To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #74-641-2 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 Amendment Agreement #74-641-2 with A&A Health Services LLC, a limited liability company, to amend Contract #74-641-1, effective May 1, 2024, to increase the payment limit by $80,000, from $1,149,700 to a new payment limit not to exceed $1,229,750 for additional residential and mental health services for adults diagnosed with Serious Mental Illness (SMI) and Serious Persistent Mental Illness (SPMI) with no change in the term January 1, 2023 through June 30, 2024.
FISCAL IMPACT:
Approval of this Amendment will result in additional budgeted expenditures of up to $80,000 and funded as budgeted by the Department 100% by Mental Health Realignment funds. (No rate increase)
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. 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.
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.
Approval of Amendment Agreement #74-641-2 will allow the contractor to provide additional residential facilities services through June 30, 2024.
CONSEQUENCE OF NEGATIVE ACTION:
If 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.