Memorandum
Date: August 20, 2024
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Consideration of Agreement between County of Lake and Environmental Alternatives, INC. dba EA Family Services for Specialty Mental Health Services in the amount of $250,000.00 for Fiscal Year 2024-2025.
Executive Summary:
Environmental Alternatives operates many facilities for youth, including Short Term Residential Treatment Programs (STRTP). California Assembly Bill 1051 now requires the Mental Health Plan (MHP) of Original Jurisdiction to maintain responsibility for the cost of Specialty Mental Health Services (SMHS) provided out of County, in most circumstances. As such, we expect a significant increase in contracts with out-of-County STRTP SMHS fee-for-service.
We are working closely with the Probation Department, Child Welfare Department, and the Lake Count Office of education to ensure we are notified timely of STRTP placements. These three agencies are the placing agencies in our community.
These costs are billed fee-for-service and are fully Medi-Cal reimbursable. We have conducted a Risk Assessment and Request for Qualifications with the providers to ensure they are in good standing.
The purchasing process that supported this particular Agreement stemmed from a Request for Qualifications (RFQ) associated with a recent California State Senate Bill that required local behavioral health care services entities to contract with this particular category of facility. I look forward to presenting this item, and can provide further information on County Purchasing Ordinance compliance, if it pleases your Board.
If not budgeted, fill in the blanks below only:
Estimated Cost: _$250,000__ Amount Budgeted: _$250,000_ Additional Requested: N/A Future Annual Cost: N/A
Purchasing Considerations (check all that apply): ☐ Not applicable
☒ Fully Article X. <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI>- and/or Consultant Selection Policy <http://lcnet.co.lake.ca.us/Assets/Intranet/Policy/Policies+$!26+Procedures+Manual/Ch4_2021v2.pdf>-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI> Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee <http://lcnet.co.lake.ca.us/Assets/Intranet/Intranet+Forms/Information+Technology/AdvPlan.pdf> (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 <http://www.lakecountyca.gov/Government/Directory/Administration/Visioning/Vision2028.htm> (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☒ Public Safety ☒ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve Agreement between County of Lake and Environmental Alternatives, INC. dba EA Family Services for Specialty Mental Health Services in the amount of $250,000.00 for Fiscal Year 2024-2025 and Authorize the Board Chair to Sign.