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44. INTERGOVERNMENTAL AGREEMENT WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR MENTAL HEALTH SERVICES - SMI Approve an Intergovernmental Agreement (IGA) between Maricopa County (the County) and the Arizona Department of Health Services (ADHS) which in effect extends the existing arrangement for the County's funding of behavioral health services for a term of one year. County funding for services to the seriously mentally ill (SMI) under this IGA will be $37,603,330 for FY2009-10. This increases the level of County funding based on medical inflation for services to the seriously mentally ill by $1,790,635 over the funding paid under the previous IGA in FY2008-09. The FY2009-10 IGA also requires the County to fund non-SMI services in the amount of $3,366,705 and substance abuse services in the amount of $1,489,871 (LARC) for the one-year term which is equal to the FY2008-09 level. The IGA will be in effect upon filing with the Arizona Secretary of State and shall remain in effect until June 30, 2010. The IGA may be amended, further extended or terminated pursuant to the IGA provisions, including a 90-day termination without cause provision. Total County funding for behavioral health services in FY2009-10 under the IGA will be $42,459,906 for a one-year term. Pursuant to the judgment in Arnold v Sarn and the subsequent March 10, 1994 court order, the County is required to enter into an Intergovernmental Agreement (IGA) between Maricopa County and the Arizona Department of Health Services (ADHS) under which the County contributes funding for behavioral health services for seriously mentally ill (SMI) indigent residents of the County. The County also contributes funding for non-SMI services under the IGA in order to integrate the behavioral health system in Maricopa County. The IGA requires the County to adjust its SMI contribution annually. Through FY04, the adjustment was calculated by using a base amount established in the FY96 IGA, as adjusted in subsequent IGA's. Since FY01, the amount has been determined by multiplying the base amount for each year by an inflation factor derived from the Bureau of Labor Statistics medical market basket cost index. Program: State Withholdings and Contract Management Activity: State Mental Health Programs Activity. This IGA will provide financial management and oversight for County Administration of funds that are paid to, or withheld by, the State and/or the Maricopa Integrated Health System so they can ensure accurate and proper distribution of funds to health programs. The activity will provide financial oversight of funds that are paid to the State under court order for mental health programs for County Administration so that they can limit their liability while ensuring that their court-ordered obligations are met in an efficient and effective manner. (C-49-09-072-3-00)

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45. INTERGOVERNMENTAL AGREEMENT WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR MENTAL HEALTH SERVICES - REMANDED JUVENILES Approve an Intergovernmental Agreement (IGA) between Maricopa County and the Arizona Department of Health Services (ADHS) authorizing ADHS or its contracted Regional Behavioral Health Authority (RBHA) to provide mental health services to remanded juveniles (of a screening agency, an evaluation agency and mental health treatment agency) when evaluation is ordered by the Maricopa County Superior Court pursuant to Arizona Revised Statutes, (A.R.S.) Title 36, Chapter 5, Article 4 and treatment is ordered by the Superior Court pursuant to Arizona Revised Statutes, Title 36, Chapter 5, Article 5. The IGA authorizes ADHS or its RBHA to expend up to $200,000 from the “Non-SMI” payment funds that the County already provides to ADHS pursuant to the IGA executed in connection with Arnold vs. Sarn for behavioral health services as referenced in agenda item C-49-09-072-3-00. This IGA is in effect upon filing with the Arizona Secretary of State's office and is coterminous with the IGA between the Maricopa County Board of Supervisors and ADHS executed in connection with the parties’ statutory duties to provide mental health services to the Seriously Mentally Ill and which is identified as Maricopa County IGA # (C-49-09-072-3-00) (“the SMI IGA”). This Agreement shall remain in effect until June 30, 2010, unless further amended, extended, or terminated pursuant to the provisions of this Agreement. A “remanded juvenile” means a person under the age of eighteen who has been transferred to the criminal division of the Superior Court pursuant to A.R.S. § 8-327 or who has been charged with an offense pursuant to A.R.S. § 13-501; and has not been sentenced, pursuant to A.R.S. § 13-701 on the charges pending against the juvenile in the criminal division of the Maricopa County Superior Court pursuant to A.R.S. § 8-327 or A.R.S. § 13-501. The Department of Health Care Mandates and ADHS, in conjunction with the Superior Court, previously negotiated to provide evaluation services for remanded juveniles using funds that are not part of the County’s mandated obligations under Arnold v. Sarn. Funding for this IGA is capped at $200,000 and is included in the $3,366,705 “Non-SMI Payment” amount noted in the behavioral health services IGA between Maricopa County and ADHS executed under agenda item C-49-09-072-3-00. Executing this IGA will not increase the County’s cost for SMI and Non-SMI treatment under the agreement executed in connection with Arnold v. Sarn. This IGA will remain in effect until June 30, 2010. (C-49-09-073-3-00)