Agenda

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Consent-Health & Human Services # 19.

Board of Supervisors

Adult & Aging

Meeting Date:	08/04/2020
Brief Title: Tenth Amendment to Agreement 14-133 with Crestwood Behavioral Health
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Mila Green, Adult and Aging Deputy Branch Director, Health and Human Services Agency
Supervisorial District Impact:

Subject

Approve tenth amendment to Agreement No. 14-133 with Crestwood Behavioral Health, Inc. to increase funding for 2019-20 in the amount of $172,405, for a new contract maximum of $11,407,032 for the provision of Institute for Mental Disease Services to Seriously Mentally Ill adult consumers, for the period July 1, 2014 through June 30, 2020. (No general fund impact) (Larsen)

Recommended Action

Approve tenth amendment to Agreement No. 14-133 with Crestwood Behavioral Health, Inc. to increase funding for fiscal year 2019-20 in the amount of $172,405, for a new contract maximum of $11,407,032 for the provision of Institute for Mental Disease Services to Seriously Mentally Ill adult consumers, for the period July 1, 2014 through June 30, 2020.

Strategic Plan Goal(s)

	Thriving Residents
	Safe Communities

Reason for Recommended Action/Background

Crestwood Behavioral Health, Inc. operates long-term facilities for adult psychiatric consumers. Consumers are placed into various facilities depending on the level of care needed and the specialization of the facility. Many of our most fragile consumers cannot be placed in lower levels of care because they need the clinical/nursing supports offered in long-term facilities for adult psychiatric consumers. Due to the needs of the consumers and the limited availability of inpatient psychiatric beds statewide, Yolo County contracts with all available inpatient psychiatric facilities in the surrounding area to ensure access to adequate bed space for our consumers. Crestwood Behavioral Health, Inc. is one of a handful of facilities that are willing to take these chronically seriously mentally ill patients.

Yolo County continues to experience a steady increase in services needed for the stabilization of seriously mentally ill adults and the cost of care for consumers for several reasons. Due to the Affordable Care Act, the County has increased responsibilities in terms of the newly insured, now comprising of approximately 25% of our population. In addition, due to the severity of the consumer’s mental health conditions there are corresponding needs for the higher level of care provided by Crestwood Behavioral Health, Inc. Lastly, the severity of some consumers’ mental health condition has necessitated longer stays. There is also a new law as of 1/1/19 that says that jails may refer clients for LPS consideration which is starting to have an impact on the numbers of clients referred for LPS.

Staff recommend the approval of this tenth amendment so pending claims for services provided in the fourth quarter of FY2019-20 can be paid.

Performance Measures are not applicable to this agreement.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

A Sole Source has been completed and approved by the Purchasing Manager.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 172,405
Amount budgeted for expenditure:		$ 172,405
Additional expenditure authority needed:		$ 0
One-time commitment	Yes

Source of Funds for this Expenditure

$172,405

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. These services will be funded by Mental Health Realignment funds. The amount of $172,405 is included in the HHSA adopted budget for FY2019-20.

The following is the breakdown of funding for this agreement.

Scope of Services	FY14-15 7/1/2014 – 6/30/2015	FY15-16 7/1/2015 – 6/30/2016	FY16-17 7/1/2016 – 6/30/2017	FY17-18 7/1/2017 – 6/30/2018	FY18-19 7/1/2018 – 6/30/2019	FY19-20 7/1/2019 – 6/30/2020	Total
Institution for Mental Disease	$1,175,451	$1,645,451	$1,625,451	$1,395,906	$1,778,615	$1,956,158	$9,577,032
Mental Health Services for SMI in Board and Care (Patch Only)	$300,000	$330,000	$300,000	$300,000	$300,000	$300,000	$1,830,000
Total	$1,475,451	$1,975,451	$1,925,451	$1,695,906	$2,078,615	$2,256,158	$11,407,032

Attachments
Att. A. Tenth Amendment

Form Review

Inbox	Reviewed By	Date
Financial Services	mqader	07/23/2020 10:31 AM
County Counsel	Hope Welton	07/23/2020 10:33 AM
Form Started By: rladd		Started On: 07/14/2020 08:38 AM
Final Approval Date: 07/24/2020