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C. 43
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 #24-707-68 with Contra Costa ARC (dba VistAbility)

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 Contract Amendment Agreement #24-707-68 with Contra Costa ARC (DBA VistAbility), a non-profit corporation, effective July 1, 2022, to amend Contract #24-707-67 to include Intensive Care Coordination Child/Family Teams (ICC-CFT) rates and increase existing rates to continue to provide mental health services for preschoolers with no change in the payment limit in an amount not to exceed $2,490,676 or 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 $1,245,338.

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 for preschoolers with measurable delays in interpersonal, social/emotional, language and cognitive development, and for children who are at risk for such delays, including abused, developmentally delayed, SED and environmentally deprived children who do not meet the criteria for any categorical funding source for services. The County has been contracting with Contra Costa ARC (DBA VistAbility) since July 1974.  
  
On July 26, 2022, the Board of Supervisors approved #24-707-67 with Contra Costa ARC (DBA VistAbility), in an amount not to exceed $2,490,676, to provide wrap-around services including community-based, mental health treatment, case management and crisis intervention for children who are seriously emotionally disturbed in East 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 $1,245,338. The contract was fully executed on August 12, 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 #24-707-67. Approval of Amendment Agreement #24-707-68 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 being sufficient to maintain their staff providing mandated services to emotionally disturbed youth.

CHILDREN'S IMPACT STATEMENT:

The recommendation supports the following children's outcome(s):” and then include whichever of the following apply (1) Children Ready for and Succeeding in School; (2) Children and Youth Healthy and Preparing for Productive Adulthood; (3) Families that are Safe, Stable and Nurturing; and (4) Communities that are Safe and Provide a High Quality of Life for Children and Families.

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