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 One Life Counseling Center
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with One Life Counseling Center for managed care services, extending the term through December 31, 2020, and increasing the amount by $250,000, to an amount not to exceed $350,000.
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. One Life Counseling Center (OLCC) has been a contracted provider in BHRS’ PPN for mild to moderate mental health services since 2016.
DISCUSSION:
In 2019, BHRS entered into an agreement with OLCC for managed care services. BHRS is currently re-delegating the PPN contracts back to the HPSM. As a result, this amendment is necessary to extend the agreement by six months through December 31, 2020, so that OLCC can continue to provide services to clients while HPSM begins their own contracting process. The maximum amount also needs to be increased by $250,000 to cover the costs for the additional months.
Under the B-1 Administrative Memorandum, the selection of private mental health therapists for BHRS is exempt from the County’s Request for Proposals 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.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
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 2019-20 Estimated |
FY 2020-21 Projected |
|
Percentage of clients who receive services that are maintained at a current or lower level of care |
95% 62 clients |
95% 62 clients |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2019 through December 31, 2020. The amount of the amended agreement is not to exceed $350,000. This amendment increases the contract amount by $250,000. Funds in the amount of $250,000 are included in the BHRS FY 2020-21 Recommended Budget. Of the FY 2019-20 amount, it is anticipated the services will be funded as follows: 21% Medicare, 34% Federal Financial Participation, 9% HPSM H-line Programs and 36% 2011 Realignment for BHRS Managed Care. There is no Net County Cost associated with this agreement.