Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Performance Agreement with the State Department of Health Care Services
RECOMMENDATION:
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Adopt a resolution authorizing the Chief of the Health System to execute a mental health services programs performance agreement with the State Department of Health Care Services for the term of July 1, 2017 through June 30, 2018.
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BACKGROUND:
The 1991-92 State budget changed mental health funding from a State allocation system to sales tax funding with more local control. At the same time, Section 5602 of the California Welfare and Institutions Code established a mandate for county performance agreements to replace previous agreements used between counties and the State. The California Department of Health Care Services (DHCS) requires a contract agreement that includes various administrative assurances and program requirements. The contract agreement also requires that the County provide a variety of local specialized mental health programs, and includes reporting requirements for San Mateo County grant programs administered by the State.
DISCUSSION:
The agreement with DHCS establishes administrative assurances and the County’s commitment to implement local programs for FY 2017-18. The local programs include Mental Health Services Act programs, Children’s System of Care Initiative, a grant from the Program for Assistance in Transition from Homelessness, and the Substance Abuse and Mental Health Services Administration Community Mental Health Services Grant program.
The administrative assurances in this agreement require that the County report client and service information data to DHCS within 60 days after each month’s end and make diligent efforts to minimize its error rate.
DHCS requires collection of client intake and annual discharge data in order to report compliance with State standards for the Adult Performance Outcome System and the Children and Youth Performance Outcome System. Twice annually for a two-week period, mandated surveys are administered to clients who are receiving services. The data collection requirements are incorporated in this agreement.
Behavioral Health and Recovery Services (BHRS) requests your Board to authorize the Chief of the Health System to execute this agreement and any amendments thereto and on behalf of the County.
The contract is late due to new and sweeping regulations issued by the Centers for Medicare and Medicaid Services and the Department of Health Care Services compliance plan being approved by the Legislature in October 2017, thus allowing this contract to be processed.
The agreement and resolution have been reviewed and approved by County Counsel as to form.
The agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by committing BHRS to implementation and maintenance of a variety of local programs, as well as client and service information reporting. It is anticipated that the client and service reporting information error rate will be 0.01%.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Client and service reporting information error rate |
0.01% 5,400 out of 540,000 records |
0.01% 5,400 out of 540,000 records |
FISCAL IMPACT:
The term of the agreement is July 1, 2017 through June 30, 2018. This agreement does not allocate funds for these programs; funding allocations are instead contained in separate agreements with DHCS. Should State funding for any of these programs be discontinued, the County will not be obligated to meet the performance goals for the affected programs. Therefore there is no Net County Cost associated with this agreement.