Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health, and Recovery Services
Subject: Agreement with Mateo Lodge, Inc. for Residential and Mental Health Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Mateo Lodge, Inc. for residential and mental health treatment services, for the term of June 1, 2025 through June 30, 2027, in an amount not to exceed $7,045,397.
body
BACKGROUND:
For more than three decades, Mateo Lodge, Inc. (Mateo Lodge) has provided residential and other mental health treatment services to Behavioral Health and Recovery Services (BHRS) clients who reside in San Mateo County. Mateo Lodge’s services are low-cost, community-based alternatives for seriously mentally ill adults with co-occurring disorders who otherwise would live in locked psychiatric facilities, at homeless shelters, or on the streets.
DISCUSSION:
Through this agreement, Mateo Lodge will continue to provide a variety of services to a minimum of 471 seriously mentally ill adult clients with co-occurring disorders in the County. These services include transitional residential treatment, supportive rehabilitation services, and community-based case management for clients needing additional clinical treatment. The services also include 13 board and care beds for consumers in need of placement at a licensed Adult Residential Facility.
The continued services also include mobile outreach by Mobile Support Services to 200 seriously mentally ill clients with or without co-occurring disorders who are homeless or at risk of homelessness. Furthermore, through the Family Assertive Support Team, Mateo Lodge will provide in-home outreach and engagement services to a minimum of 72 non-homeless individuals with serious mental illness disengaged from services and their families or caretakers.
Residential treatment programs like Mateo Lodge have established expertise in serving clients with a serious mental illness with co-occurring disorders. There continues to be a shortage of facilities in San Mateo County that specialize in residential services for clients with serious mental illness with co-occurring disorders, leading BHRS to consider contracts with any and all qualified providers. These Housing Services and Related Supports are exempt from the competitive procurement process under the Administrative Memorandum B-1.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by the County Attorney as to form.
It is anticipated that 100% of board and care clients will be remain in this level of care, and 60% of clients will be connected or reconnected to needed treatment services.
PERFORMANCE MEASURE:
|
Measure |
FY 2024-25 Estimated |
FY 2025-26 Projected |
|
Percentage of board and care clients that will remain in this level of care |
100% 33 Clients |
100% 33 clients |
|
Percentage of outreach clients connected to or reconnected to needed treatment or services |
60% (120 out of 200 clients) |
60% (120 out of 200 clients) |
COMMUNITY IMPACT:
Services provided by this contract will positively impact an increasingly underserved community of individuals with mental health conditions while struggling with additional social determinant factors (housing, employment, social relationships) to be engaged and connected to needed support/treatment as well as sustaining these supportive services. Services provided by this contract provider enable them to follow their clients across different levels of care, from outreach engagement in the community to intensive case management to residential placement and to stepping down to the community when clinically appropriate.
FISCAL IMPACT:
The term of the agreement is June 1, 2025 through June 30, 2027. The amount of the agreement is not to exceed $7,045,397 for the two-year term. Funds in the amount of $3,324,583 will be included in the BHRS FY 2025-26 Recommended Budget.
Of the FY 2025-26 amount, it is anticipated that sales tax through 1991 Realignment will fund $918,317, 2011 Realignment will fund $242,320, the Mental Health Services Act will fund $209,000, Federal Medi-Cal will fund $283,090, Projects for Assistance in Transition from Homelessness grant funds will fund $147,276, Substance Abuse and Mental Health Services Administration grant funds will fund $220,872. The Net County Cost is $1,303,708.
BHRS is changing the methodology used to pay contracted providers that are currently paid on a 1/12th, monthly advance. Specifically, BHRS is changing the payment methodology for most contracts to fee-for-service and payments will be made in arrears. Additionally, in previous fiscal years, BHRS was granted an exception to pay providers during the accounting “blackout period” in July and August. This exception will no longer be available.
To facilitate these changes, BHRS has agreed to one three-month pre-pay for July-September of FY 2025-26 to qualifying providers. This payment will be reconciled in November. This payment must be made in June 2025. However, to make this payment, an ATR is needed. One ATR for all the impacted contracts will be submitted on the May 22, 2025, Board agenda. There will be no pre-pays in subsequent fiscal years.