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  Consent-Health & Human Services   # 8.       
Board of Supervisors Meeting Health Services  
Meeting Date: 03/10/2015  
Brief Title:    Moss Adams, LLP FY1416
From: Jill Cook, Director, Department of Health Services
Staff Contact: Joni Lara-Jimenez, Sr. Administrative Services Analyst, Health Services, x8290

Subject
Approve and authorize the Chair to sign Agreement with Moss Adams, LLP, in the amount of $125,000 for the period March 11, 2015 through December 31, 2015 to provide independent auditing services of mental health cost reports. (No general fund impact) (Cook)
Recommended Action
Approve and authorize the Chair to sign Agreement with Moss Adams, LLP, in the amount of $125,000 for the period March 11, 2015 through December 31, 2015 to provide independent auditing services of mental health cost reports.
Strategic Plan Goal(s)
Provide fiscally sound, dynamic and responsive services
Reason for Recommended Action/Background
The contractor, Moss Adams, LLP, will examine the Mental Health Short/Doyle Medi-Cal (SD/MC) Cost Reports and supporting documentation for contract providers of the Department of Health Services, Division of Alcohol, Drug and Mental Health (ADMH) in accordance with Government Auditing Standards and the guidance of the State of California, Department of Health Care Services regarding the Mental Health SD/MC Cost Report. The services will consist of a compliance review of Cost Reports of the department's largest contracted providers and a representative sample of the remaining contracted providers. The information and data provided to the Department will help determine the Department's level of exposure associated with cost report audit exceptions for its contracted providers. The outcome of the audit will also determine the reliability and reasonable assurance that the costs and units reported by contract providers are fairly represented, and whether those reported costs are sufficiently supported. In turn, this information will guide the Department in determining whether or not recoupment costs from those audited contractors necessary. Currently the Department does not have licensed auditing staff to perform audits of Cost Reports and is therefore obtaining services from an independent third party with licensed auditing staff. Approval of this Agreement by the Board of Supervisors will ensure the Department is carrying out its due diligence in auditing Cost Reports. The audit information can then be conveyed to the State as a best practice of the Department.

Competitive Bid Process: On November 6, 2014, the Department of Health Services issued a Request for Proposals (RFP) requesting proposals from qualified providers interested in providing auditing services of mental health cost reports. The Department of Health Services received one (1) proposal from this solicitation. The proposal submitted by Moss Adams, LLP was evaluated and found to meet all required qualifications to provide those services. On December 24, 2014, the Department of Health Services issued an Intent to Award letter to Moss Adams, LLP, to provide audit services of mental health cost reports.
Collaborations (including Board advisory groups and external partner agencies)
Department of Financial Services
County Counsel has approved this Amendment as to form

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   125,000
Amount budgeted for expenditure:    $   125,000
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$125,000
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No county general funds are required by this action. This Agreement is funded by the Mental Health Realignment funds. However, this funding is potentially recoverable as an overhead expense. The total cost of this Agreement is for the period March 11, 2015 through December 31, 2015. Any unspent funds will be requested in the FY 15-16 budget.
Funding Source March 11, 2015 - December 31, 2015
MH Realignment $125,000
Attachments
Att. A. Agreement
Att. B. Services and Contract Summary

Form Review
Inbox Reviewed By Date
Financial Services hnewens 03/03/2015 09:18 AM
County Counsel Eric May 03/03/2015 02:42 PM
Form Started By: jlara-jimenez Started On: 01/15/2015 10:41 AM
Final Approval Date: 03/03/2015

    

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