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C. 34
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: November  8, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Amendment Agreement #24-927-35 with Community Health for Asian Americans

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   11/08/2022
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, Ph.D., 925-957-5169
cc: Noel Garcia     Marcy Wilhelm    
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:     November  8, 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 Amendment Agreement #24-927-35 with Community Health for Asian Americans, a non-profit corporation, to amend Novation Contract #24-927-34, effective July 1, 2022, to include Intensive Care Coordination Child/Family Teams (ICC-CFT) rates and increase existing rates to continue to provide school and community based mental health services, with no change in the original payment limit of $2,309,222, and no change in the original term of July 1, 2022 through June 30, 2023, and no change in the six-month automatic extension through December 31, 2023, in an amount not to exceed $1,154,611.

FISCAL IMPACT:

Approval of this amendment will not impact the payment limit of the contract; however, the rate schedule will be modified to include new ICC-CFT rate and increased existing rates due to continued impact of COVID-19 on the cost of providing services.   






BACKGROUND:

This contract meets the social needs of the County’s population by providing school and community based mental health services, including: assessments, individual, group and family therapy; medication support, case management, outreach, and crisis intervention, and ICC-CFT services, to an underserved Asian population and will result in greater home, community, and school success. Community Health for Asian Americans has been providing mental health services to the County since December 1997.  
  
On July 26, 2022, the Board of Supervisors approved Novation Contract #24-927-34 with Community Health for Asian Americans, in an amount not to exceed $2,309,222, for the provision of school and community based mental health services in West and East Contra Costa County for the period from July 1, 2022 through June 30, 2023, which included a six-month automatic extension through December 31, 2023, in an amount not to exceed $1,154,611.
  
Approval of Amendment Agreement #24-927-35 will allow the contractor to continue providing community based mental health services through June 30, 2023. The contract renewal was executed on August 5, 2022, before rate negotiations were finalized between the County and the contractor. This retroactive amendment is necessary to pay the contractor for Intensive Care Coordination Child/Family Teams mental health services provided at the adjusted rate as of July 1, 2022 and to ensure sufficient revenues to maintain staff to continue the provision of mandated mental health services.  

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, Asian American and other ethnic groups will not have access to new Intensive Care Coordination Child/Family Teams program services provided in West and East County. Additionally, the contractor will not get paid the negotiated rates and their revenues will not be sufficient to maintain staff to provide the mandated services.

CHILDREN'S IMPACT STATEMENT:

This Early and Periodic Screening Diagnostic and Treatment Program 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 a decrease in juvenile offender recidivism as measured by probation database information.  

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