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: Measure K: Agreement with StarVista for Mental Health Services and Substance Use Disorder Treatment Services
RECOMMENDATION:
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Measure K: Adopt a resolution authorizing an agreement with StarVista for mental health services and substance use disorder treatment services, for the term of July 1, 2021 through June 30, 2022, in an amount not to exceed $6,920,577.
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BACKGROUND:
For over 20 years, Behavioral Health and Recovery Services (BHRS) has contracted with StarVista for mental health services, Girls’ Juvenile Court services, child abuse treatment services, the Early Childhood Community Team (ECCT), and substance use disorder treatment services.
In April 2016, the California Department of Health Care Services (DHCS) and the Federal Government approved the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver for substance use disorder treatment services. In July 2017, StarVista began providing services under the DMC-ODS waiver, which allowed StarVista and other providers to bill for many more services than they were previously able.
DISCUSSION:
StarVista currently provides: 1) ECCT services to young children; 2) staffing of the Co-Chair of the Diversity and Equity Council; 3) Trauma-Informed Co-Occurring Prevention for Youth services; 4) texting and social media support through its Crisis Hotline; 5) recruitment of youth ages 16-24 years that have experienced mental health and substance use challenges to participate in Health Ambassador Program-Youth training and community outreach; 6) youth and adult mental health first aid; 7) technology supports for clients and family members that do not have the resources to purchase the technology they need; 8) full implementation of the Youth S.O.S Team for foster youth and caregivers; and 9) the Community Wellness Crisis Response Team for community members experiencing mental health crisis. Additionally, through the Pride Center, StarVista continues to address the complex and various needs of Lesbian Gay Bisexual Transgender Queer persons at high risk for serious mental illness and/or serious emotional disability by providing counseling and crisis intervention, case management, peer support services, and substance use services. Lastly, through the DMC-ODS waiver, StarVista provides expanded substance use disorder treatment services for children, youth, families, adults, and older adults.
DHCS continues to impose changes in service delivery and reporting requirements of substance use disorder treatment services through the DMC-ODS waiver. Due to these changes, BHRS is requesting that your Board waive the Request for Proposals (RFP) process for substance use disorder treatment services for one year, allowing BHRS time to finalize the implementation of DMC-ODS waiver-related changes to this and all other BHRS substance use related contracts. In addition, BHRS is requesting your that your Board waive the RFP process for the ECCT. In 2022, BHRS will release RFPs for substance use disorder treatment services and the ECCT to start on July 1, 2022.
The resolution contains the County’s standard provision 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. This agreement is coming to your Board late due to prolonged contract negotiations and is on the Continuing Resolution.
It is anticipated that 99% of clients will be maintained at a current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2020-21 Actual |
FY 2021-22 Estimated |
|
Percentage of clients maintained at a current or lower level of care |
99% 1,462 clients |
99% 1,462 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2021 through June 30, 2022. The amount of the agreement is not to exceed $6,920,577 for the one-year term and is included in the BHRS FY 2021-22 Adopted Budget. The Mental Health Services Act will fund $2,602,659, 2011 Realignment will fund $1,226,550, Miscellaneous Revenue and Intrafund transfer will fund $876,760, Measure K will fund $874,976, Human Services Agency will fund $443,508 for the Family Urgent Response System program, Substance Abuse and Prevention Treatment Block Grant will fund $307,140, Medicare will fund $167,000, Federal Financial Participation will fund $158,320, and AB109 will fund $7,300. The remaining $256,364 is Net County Cost.