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 Caminar, Inc. for Substance Use Disorder Treatment Services, Managed Care Services, and Housing and Housing-Related Mental Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Caminar, Inc. to terminate outpatient mild to moderate mental health services authorized by the Mental Health Plan September 30, 2020, reduce funding of Recovery Residences, and add technology supports for clients and families, increasing the amount by $37,070 to an amount not to exceed $20,573,555, with no change to the agreement term.
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BACKGROUND:
On September 17, 2019, this Board approved an agreement with Caminar, Inc. for substance use disorder treatment services, outpatient mental health services, and housing and housing-related mental health services, for the term July 1, 2019 through June 30, 2021, in an amount not to exceed $20,536,485.
DISCUSSION:
Caminar currently provides: (1) crisis residential treatment; (2) transitional residential treatment; (3) supported housing services (including housing rental subsidies and client transportation costs); (4) case management; (5) rehabilitation services (including supported education, supported employment, and enhanced supported education services for Transition Age Youth); (6) Young Adult Independent Living services; (7) property management of subsidized housing; and (8) outpatient mild to moderate mental health services through the Mental Health Plan. Additionally, through the DMC-ODS waiver, Caminar provides expanded substance use disorder treatment services to adult males. Lastly, Caminar oversees the administration of the San Mateo Contractors’ Association grant funding, and the management of client transportation needs in all contractor-sponsored programs.
In January 2020, Behavioral Health and Recovery Services (BHRS) and the Health Plan of San Mateo (HPSM) mutually agreed to de-delegate the outpatient mild to moderate mental health services that BHRS had been responsible for back to HPSM. The de-delegation process was completed October 1, 2020. Therefore, it is now necessary to amend this agreement to terminate mild to moderate mental health services authorized by the Mental Health Plan as of September 30, 2020. Also, through this amendment, Caminar’s Recovery Residence funding shall be reduced by $7,300 from January 1, 2021 through June 30, 2021 due to low utilization of services. Lastly, this amendment adds technology supports for clients and family members that do not have the resources to purchase the technology they need to participate in telehealth services and online support groups.
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 County Counsel as to form.
It is anticipated that 70% of clients who receive services will be maintained at a current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Projected |
|
Percentage of clients maintained at current or lower level of care |
70% 93 clients |
70% 90 clients |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2019 through June 30, 2021. The amount of the amended agreement is not to exceed $20,573,555. The amendment increases the contract maximum by $37,070 and is included in the BHRS FY 2020-21 Adopted Budget. Of the increase, the Mental Health Services Act will fund $44,370 and will be partially offset by a 1991 Realignment reduction of $7,300.