, Inc. (NVCSS) to continue to provide youth specialty mental health services to Medi-Cal eligible clients, their family members and care providers in Shasta County during Fiscal Year 2018-19 and 2019-20.

DISCUSSION

The Shasta County Mental Health 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 NVCSS to provide medically necessary specialty mental health services to children, adolescents and young adults (up to 21 years of age) who fall within Shasta County’s eligible population.  NVCSS provides both clinic-based and community-based services.

NVCSS has been providing medically necessary youth specialty mental health services for several years to eligible Shasta County clients.  The 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 HHSA Director to authorize this budget variance in the agreements will allow NVCSS flexibility to provide those service types most needed by the youth being served.

The agreement is retroactive due to the time needed to for all parties to negotiate the agreement terms.

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 2018-19 Adopted Budgets. 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.