Okaloosa County BOCC — October 7, 2014 — Action Item Printout

BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: October 7, 2014 TO: Honorable Chairman and Members of the Board FROM: Dino J. Villani SUBJECT: Amendment #007 (Contract Renewal) to Contract #AH105 DEPARTMENT: Public Safety BCC DISTRICT: All STATEMENT OF ISSUE: Ratify the Chairman's signature on Amendment #007 (Contract Renewal) to Contract #AH105. 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, contracted through Big Bend Community Based Care, Inc., has agreed to provide grant funding in the amount of $120,339 effective October 1, 2014, and terminating June 30, 2015. Section 394.9082, Florida Statutes, authorizes the Department to contract with a Managing Entity, to-wit: Big Bend Community Based Care, Inc., 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 access 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. 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 contract 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. Under the Department’s contract with Big Bend Community Based Care, Inc., they are 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 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 OPTIONS: Approve/Disapprove. RECOMMENDATIONS: Approve Amendment #007 (Contract Renewal) to Contract #AH105; ratify the Chairman’s signature dated September 25, 2014; and authorize the Chairman, as the County’s representative, to execute all future grant documents during the term of the grant. RECOMMENDED BY: APPROVED BY: Ernie Padgett, County Administrator