Agenda

Return

C. 40

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	November 8, 2022

Contra

Costa

County

Subject:

Amendment Agreement #74-651-1 with Bay Area Alliance for Youth and Family Services

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., 925-957-5212
cc:	E Suisala M 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 #74-651-1 with Bay Area Alliance for Youth and Family Services, a non-profit corporation, to amend Contract #74-651, effective July 1, 2022, to include Intensive Coordinated Care-Child Family Teams (ICC-CFT) rates and increase existing rates to continue to provide a Short Term Residential Therapeutic Program (STRTP) for Medi-Cal eligible youth, with no change in the original payment limit of $200,000, 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 $100,000.

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 and increased 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 mental health services to youth with emotional and behavioral problems to improve school performance, reduce unsafe behavioral practices, and reduce the need for out-of-home placements. Bay Area Alliance for Youth and Family Services has been providing mental health services to the County since July 2022.

On July 26, 2022, the Board of Supervisors approved Contract #74-651 with Bay Area Alliance for Youth and Family Services, in an amount not to exceed $200,000, for the provision of STRTP and Early Periodic Screening, Diagnosis, and Treatment (EPSDT) for Medi-Cal eligible youth 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 $100,000. The contract was fully executed on August 10, 2022.

On August 19, 2022, Behavioral Health Administration met with EPSDT providers and concerns with the contractual rates were discussed. An agreement was reached, which requires an amendment to the recently established Contract #74-651. Approval of Amendment Agreement #74-651-1 will allow the contractor to provide ICC-CFT and STRTP mental health services through June 30, 2023. Due to the time needed to process the contract amendment request after the late August agreement, the department is requesting retroactive approval of the Board, which will ensure the contractor is paid at the adjusted rate for mental health services provided as of July 1, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, Medi-Cal eligible youth will not receive the additional mandated mental health services to help improve behavioral problems that effect school performance, reduce unsafe behavioral practices and reduce the need for out-of-home placements. The contractor will not get paid the negotiated rates and revenues will not be sufficient to maintain staff to provide mandated services.

CHILDREN'S IMPACT STATEMENT:

The recommendation supports the following children's outcomes: Children and Youth Healthy and Preparing for Productive Adulthood; Families that are Safe, Stable and Nurturing; and Communities that are Safe and Provide a High Quality of Life for Children and Families.