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  Consent-Health & Human Services   #   19.    
Board of Supervisors Adult & Aging  
Meeting Date: 08/01/2017  
Brief Title: FY17-20
From: Karen Larsen, Director, Health & Human Services Agency
Staff Contact: Chris Contreras, Administrative Services Analyst, Health & Human Services Agency, x8289

Approve agreement with, LLC for the provision of locum tenens psychiatry services in the amount of $600,000 for the period July 1, 2017 through June 30, 2018.  (No general fund impact) (Larsen)
Recommended Action
  1. Approve agreement with, LLC for the provision of locum tenens psychiatry services in the amount of $600,000 for the period July 1, 2017 through June 30, 2018; and
  2. Delegate authority to the Director of Health and Human Services Agency and/or her/his designee to sign and execute any additional forms, documents and/or amendments as necessary relating to this agreement.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
Pursuant to the County’s contract with the State of California regarding the provision of Specialty Mental Health Plan, the Yolo County Health and Human Services Agency (HHSA) is required to provide psychiatry services to either: 1) residents with severe and persistent mental illness who are indigent or 2) residents who are recipients of Yolo County Medi-Cal.  Approval of this contract will provide for the continuation of required outpatient psychiatry services specifically needed for seriously mentally ill consumers, reducing the risk of placement at higher level/cost facilities.
In Yolo County, the need for Adult Psychiatrist services has steadily increased—especially given the changes in the number of qualified Medi-Cal recipients. Yet it has become increasingly difficult to find providers, due to national and statewide shortages in the field, increasing demand for psychiatry services, increasing number of Medi-Cal recipients as a result of the Affordable Healthcare Act, and competition with the private sector.
Competitive Bid Process:
On September 13, 2016, per Minute Order 16-116 Item No. 24, the Board granted HHSA an any-willing provider exception to the County’s Procurement policy as it relates to psychiatry service providers.
Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Fiscal Information
Fiscal impact (see budgetary detail below)
Fiscal Impact of this Expenditure
Total cost of recommended action $600,000
Amount budgeted for expenditure $600,000
Additional expenditure authority needed $0
One-time commitment     Yes
Source of Funds for this Expenditure
FFP/MH Realignment/MHSA $600,000
Further explanation as needed
No county general funds are required by this action.
A combination of Medi-Cal, mental health realignment and MHSA funding sources will be used to fund this agreement.  The amount of $600,000 for fiscal year 2017-18 is included in HHSA’s proposed budget. 
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Karen Larsen Karen Larsen 07/14/2017 02:16 PM
Financial Services Tom Haynes 07/24/2017 12:56 PM
County Counsel Hope Welton 07/24/2017 01:39 PM
Form Started By: ccontreras Started On: 06/08/2017 11:58 AM
Final Approval Date: 07/24/2017
Level double AA conformance,
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