DATE: June 18, 2024
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Master Agreement for Occupational and Physical Therapy Services
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a Master Agreement for Occupational and Physical Therapy Services, effective July 1, 2024, not to exceed five consecutive years, which includes a three-year base contract and two optional one-year extensions, total not to exceed $4,286,875.
REPORT
Approval of the recommended action will allow the Department of Public Health to continue to utilize contracted pediatric occupational and physical therapists, a California Department of Health Care Services (DHCS) mandated component of the California Children's Services (CCS) Medical Therapy Program (MTP). County Human Resources and the Department of Public Health have had challenges filling permanent Physical and Occupational Therapist positions due to a lack of candidates and competition from local public and private employers. The proposed Agreement will be funded with DHCS and Health Realignment monies, with no Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department will continue to maintain a waitlist for approximately 290 children needing therapy services due to the lack of Physical and Occupational Therapists on staff.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum compensation for the recommended agreement is $857,375 per fiscal year; $4,286,875 for the five-year term, funded by DHCS (50%) and Health Realignment (50%). Sufficient appropriations and estimated revenues will be included in the Department's Org 5620 FY 2024-25 Recommended Budget and will be included in subsequent budget requests for the duration of the term. Actual costs will be based on actual services provided.
DISCUSSION:
The MTP ...
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