To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #74-452-16 with La Clinica De La Raza, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Amendment Agreement #74-452-16 with La Clinica De La Raza, Inc., a non-profit corporation, effective April 1, 2024, to amend Contract #74-452-15, for additional cost survey and attestation services required for California Advancing and Innovating Medi-Cal (CalAIM) implementation and to decrease the payment limit by $434,262, from $1,234,262 to a new payment limit of $800,000 with no change in the term July 1, 2023 through June 30, 2024, for specialty mental health services in East Contra Costa County.
FISCAL IMPACT:
Approval of this contract will decrease the payment limit by $434,262 and result in a new amount not to exceed $800,000 as budgeted by the department and funded 83% by Federal Early Periodic Screening, Diagnostic and Treatment (EPSDT) and 17% by Mental Health Services Act (MHSA) revenues. (No rate increase)
BACKGROUND:
This contract meets the social needs of County’s population by providing community-based specialty mental health services focusing on minority, SED children and their families which will result in positive social and emotional development at home, in the community and greater school success. The contractor has been providing these services since October 2012.
Health Services Personnel approved this contract to ensure no conflicts with labor relations. This contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code, § 5600 et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, § 523 et seq. (Community Mental Health Services) and California Government Code §§ 26227 and 31000. Acting as the Mental Health Plan as designated by Department of Health Care Services (DHCS) Contra Costa Behavioral Health is required to meet federal and state Network Adequacy standards to ensure that all Medi-Cal managed care covered services are available and accessible to beneficiaries in accordance with timely access and time and distance standards.
On June 27, 2023, the Board of Supervisors approved Contract #74-452-15 with La Clinica De La Raza, Inc., in an amount not to exceed $1,234,262 for the provision of specialty mental health services for SED minority children and their families in East Contra Costa County, for the period from January 1, 2023 through June 30, 2024.
Approval of Amendment Agreement #74-452-16 will decrease the payment limit and Contractor will continue providing specialty mental health services for SED minority children and families through June 30, 2024.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, there will be fewer specialty mental health services available for minority SED children in East Contra Costa County as the county solicits and engages an alternative contractor.
Children’s Impact Statement:
This Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS).