Agenda

Return

C. 35

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	January 18, 2022

Contra

Costa

County

Subject:

Novation Contract #74-575-9 with Lincoln

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/18/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Suzanne Tavano, PhD., 925-957-5212
cc:	Alaina Floyd marcy.wilham

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 18, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Novation Contract #74-575-9 with Lincoln, a non-profit corporation, in an amount not to exceed $1,612,202, to provide mental health services and multi-dimensional family therapy for Seriously Emotionally Disturbed (SED) adolescents and their families, for the period from July 1, 2021 through June 30, 2022, which includes a six-month automatic extension through December 31, 2022, in an amount not to exceed $806,101.

FISCAL IMPACT:

Approval of this contract will result in budgeted expenditures of up to $1,612,202 and will be funded by 34% Federal Medi-Cal ($546,283), 32% Mental Health Services Act Uninsured ($519,636), 26% Mental Health Services Act ($424,735), and 8% Mental Health Realignment ($121,548). (No rate increase)

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, SED adolescents and their families may experience reduced or discontinued behavioral health services.

BACKGROUND:

This contract meets the social needs of the County’s population by providing mental health and multi-dimensional family therapy services including: assessments, individual, group and family therapy, case management, and crisis intervention for SED adolescents and their families. Lincoln has been providing mental health services to the county since July 2018.

On March 31, 2020, the Board of Supervisors approved Contract #74–575-3 with Lincoln, in an amount not to exceed $2,139,128, to provide mental health services and multi-dimensional family therapy for SED adolescents and their families, for the period from March 1, 2020 through June 30, 2021 which included a six-month automatic extension through December 31, 2021, in an amount not to exceed $800,864.

On April 28, 2020, the Board of Supervisors approved Amendment Agreement #74-575-4 to modify the rate schedule for the period April 1, 2020 through June 30, 2020, due to COVID-19 with no change in the payment limit or term of March 1, 2020 through June 30, 2021.

On July 28, 2020, the Board of Supervisors approved Amendment Agreement #74-575-5 to modify the rate schedule for the period July 1, 2020 through December 31, 2020, due to COVID-19 with no change in the payment limit or term.

On June 8, 2021, the Board of Supervisors approved Amendment Agreement #74-575-7 to decrease the payment limit from $2,139,128 to a new payment limit of $1,886,585, with no change in the term of March 1, 2020 through June 30, 2021, and to decrease the automatic extension payment limit from $800,864 to a new payment limit of $754,634 through December 31, 2021.

On July 13, 2021, the Board of Supervisors approved Amendment Agreement #74-575-8 to modify the rate schedule for the period April 1, 2021 through December 31, 2021, due to COVID-19 with no change in the payment limit or term.

Approval of Novation Contract #74-575-9 replaces the automatic extension under the prior contract and allows the contractor to continue to provide mental health services through June 30, 2022.

The contract renewal request was delayed due to pending approval of the new contract language, which has been added to certain contracts to ascertain cohesiveness and alignment with State regulations.

CHILDREN'S IMPACT STATEMENT:

This contract supports the following Board of Supervisors’ community outcomes: “Children Ready for and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS) and placement at discharge to a lower level of care.