Agenda

Return

C. 42

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

Contra

Costa

County

Subject:

Amendment #74-399-20 with Contra Costa Interfaith Transitional Housing, Inc. (dba Hope Solutions)

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., 925-957-5201
cc:	L Walker 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 #74-399-20 with Contra Costa Interfaith Transitional Housing, Inc., (dba Hope Solutions), a non-profit corporation, to amend Novation Contract #74-399-19, effective July 1, 2022, to include Intensive Care Coordination Child/Family Teams (ICC-CFT) rates and increase existing rates to continue to provide community based mental health services for Seriously Emotionally Disturbed (SED) children and youth ages 0-21 with no change in the payment limit in an amount not to exceed $466,840 or term 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 $233,420.

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:

The County has been contracting with Contra Costa Interfaith Transitional Housing, Inc. (dba Hope Solutions), since September 2010 for their expertise in providing community based mental health services for SED children and youth. This contract meets the social needs of the County’s population by providing mental health services to adolescents with emotional and behavioral problems to improve school performance, reduce unsafe behavioral practices, and reduce the need for out-of-home placements.

On August 9, 2022, the Board of Supervisors approved Contract #74-399-19 with Contra Costa Interfaith Transitional Housing, Inc., (dba Hope Solutions), in an amount not to exceed $466,840, for the provision of community based mental health services for SED children and youth ages 0-21, for the period from January 1, 2022 through June 30, 2023, which included a six-month automatic extension through December 31, 2023, in an amount not to exceed $233,420. The contract was fully executed on August 15, 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 Contract #74-399-19. Approval of Amendment Agreement #74-399-20 will allow this contractor to continue providing community based mental health services and add ICC-CFT 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 for ICC-CFT services and at the adjusted rate for other mental health services provided as of July 1, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, the contractor will not get paid at the negotiated rates and for new services being provide, resulting in the contractor's revenues not be sufficient to maintain their staff providing mandated services to emotionally disturbed youth.

CHILDREN'S IMPACT STATEMENT:

This 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).