Okaloosa County BOCC — April 27, 2013 — Grant AH105 Exec Summary — reading text

OKALOOSA COUNTY BOARD OF COMMISSIONERS -AGENDA REQUEST- TO: HONORABLE BOARD OF COUNTY COMMISSIONERS FROM: CATHERINE WHITE, DRUG COURT MANAGER DATE: MARCH 11, 2013 SUBJECT: GRANT NO. AH105 DISTRICT: ALL BACKGROUND: The Board of County Commissions entered into a contract with the Department of Children and Families, Substance Abuse and Mental Health Services to provide Case Management Services for the Drug Court Program effective August, 1999. The contract required the County to deliver Case Management Services in the form of one full time position. The Board also entered into a contract with the Department for Forensic Mental Health Services effective February, 2004. This contract required the County to hire a Forensic Mental Health Specialist. The Board approved the hiring of the Case Manager August 17, 1999, and the Forensic Mental Health Specialist on February 10, 2004. The Case Manager and the Forensic Mental Health Specialist work under the direction of the Drug Court Manager. In September, 2006, the Department agreed to enter into a contract with the County to fund two (2) additional positions due to the escalating population at the County Jail. On September 16, 2006, the Board approved the hiring of the Mental Health Court Case Manager and the Mental Health Pretrial Officer. The Mental Health Court Case Manager works under the direction of the Drug Court Manager, and the Mental Health Pretrial Officer works under the direction of the Pretrial Services Coordinator. The Department of Children and Families has agreed to provide grant funding in the amount of $522,776 effective October 1, 2011, and terminating June 30, 2014. Section 394.9082, Florida Statutes, authorizes the Department to contract with a Managing Entity to manage the day-to-day operational delivery of services through an organized system of care. The Legislature found that a management structure that places the responsibility for publicly financed behavioral health treatment and prevention services within a single, private, nonprofit entity at the local level will promote improved assess to care, promote service continuity, and provide for more efficient and effective delivery of substance abuse and mental health services. One of its major goals is to remove administrative functions from service providers to better serve individuals needing care. Re: Grant No. AH105 Page Two The Department is finalizing negotiations of a contract with Big Bend Community Based Care, Inc., to serve as the Department’s Managing Entity for the Northwest Region to provide the coordination, integration, management, and all other functions necessary for the effective delivery of behavioral health services. Section 394.9082(6)(b), Florida Statutes, directs the Department to terminate all contracts with providers in the Northwest Region. Similarly, section 394.9082(6)(c) Florida Statutes, requires the Managing Entity to offer contracts to all providers currently under conrtact with the Department. In order to ensure continuity of service, the Department is offering providers the alternative of agreeing to an assignment of their contracts to Big Bend Community Based Care, Inc., with some changes. 3 Under the Department’s proposed contract with Big Bend Community Based Care, Inc., they will be responsible for performing the following baseline functions for the Department: ¢ System of Care Development and Management ¢ Continuous Quality Improvement ¢ Utilization Management * Planning * Network Management ¢ Training and Technical Assistance ¢ Financial Management ¢ Board Development and Governance Data Collection, Reporting, and Management Disaster Planning and Responsiveness In addition, the Department’s proposed contract with Big Bend Community Based Care, Inc. requires the implementation of many substantive programmatic changes, which the Managing Entity will in turn require of all providers including: * Specific requirements relating to integration with child welfare and prioritization of pregnant addicted women and women with dependent children ¢ Specific requirements relating to family-centered treatment * More specific requirements concerning serving Medicaid eligible individuals ¢ Requirement that Management Entity develop Waste Fraud and Abuse Prevention Plan * Specific requirements concerning how the Managing Entity monitors providers, including developing risk assessment reviews for each provider in the network. The three-party Amendment and Assignment appoints the rights, powers, duties, and obligations to Big Bend Community Based Care, Inc. Upon assignment of the contract, Big Bend Community Based Care, Inc. will contract directly with, and have the responsibility of managing and reporting for, Okaloosa County BOCC’s overall performance. Invoices for services provided in March, 2013 should be submitted to Big Bend Community Based Care, Inc., who will then process payment. The execution of this Amendment and Assignment will be integral to ensure that services are not disrupted, and that payments are processed timely. Re: Grant No. AH105 Page Three In accordance with the requirement in the Department’s new contract with Big Bend Community Based Care,. Inc. to reduce administrative costs, the Amendment and Assignment will provide for a discount on total invoice charges submitted to Big Bend Community Based Care, Inc. for services provided in March, 2013 of 3.99 percent. RECOMMENDATION: That the Board of County Commissioners take the following actions: A. Approval of Grant No, AH105 Amendment and Assignment; and B. Authorize the Chairman, as the County’s representative, to execute the grant document and any future grant documents as needed for the term of the agreement. Recommended By: O SS vce. Dine Catherine White Drug Court Case Manager Approved By: James D. Curry County Administrator