To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-641-3 with A&A Health Services LLC
☒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 Contract #74-641-3 with A&A Health Services LLC, a limited liability company, in an amount not to exceed $1,266,915 to provide residential and mental health services for adults diagnosed with Serious Mental Illness (SMI) and Serious Persistent Mental Illness (SPMI) for the period from July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this contract will result in budgeted expenditures of up to $1,266,915 and will be funded by 61% Mental Health Realignment funds and 39% State Grant Funds. (Additional rates)
BACKGROUND:
This contract meets the social needs of County’s population by providing residential facilities for adults who require support and are being discharged from state hospitals or psychiatric health facilities and require step-down care to transition to community living. This contractor has been providing residential and mental health services to County since January 1, 2022.
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); California Government Code §§ 26227 and 31000. This contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. This contractor shall comply with requirements and procedures established by the County, State and Federal governments for quality assurance and utilization review, including but not limited to, submission to County of periodic quality assurance reports, assignment of staff for utilization review coordination duties, use of standardized case record and treatment planning forms, and utilization of peer review. This contractor was determined to be exempt by the Public Works Department’s Purchasing Division.
On January 17, 2023, the Board of Supervisors approved Contract #74-641-1 with A&A Health Services LLC, in an amount not to exceed $1,149,700 to provide residential and mental health services for the period January 1, 2023 through June 30, 2024.
On May 14, 2024, the Board of Supervisors approved Amendment Agreement #74-641-2 with A&A Health Services LLC effective May 1, 2024, to increase the payment limit by $80,000 to a new payment limit not to exceed $1,229,750 for additional residential and mental health services with no change in the term.
Approval of Contract #74-641-3 will allow contractor to continue to provide services through June 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, County clients in need of crisis residential or step-down care will not have access to the contractor’s services, possibly resulting in higher levels of placement, including hospitalization.