To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #24-681-82(20) with Modesto Residential Living Center, 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 #24-681-82(20) with Modesto Residential Living Center, LLC, a limited liability company (formerly Modesto Residential Living Center, Inc.), in an amount not to exceed $510,684, to provide augmented board and care services for the period from September 1, 2023 through August 31, 2024.
FISCAL IMPACT:
This contract will result in contractual service expenditures of up to $510,684 and will be funded as budgeted by the department in FY 2023-24, by 33% Mental Health Realignment ($168,5256) and 67% Mental Health Services Act ($342,158). (Rate increase)
BACKGROUND:
The Behavioral Health Services Department has been contracting with Modesto Residential Living Center, LLC, since September 1, 2007 to provide augmented board and care services for mentally ill adults.
This contract meets the social needs of the County's population by augmenting room and board and providing twenty-four hour emergency residential care and supervision to eligible mentally disordered clients, who are specifically referred by the Mental Health Program Staff and who are served by County Mental Health Services. This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227; California Code of Regulations, Title 9, Section 523 et seq.; California Welfare and Institutions Code Section (5600 et. seq., known as The Bronzan-McCorquodale Act). This provider was selected in collaboration with community stakeholder advisory bodies and was approved as part of the comprehensive Mental Health Services Act Three-Year Plan as required by State regulation. Providers interested in providing specialized services were invited proactively to participate in program development and offered the opportunity to submit interest at dozens of publicly noticed meetings. The services and vendors were identified in the formal Three-Year plan which was approved on the following schedule that was noticed to the public and approved by the Board on August 1, 2023. The Three-Year plan was posed for public comment from June 5, 2023 through July 5, 2023, there was a Public Hearing at the Mental Health Commission meeting on July 5, 2023, and it was approved by the Board of Supervisors on August 1, 2023. The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor staff meet on a regular basis to ensure monitoring and performance measures in the contract are upheld. This contract was approved by Health Services Personnel to ensure there is no conflict with labor relations.
On September 13, 2022, the Board of Supervisors approved Contract #24-681-82(19) with Modesto Residential Living Center, LLC, in an amount not to exceed $481,800, to provide augmented board and care services for mentally ill adults, for the period September 1, 2022 through August 31, 2023.
Approval of Contract #24-681-82(20) will allow the contractor to continue to provide augmented board and care services through August 31, 2024. This contract was delayed due to the unexpected absence of the Behavioral Health Division’s Contract Monitor responsible for submitting it.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, contractor will not be able to provide augmented board and care services to mentally ill adults in Contra Costa County which could result in increased wait times for services.