To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #24-707-70 with VistAbility
☒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 Amendment Agreement #24-707-70 with VistAbility, a non-profit corporation, effective March 1, 2024, to amend Contract #24-707-69 for additional cost survey and attestation services required for California Advancing and Innovating Medi-Cal (CalAIM) implementation, with no change in the original payment limit of $2,959,392, and no change in the original term of July 1, 2023 through June 30, 2024.
FISCAL IMPACT:
Approval of this amendment will result in no change to the original budgeted expenditures of up to $2,959,382 and is funded by 88% ($2,611,647) Early and Periodic Screening, Diagnostic and Treatment (EPSDT) and by 12% ($347,745) Mental Health Services Act revenues. (No rate increase)
BACKGROUND:
This contract meets the social needs of the county’s population by providing mental health services for preschoolers with measurable delays in interpersonal, social/emotional, language and cognitive development, and for children who are at risk for such delays, including abused, developmentally delayed, Seriously Emotionally Disturbed (SED) and environmentally deprived children who do not meet the criteria for any categorical funding source for services. The county has been contracting with VistAbility since July 1974.
On June 27, 2023, the Board of Supervisors approved #24-707-69 with VistAbility, in an amount not to exceed $2,959,392, to provide wrap-around services including community-based, mental health treatment, case management and crisis intervention for children who are SED in East County for the period from July 1, 2023 through June 30, 2024.
Approval of Amendment #24-707-70 will allow contractor to continue providing community based mental health services through June 30, 2024.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, contractor will not receive compensation for the State Cost Survey and attestation for CalAIM implementation and may result in loss of revenues needed to maintain staff to provide mandated services to eligible youth in our community.
CHILDREN’S IMPACT STATEMENT:
The recommendation supports the following children's outcome(s):” and then include whichever of the following apply (1) Children Ready for and Succeeding in School; (2) Children and Youth Healthy and Preparing for Productive Adulthood; (3) Families that are Safe, Stable and Nurturing; and (4) Communities that are Safe and Provide a High Quality of Life for Children and Families.