To: Board of Supervisors of Sonoma County
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Barbie Robinson, 565-7876
Vote Requirement: 4/5th
Supervisorial District(s): Countywide
Title:
Title
Health Services Budget Adjustments and Contracting Authority
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Recommended Action:
Recommended action
A) Adopt a resolution adjusting the fiscal year 2019-2020 adopted budget to: 1) reflect receipt of a $1,000,000 state funding allocation to provide critical behavioral health services to wildfire survivors, and 2) reflect receipt of a $1,500 Public Health Institute grant to support Health Action’s planning of an Equity in Education Summit. (4/5 vote required)
B) Authorize the Director of Health Services to execute a grant agreement with Public Health Institute to accept $1,500 in revenue to support the Department and Health Action’s planning of an Equity in Education Summit.
C) Authorize the Director of Health Services to execute agreements with Partnership HealthPlan of California to receive revenue as reimbursement for the cost of treatment services provided by County for Partnership HealthPlan of California members for a total amount of revenue not to exceed $750,000 through June 30, 2022.
(4/5th Vote Required)
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Executive Summary:
This Board item seeks authority to accomplish the following: A) adjust the fiscal year 2019-2020 adopted budget to: 1) reflect receipt of a $1,000,000 state funding allocation to provide critical behavioral health services to wildfire survivors, and 2) reflect receipt of a $1,500 Public Health Institute grant to support Health Action’s planning of an Equity in Education Summit; B) execute a grant agreement with Public Health Institute to accept $1,500 in revenue to support the Department and Health Action’s planning of an Equity in Education Summit; and C) approve execution of agreements with Partnership HealthPlan of California to receive revenue as reimbursement for the cost of treatment services provided by County for Partnership HealthPlan of California members through June 30, 2022.
Discussion:
HOPE Sonoma - $1,000,000 State Funding Allocation
As mentioned in the September 24, 2019 “Crisis Counseling and Suicide Prevention Services” report to the Board, there is a continued need for crisis counseling services in the community related to recent disasters in the County, beginning with the Sonoma Complex Fires of October 2017. Given this need, the Sonoma County Board of Supervisors recently requested and received funding from the state in the amount of $1,000,000 to fund priority behavioral health services. Approval of the requested budget adjustment will facilitate placement of the funding in the Department of Health Services fiscal year 2019-2020 budget, to be used for the following: 1) continuation of crisis counseling services through the re-branded program “HOPE Sonoma” (HOPE - Helping, Outreach, Possibilities, Empowerment) and 2) suicide prevention campaign and counseling services.
HOPE Sonoma will provide services to all who request them, with the anticipated need being greatest among those most directly impacted by the fires, including the Kincade Fire of October 2019 (people who lost homes, loved ones, pets). A portion of the state funding will be used for agreements with two partner organizations for the continuation of crisis counseling program services for Sonoma County residents through HOPE Sonoma. Contracted services will be provided through September 2020. Remaining funding from the state allocation will be used for suicide prevention services, for which Health Services will conduct a competitive procurement, and County staff and expenses to manage the programs (see summary below).
State Funding Allocation Expenditures Summary:
- HOPE Sonoma Contracts - $237,669
- Suicide Prevention Services Contract(s) - $744,174
- County Staff and Expenses - $18,157
- Total - $1,000,000
Equity in Education Summit Grant
In August 2019, Public Health Institute made micro-grants available to organizations participating in the California Accountable Communities for Health Initiative. The Department of Health Services applied for and received a micro-grant to support the planning of an Equity in Education Summit, in partnership with Health Action’s Cradle to Career Sonoma County. The goal of the summit is to launch regional strategies that support equity in education throughout Sonoma County and inspire concrete, actionable change to ensure race is not a deciding factor in educational opportunity. The summit will include keynote experts on race and equity, local data, and local parent and youth speakers, followed by regional breakout sessions hosted by trained Health Action Chapter resident leaders. Breakouts will launch regional “difficult conversations” about breaking down institutional racism in our communities and local strategies to address these issues. Funds from this micro-grant will be used to provide transportation and child care for parents and students to attend summit activities.
Partnership HealthPlan of California Reimbursement Agreements
Partnership Health Plan of California provides a managed healthcare plan for Medi-Cal recipients in Sonoma County as well as the counties of Del Norte, Humboldt, Lake, Lassen, Modoc, Marin, Mendocino, Napa, Solano, Shasta, Siskiyou, Trinity, and Yolo. Sonoma County joined the Partnership Health Plan of California in 2009.
Under an existing agreement between the County and Partnership, care for shared clients is to be coordinated and specific responsibilities of the parties negotiated. On an as-needed basis, the County provides mandated treatment services, most frequently through contracted providers, for the care of shared clients, with an understanding with Partnership that the County will be reimbursed for a share of the costs. This item requests approval to execute agreements with Partnership to facilitate timely reimbursement to the County for Partnership’s share of cost for treatment services provided by County. It is estimated that revenue provided as reimbursement from Partnership will not exceed $250,000 per fiscal year. This item requests authority to execute revenue agreements with Partnership for a total amount not to exceed $750,000 through June 30, 2022. All revenue agreements will be approved by County Counsel prior to execution.
Strategic Plan Alignment - A majority of the funding associated with this item is related to the provision of behavioral health services. Provision of these services supports the County’s goal of a Safe, Healthy, and Caring Community by supporting overall health. In addition to alignment with the County’s Strategic Plan, the provision of behavioral health services and coordinated care supports the Department’s Strategic Plan goal of ensuring that individuals have access high quality and coordinated services for health, recovery, and well-being by strengthening the behavioral health infrastructure.
Prior Board Actions:
On September 24, 2019 the Board approved agreements with two partner organizations to provide crisis counseling services for the period October 1, 2019 through September 30, 2020 with a total amount not to exceed $720,536.
On July 9, 2019 the Board approved execution of agreements and amendments for mental health and substance use disorder services with a term ending no later than June 30, 2020 for a fiscal year 2019-2020 not to exceed amount of $37,181,434.
On March 13, 2018 the Board approved agreements with four partner organizations to support implementation of the Federal Emergency Management Agency-funded Crisis Counseling Assistance and Training Program.
Fiscal Summary
|
Expenditures |
FY 19-20 Adopted |
FY 20-21 Projected |
FY 21-22 Projected |
|
Budgeted Expenses |
129,091 |
|
|
|
Additional Appropriation Requested |
872,409 |
|
|
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Total Expenditures |
1,001,500 |
0 |
0 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
1,000,000 |
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|
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Fees/Other |
1,500 |
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Use of Fund Balance |
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Contingencies |
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Total Sources |
1,001,500 |
0 |
0 |
Narrative Explanation of Fiscal Impacts:
The attached budget resolution facilitates the following adjustments to the fiscal year 2019-2020 final budget: 1) transfers state disaster funding of $1,000,000 that has been received by the County to Health Services’ budget; 2) appropriates $870,909 for contracted behavioral health services; 3) moves $129,091 of appropriations within the Behavioral Health Division that were budgeted in another program based on an estimated rollover during the FY 19-20 budget process; and 4) adds funding of $1,500 from the Public Health Institute grant to the Department’s budget. The state disaster funding is set aside and residing in account 16990400 - 2017 Fire - General Costs.
The Department will request appropriations as necessary, and in the appropriate fiscal year, to reflect receipt of reimbursement funding from Partnership HealthPlan of California as received.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
Budget resolution, Public Health Institute Grant
Related Items “On File” with the Clerk of the Board:
None