Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with StarVista for Substance Use Disorder Treatment Services and Mental Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with StarVista for necessary building renovations following the Pyramid/StarVista merger, and increase the number of sexual orientation and gender identity trainings, increasing the amount by $33,873 to $10,114,325, with no change to the agreement term.
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BACKGROUND:
On May 24, 2016, your Board approved an agreement with Pyramid Alternatives, Inc. (Pyramid) for substance use disorder treatment services, managed care services, and Seeking Safety services, for the term July 1, 2016 through June 30, 2017, in an amount not to exceed $1,812,650.
On October 18, 2016, your Board approved an agreement with StarVista for substance use disorder treatment services, for the term July 1, 2016 through June 30, 2017, in an amount not to exceed $2,440,058.
On December 13, 2016, your Board approved an agreement with StarVista for mental health services for the term July 1, 2016 through June 30, 2017 and Family Health community worker services for the term July 1, 2016 through December 31, 2016, in an amount not to exceed $2,216,832.
On June 6, 2017, your Board approved an amendment to the agreement with StarVista, allocating Measure K funds, to expand the Early Childhood Community Team model, increasing the amount by $660,000 to $2,876,832, with no change to the term of the agreement.
On October 31, 2017, your Board approved an amendment to the agreement with StarVista 1) merging Pyramid making StarVista the surviving entity, 2) expanding substance use disorder treatment services under the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver, increasing the amount of the agreement by $1,656,298 to $4,096,356, extending the term of the agreement through June 30, 2018 and 3) adding mental health services, Seeking Safety Services, managed care services, increasing the amount by $3,117,105 to $5,984,096 and extending the term of the agreement through June 30, 2018.
DISCUSSION:
Through this amendment, BHRS will expand the scope of the agreement most recently approved by your Board on October 31, 2017, with a corresponding increase in the not-to-exceed amount. Specifically, BHRS is proposing to increase this agreement’s not-to-exceed amount by $29,873 for necessary building renovations, operational expenses, and IT costs resulting from the Pyramid/StarVista merger. Additionally, BHRS is proposing to add $4,000 to increase the number of sexual orientation and gender identity trainings at the LGBTQ Center from 15 to 20. Based on these two proposed changes in scope, the total amount of this amendment is $33,873.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
Approval of this amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing individuals and families outpatient mental health services, and prevention and treatment services, which in turn contributes to the health and safety of communities throughout the County. It is anticipated that 99% of clients will be maintained at a current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Clients maintained at a current or lower level of care |
99% 1,462 clients |
99% 1,462 clients |
|
|
|
|
FISCAL IMPACT:
The term of the amended agreement is July 1, 2016 through June 30, 2018. The amount of the amended agreement is not to exceed $10,114,325; the amendment increases the contract amount by $33,873, and is included in the BHRS FY 2017-18 Adopted Budget. Of the increase, $4,000 is funded by the Mental Health Services Act and $29,873 is Net County Cost.