Agenda

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Consent-Health & Human Services # 15.

Board of Supervisors

Adult & Aging

Meeting Date:	04/06/2021
Brief Title: Third Amendment with Crestwood Behavioral Health FY2020-23
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:

Subject

Approve third amendment to Agreement No. 20-190 with Crestwood Behavioral Health to increase funding for 2020-21 in the amount of $1,125,000 for a new contract maximum of $5,925,000 for the period of July 1, 2020 through June 30, 2023 for the provision of 24-hour, longer term mental health residential for Seriously Mental Ill (SMI) adults. (No general fund impact) (Larsen)

Recommended Action

Approve third amendment to Agreement No. 20-190 with Crestwood Behavioral Health to increase funding for fiscal year (FY) 2020-21 in the amount of $1,125,000 for a new contract maximum of $5,925,00 for the period of July 1, 2020 through June 30, 2023 for the provision of 24-hour, longer term mental health residential for Seriously Mental Ill (SMI) adults; and
Re-delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to: 1) exercise optional year extensions up to $1,600,000 per fiscal year for fiscal years 2023-24 and 2024-25 and 2) issue related option year notices. Please see Section III. of Att. A. Third Amendment.

Strategic Plan Goal(s)

	Thriving Residents
	Safe Communities

Reason for Recommended Action/Background

Crestwood Behavioral Health, Inc. operates eighteen long-term facilities for adult psychiatric consumers. Consumers are placed into various facilities depending on the level of care needed and on the specialization of the facility.

Due to 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 availability for our consumers.

Approval of this amendment will provide funding to maintain the continuity of medically necessary care for consumers currently in treatment at the various facilities of Crestwood Behavioral Health, Inc. This amendment will allow HHSA to continue to reduce State Hospital and Acute Psychiatric Hospital placements and ensure access for consumers to all services necessary to live in the least restrictive setting. Additionally, due to COVID this year the increased funds will cover the costs for our LPS conserved clients living in Crestwood facilities throughout the state.

Performance measures were included in Agreement No. 20-190 and are not being changed by this amendment.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

These services were sourced via a Sole Source Letter approved by the Procurement Manager.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 1,125,000
Amount budgeted for expenditure:		$ 1,125,000
Additional expenditure authority needed:		$
On-going commitment (annual cost):	$ 1,600,000

Source of Funds for this Expenditure

$1,125,000

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. These services will be funded by Realignment and/or IGT. The action increases the contract maximum by $1,125,000 for a total of $5,925,000 for the period of July 1, 2020 through June 30, 2023. The amount of $1,125,000 is included in the HHSA adopted budget for FY2020-21, and a budget amendment will be included at the FY2020-21 Third Quarter Monitor to the extent it is necessary. The related funding will be included in the requested budget process for future fiscal years.

	Fiscal Year 2020-21 July 1, 2020 through June 30, 2021	Fiscal Year 2021-22 July 1, 2021 through June 30, 2022	Fiscal Year 2022-23 July 1, 2022 through June 30, 2023	Total
Institution for Mental Disease	$1,945,000	$1,300,000	$1,300,000	$4,545,000
Mental Health Services for SMI in Board and Care (Patch Only)	$780,000	$300,000	$300,000	$1,380,000
Total	$2,725,000	$1,600,000	$1,600,000	$5,925,000

The agreement also includes two one-year extension options for July 1, 2023 through June 30, 2024 and July 1, 2024 through June 30, 2025 in an amount less than or equal to $1,600,000 per fiscal year.

Option Year/ Fiscal Year	Maximum Agreement Term Extension Per Option Year/ Fiscal Year	Maximum Increased Funding Amount Per Option Year/ Fiscal Year	Revised Maximum Payment Obligation including Option Year Increase
First/ (FY 2023-24)	On or before June 30, 2024	Less than or equal to $1,600,000	Less than or equal to $7,525.000
Second/ (FY 2024-25)	On or before June 30, 2025	Less than or equal to $1,600,000	Less than or equal to $9,125,000

In no event shall the term of the Agreement extend beyond June 30, 2025 nor shall the total contract maximum exceed the amount of NINE MILLION ONE HUNDRED TWENTY-FIVE THOUSAND DOLLARS ($9,125,000), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.

Attachments
Att. A. Third Amendment

Form Review

Inbox	Reviewed By	Date
Financial Services	mqader	03/29/2021 09:06 AM
County Counsel	Hope Welton	03/29/2021 10:28 AM
Form Started By: Kimberly Mayfield		Started On: 03/02/2021 10:25 AM
Final Approval Date: 03/29/2021