Agenda

Return

C. 44

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 9, 2021

Contra

Costa

County

Subject:

Amendment #74-475-78(4) with Remarkable Marriage and Family Institute

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/09/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

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

ABSENT:

Candace Andersen, District II Supervisor

Contact:	Suzanne Tavano, Ph. D, 925-957-5169
cc:	F Carroll 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: March 9, 2021
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 #74-475-78(4) with Remarkable Marriage and Family Institute, effective January 1, 2021, to amend Contract #74-475-78(3), to increase the payment limit by $370,000, from $930,000 to a new payment limit of $1,300,000, with no change in the term of July 1, 2019 through June 30, 2021.

FISCAL IMPACT:

Approval of this amendment will result in additional contractual service expenditures of up to $370,000 over a 2-year period and will be funded 50% by Federal Medi-Cal ($185,000) and 50% by State Mental Health Realignment ($185,000) revenues. (Rate increase)

BACKGROUND:

On January 14, 1997, the Board of Supervisors adopted Resolution #97/17, authorizing the Health Services Director to contract with the State Department of Mental Health, (now known as the Department of Health Care Services) to assume responsibility for Medi-Cal specialty mental health services. Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. The County has been contracting with Remarkable Marriage and Family Institute for Medi-Cal services since February 2018.

On July 23, 2019, the Board of Supervisors approved Contract #74-475-78(3) with Remarkable Marriage and Family Institute for the provision of Medi-Cal specialty mental health services for the period from July 1, 2019 through June 30, 2021. At the time of negotiations, the payment limit was based on target levels of utilization. However, the utilization during the term of the contract was higher than originally anticipated. Approval of Contract Amendment Agreement #74-475-78(4) will allow the contractor to provide additional mental health services through June 30, 2021.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, services provided to Contra Costa Mental Health Plan Medi-Cal beneficiaries could be negatively impacted, including access to services, choice of providers, cultural competency, language capacity, geographical locations of service providers, and waiting lists.

CHILDREN'S IMPACT STATEMENT:

The recommendation supports the following children’s outcomes: (4) Families that are Safe, Stable and Nurturing; and (5) Communities that are Safe and Provide a High Quality of Life for Children and Families.