To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Single Case Agreements for Specialty Mental Health Services with Other County Jurisdictions
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE two (2) forms of Single Case Agreements for Specialty Mental Health Services to govern the provision and payment of Specialty Mental Health Services for youth placed into congregate care facilities by county agencies pursuant to California Welfare and Institutions Code Section 14717.25; AUTHORIZE the Health Services Director, or designee, to execute the form agreement with other county jurisdictions, in an amount not to exceed $200,000, to place Contra Costa County clients outside the county; and AUTHORIZE the Health Services Director, or designee, to execute the form agreement with other county jurisdictions to receive funding for non-county clients placed within Contra Costa County.
FISCAL IMPACT:
There is no fiscal impact for this action.
BACKGROUND:
AB 1299, effective July 1, 2017, added Welfare & Institutions Code section 14717.1, establishing Presumptive Transfer, which requires that the responsibility for provision and payment of Specialty Mental Health Services (SMHS) promptly transfers from the county of original jurisdiction (COJ) to the county in which a foster child resides or is being placed in, the county of residence (COR), subject to any exceptions established pursuant to that section. AB 1051, effective July 1, 2024, was enacted to correct AB 1299 in the instances of placements into Short Term Residential Therapeutic Programs (STRTPs) and Crisis Residential programs which are designed to be short term in nature and occur on very short notice. Under AB 1299, counties are allowed to Presumptively Transfer or to contract with and pay STRTPs directly, and also allowed placing counties the ability to pay their own Medicaid match. Under AB 1051 counties are required to ...
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