Vote: adopted

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31. RESCIND AND APPROVE AMENDMENT TO PROVIDER PARTICIPATION AGREEMENT WITH MAGELLAN HEALTH SERVICES OF ARIZONA, INC 1. Rescind the action taken on February 6, 2008 (C-86-08-024-1-01) to amend the Provider Participation Agreement from Magellan Health of Arizona, Inc. (Magellan) due to the fact that the amendment documents were never countersigned by Magellan. A replacement Amendment No. 1 is being submitted for approval. 2. Approve Amendment No. 1 to the Provider Participation Agreement between Magellan Health Services of Arizona, Inc. and Maricopa County through its Department of Public Health, Health Care for the Homeless Clinic (HCH). This amendment will revise the Agreement to reflect availability of funds for Fiscal Year 2008-09, include Scope of Work, and replace the Provider Funding Terms. This amendment increases the maximum amount HCH is allowed to bill for behavioral health services from $66,799 to $175,000, effective as of July 1, 2008 through June 30, 2009 with a one-year automatic renewal on a year to year basis. The Department of Public Health’s indirect rate for FY 2008-09 is 18%. This agreement is part of Healthcare for the Homeless grant s agreement is a part of as program income allows for indirect reimbursement at a rate of 15.397%. Total indirect expenses are estimated to be $ 27,297 of which $ 23,350 is recoverable and $ 3,947 is not recoverable. Also approve a revenue and expenditure appropriation adjustment to the Department of Public Health (860) Grant fund (532) Operating Budget (0000) associated with the aforementioned grant in an amount of $108,201 for FY 2008-09 as these funds were not included in the FY 2008-09 adopted budget. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditures of these revenues are not prohibited by the budget law. The approval of this budget adjustment does not alter the budget constraining the expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. A ll other terms and provisions of the Agreement not modified as set forth herein shall remain in full force and effect. Of the total agreement, $66,799 was already included in the FY 2008-09 adopted budget. (C-86-08-024-1-02)

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34. AMENDMENT TO PROVIDER PARTICIPATION AGREEMENT WITH MAGELLAN HEALTH SERVICES OF ARIZONA INC FOR CLIENT SERVICES Approve Amendment No. 2 to the Provider Participation Agreement between Magellan Health Services of Arizona, Inc. and Maricopa County through its Department of Public Health (MCDPH), Health Care for the Homeless Clinic (HCH). This amendment will revise the Agreement to reflect FY2010 Bridge Funding, revisions to the Provider Participation Agreement, to replace the Scope of Work and to replace the Provider Funding Terms. This amendment is effective as of July 1, 2009 through September 30, 2009 and increases the maximum amount HCH is allowed to bill for behavioral health services by $29,180.36, bringing the total from $175,000 to $204,180.36. The Department of Public Health’s full indirect rate for FY 2009-10 is 19.5%. This agreement is part of Healthcare for the Homeless grant agreement as program income which allows for indirect reimbursement at a rate of 15.397%. The estimated total of $4,931 in total indirect expense, $3,893 is recoverable and $1,038 is unrecoverable. All other terms and provisions of the Agreement not modified as set forth herein shall remain in full force and effect. (C-86-08-024-1-03)

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102. AMENDMENT TO PROVIDER PARTICIPATION AGREEMENT WITH MAGELLAN HEALTH SERVICES OF AZ INC FOR CLIENT SERVICES Approve Amendment No. 5 to the Provider Participation Agreement between Magellan Health Services of Arizona, Inc. (MHSA) and Maricopa County through its Department of Public Health (MCDPH), Health Care for the Homeless Clinic (HCH). This amendment is effective as of July 1, 2011 through June 30, 2012. New funding amounts are reflected in Exhibit B-3 which provides the maximum amount HCH is allowed to bill for behavioral health services at $11,612.21. This Amendment also makes additional administrative changes to the Agreement. All other terms and provisions of the Agreement not modified as set forth herein shall remain in full force and effect. The Department of Public Health’s full indirect rate for FY 2010-11 is 17%. This agreement is part of Healthcare for the Homeless grant agreement as program income which allows for indirect reimbursement. This grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, however, includes a maximum of 15% indirect cost reimbursement. (C-86-08-024-1-06)

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54. AMENDMENT TO AGREEMENT WITH MAGELLAN HEALTH SERVICES OF AZ INC FOR CLIENT SERVICES Approve Amendment No. 6 to the Provider Participation Agreement between Magellan Health Services of Arizona, Inc. (MHSA) and Maricopa County through its Department of Public Health (MCDPH), Health Care for the Homeless Clinic (HCH). This amendment is effective as of July 1, 2011 through June 30, 2012. New Reimbursement Schedule is reflected in Exhibit B-3 which provides the maximum amount HCH is allowed to bill for behavioral health services at $149,192.80. This Amendment also makes additional administrative changes to the Agreement in Exhibit B. All other terms and provisions of the Agreement not modified as set forth herein shall remain in full force and effect. The Department of Public Health’s full indirect rate for FY 2011-12 is 16.7%. This agreement is part of Healthcare for the Homeless grant agreement as program income which allows for indirect reimbursement. Total indirect is estimated to be $21,349 and fully recoverable. (C-86-08-024-1-07)

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42. RESCIND AND APPROVE AMENDMENT TO PROVIDER PARTICIPATION AGREEMENT WITH MAGELLAN HEALTH SERVICES OF AZ INC FOR CLIENT SERVICES Rescind action taken on November 30, 2011, C-86-08-024-1-07, for Amendment No. 6 to the Provider Participation Agreement between Magellan Health Services of Arizona, Inc. (MHSA) and Maricopa County through its Department of Public Health (MCDPH), Health Care for the Homeless Clinic (HCH). This amendment is effective as of July 1, 2011 through June 30, 2012. Magellan Health Services did not sign the agreement and requested an updated Amendment page and Exhibit B-3 and B. Approve Amendment No. 6 to the Provider Participation Agreement between Magellan Health Services of Arizona, Inc. (MHSA) and Maricopa County through its Department of Public Health (MCDPH), Health Care for the Homeless Clinic (HCH). This amendment is effective as of July 1, 2011 through June 30, 2012. New Reimbursement Schedule is reflected in Exhibit B-3 and Exhibit B, which provides the maximum amount HCH is allowed to bill for behavioral health services at $149,192.80. This Amendment also makes additional administrative changes to the Agreement in Exhibit B. All other terms and provisions of the Agreement not modified as set forth herein shall remain in full force and effect. The Department of Public Health’s full indirect rate for FY 2011-12 is 16.7%. This agreement is part of Healthcare for the Homeless grant agreement as program income which allows for indirect reimbursement. Total indirect is estimated to be $21,349 and fully recoverable. (C-86-08-024-1-08)

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69. NOTICE OF TERMINATION OF PROVIDER PARTICIPATION AGREEMENT WITH MAGELLAN HEALTH SERVICES OF ARIZONA, INC. Approve Notice of Termination of Provider Participation Agreement (PPA) between Magellan Health Services of Arizona, Inc. (Magellan) and Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH), providing a Behavioral Health Services to eligible Magellan enrollees. These services will be transferred to another provider via an Request For Proposal (RFP) currently posted, with services to be provided at the MCDPH HCH clinic site. Pursuant to Section 11, paragraph 11.2, Termination of Agreement Without Cause, Maricopa County exercised the option to terminate this PPA with Magellan. This Agreement will therefore terminate 90 days from the June 21, 2012 notice, on September 18, 2012, and Maricopa County will have no further obligations under the Agreement. (C-86-08-024-1-11)