Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Mental Research Institute for Managed Care Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Mental Research Institute for managed care services, extending the term through August 31, 2019, and increasing the amount by $100,000, to an amount not to exceed $200,000.
body
BACKGROUND:
Behavioral Health and Recovery Services (BHRS), as a first tier, downstream delegated entity of the Health Plan of San Mateo (HPSM) for the provision of Medi-Cal Services for the mild to moderately mentally ill, is required to maintain a Private Provider Network (PPN). Moreover, BHRS is obligated to provide services throughout the county that are geographically and culturally accessible, and to make available the range of specialty clinical services that are needed by County clients. Mental Research Institute (MRI) has been a contracted provider in BHRS’ PPN for mild to moderate mental health services since 2003.
DISCUSSION:
In 2018, BHRS entered into an agreement with MRI for managed care service. MRI recently informed BHRS that they will be closing in August 2019 and will no longer provide services after that date. Therefore, this amendment is necessary to extend the agreement, allowing MRI enough time to either transition clients out of therapy or to another provider. The maximum amount also needs to be increased to cover the costs for the additional months.
This amendment is exempt from the County’s Request for Proposals (RFP) because under the B-1 Administrative Memorandum, the selection of private mental health therapists for BHRS is exempt from the RFP process. It is BHRS’s practice to offer contracts for specialty outpatient mental health services to any willing qualified provider.
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 mental health services to San Mateo County clients. BHRS provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. The provision of outpatient mental health services is one established level of care. The services provided through this agreement contribute to this measure. It is anticipated that 95% of clients who receive services will be maintained at a current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Estimated |
FY 2019-20 Projected |
|
Percentage of clients who maintain at a current or lower level of care. |
95% 62 clients |
95% 62 clients |
FISCAL IMPACT:
The term of the revised agreement is July 1, 2018 through August 31, 2019. The amount of the agreement is not to exceed $200,000. This amendment increases the contract amount by $100,000. Funds in the amount of $100,000 are included in the BHRS FY 2019-20 Recommended Budget. Of the FY 2019-20 amount, it is anticipated the services will be funded as follows: 21% Medicare, 34% Federal Financial Participation, 7% Healthy Kids, 2% Health Worx, and 36% 2011 Realignment for BHRS Managed Care. There is no Net County Cost associated with this agreement.