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Receive the Review of the Solano County Department of Health and Social Services’ Contracts with Bay Area Community Services for the contract periods July 1, 2016 to June 30, 2018
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Published Notice Required? Yes ____ No _X _
Public Hearing Required? Yes ____ No _X _
DEPARTMENTAL RECOMMENDATION:
The Auditor-Controller’s Office (ACO) recommends the Board of Supervisors receive the Review of the Solano County Department of Health and Social Services’ Contracts with Bay Area Community Services for the contract periods July 1, 2016 to June 30, 2018.
SUMMARY AND DISCUSSION:
At the request of the Department of Health and Social Services (H&SS) and pursuant to the ACO’s Internal Audit Division (IAD) FY2018/19 audit plan, the IAD reviewed the five (5) H&SS service contracts with BACS for fiscal years 2016/17 and 2017/18. The objectives of the review were to determine the propriety of costs incurred by BACS and reimbursed to BACS, and BACS’ compliance with the fiscal contractual terms and conditions. Our review did not include assessment of the program’s effectiveness in providing the contracted services.
On August 1, 2014, H&SS entered into the first of the five contracts with BACS to provide after-care services such as peer support, individual and group rehabilitation, therapy, linkage, and respite care for adults ages 18 and over who have suffered an acute crisis that resulted in inpatient hospitalization and/or accessed crisis services through the Crisis Stabilization Unit or local emergency rooms. The other four service contracts are for operating transitional housing, providing overnight respite care, operating crisis residential treatment facility and providing supported housing services.
Based upon our review, we identified opportunities for improvement within BACS’s various reimbursement processes, and its compliance with certain contractual requirements. The areas we identified include the following:
1. Errors in the calculation of indirect cost rate.
2. Inappropriate or questionable program expenses.
3. Payment was not recouped for services provided to client who did not have authorized treatment plan when the services were rendered.
FINANCIAL IMPACT:
The acceptance of the report has no financial impact. The costs associated with preparing the agenda item are nominal and absorbed by the department’s FY2018/19 Adopted Budget.
ALTERNATIVES:
The Board of Supervisors could elect not to accept the report.
This alternative is not consistent with sound public policy and is therefore not recommended.
OTHER AGENCY INVOLVEMENT:
The Department of Health and Social Services and BACS have reviewed and accepted the report. H&SS and BACS’ responses are included.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION