County of San Mateo - File #: 22-424

Date	Ver.	Action By	Action	Result	Action Details	Meeting Details	Video
6/14/2022	1	BOARD OF SUPERVISORS	approved	Pass	Action details	Meeting details	Not applicable

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: Cost of Living Adjustment for Behavioral Health and Recovery Services Mental Health Contractors

RECOMMENDATION:

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Adopt a resolution authorizing the Chief of San Mateo County Health or designee to execute contract amendments for a 3% Cost of Living Adjustment to contracted providers effective July 1, 2021, and an additional 3% Cost of Living Adjustment effective July 1, 2022.

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BACKGROUND:

San Mateo County Behavioral Health and Recovery Services (BHRS) would like to support its direct service contractors by providing a cost-of-living adjustment (COLA). Many of BHRS’ contractors have struggled to provide services to County clients over the past two years due to the COVID-19 pandemic. The pandemic negatively impacted many contractors, who experienced labor shortages, price increases, and supply chain disruptions. During the spring of FY 2021-22, BHRS approved a total COLA for each of the two consecutive fiscal years 2021-22 and 2022-23 for a total of $4,000,000.

DISCUSSION:

BHRS will provide a 3% COLA, retroactive for FY 2021-22 and an additional 3% COLA for FY 2022-23. To ensure that BHRS providers receive the COLA funds as soon as possible, BHRS requests that this Board authorize the Chief of San Mateo County Health or designee to execute contract amendments to implement COLAs for the term of July 1, 2021 through June 30, 2023. The COLA amounts for each contractor will be determined based on their current agreement. Please refer to the below estimated Funding Matrix for a listing of the contractors, as well as the approximate value for each contractor’s COLA increase, for FY 2021-22 and FY 2022-23

The resolution has been reviewed and approved by County Attorney as to form.

FISCAL IMPACT:

The term of the COLA is July 1, 2021, through June 30, 2023. The total amount of the COLA for all contractors is not to exceed $4,000,000, for the two-year term. Appropriations are sufficient for FY 2021-22 to support $1,690,329 expenditure and the FY 2022-23 Recommended Budget will be adjusted if necessary. Of the FY 2021-22 amount, it is anticipated that Federal Financial Participation will fund 30% or $507,099; 1991 and 2011 Realignment will fund 30% or $507,099 and remaining $676,131, will be funded by various other funding sources not based on charges for services, including Mental Health Services Act.

CONTRACTOR	COLA AMOUNT FY 21-22	COLA AMOUNT FY 22-23	TOTAL COLA AMOUNT	TOTAL CONTRACT AMOUNT
A&E Home Care Services	$803	$832	$1,635	$108,820
ALAS	$12,547	$12,923	$25,470	$874,454
Arts Unity Movement (measure k)	$1,500	$1,545	$3,045	$104,545
Blanca's Place	$2,409	$2,497	$4,906	$330,456
Bruce-Badilla B&C	$5,883	$6,060	$11,943	$802,997
California Clubhouse, Inc.	$10,026	$10,327	$20,353	$698,808
Caminar - FSP	$86,896	$89,503	$176,399	$6,056,367
Caminar - MH/AOD	$311,437	$320,780	$632,217	$21,706,157
Care Plus/Perpetual Help Home	$4,818	$4,993	$9,811	$667,332
Edgewood FSP	$244,017	$251,338	$495,355	$17,007,162
El Centro de Libertad	$24,664	$25,404	$50,068	$1,719,027
Felton Institute (Family Service)	$50,039	$51,540	$101,579	$3,487,571
Firefly Center (measure k)	$2,250	$2,318	$4,568	$156,818
Fred Finch	$6,870	$7,076	$13,946	$4,660,669
Free at Last	$50,938	$52,466	$103,404	$1,801,350
Front Street-Drake House	$13,491	$13,896	$27,387	$967,725
HealthRight 360	$130,682	$134,602	$265,284	$9,108,102
Heart and Soul - H&W	$37,522	$38,648	$76,170	$2,615,185
Horizon Services (Palm)	$34,813	$35,857	$70,670	$1,231,101
Ismaela's Home Care	$2,409	$2,497	$4,906	$330,456
Jefferson High School / DCYHC	$34,789	$35,832	$70,621	$990,033
Lifemoves	$20,048	$20,649	$40,697	$708,364
Mariah's Garden Homecare	$2,409	$2,497	$4,906	$334,456
Mar-Ric Transitional	$16,207	$16,694	$32,901	$1,129,602
Mateo Lodge	$80,651	$83,071	$163,722	$5,621,127
Mental Health Association of SM	$68,735	$70,797	$139,532	$7,087,709
MHA Alameda County	$6,357	$6,548	$12,905	$443,093
MidPen Resident Services	$863	$889	$1,752	$60,168
Milbrae Assisted Living Home	$21,024	$21,654	$42,678	$1,465,303
One East Palo Alto AOD	$4,012	$4,133	$8,145	$279,645
One East Palo Alto MH	$17,408	$17,930	$35,338	$1,195,906
Our Common Ground	$112,751	$116,133	$228,884	$7,858,349
Peninsula Conflict Resolution	$7,156	$7,371	$14,527	$498,811
Portobello Care Home	$7,630	$7,906	$15,536	$1,050,619
Puente de la Costa Sur	$10,073	$10,375	$20,448	$702,064
Ravenswood	$4,436	$4,570	$9,006	$679,282
Rice Residential Care Home	$2,008	$2,081	$4,088	$276,048
Service League of SM County	$26,880	$27,686	$54,566	$1,873,425
Simple Living	$2,415	$2,488	$4,903	$334,456
Sitike Counseling Center	$17,122	$17,636	$34,758	$1,193,369
Square Peg (measure k)	$2,550	$2,627	$5,177	$217,727
StarVista-ALL Services	$207,617	$213,846	$421,463	$14,470,234
The Art of Yoga (measure k)	$3,297	$3,396	$6,693	$229,790
The Latino Commission	$34,381	$35,413	$69,794	$2,396,249
Voices of Recovery	$27,597	$28,425	$56,022	$1,361,226
YMCA Youth Services Bureau	$9,000	$9,270	$18,270	$1,542,923
Youth Leadership Institute	$16,868	$17,374	$34,242	$1,175,644

TOTAL	$1,798,298	$1,852,391	$3,650,689	$129,610,724