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Consent-Health & Human Services # 18.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve sixth amendment to Agreement No. 17-29 with North Valley Behavioral Health, LLC, to add funding in the amount of $31,580 for 2019-20 and $726,000 for 2020-21, for a new contract maximum of $6,821,730, for the provision of psychiatric health facility services, for the period of February 1, 2017 through June 30, 2021. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve sixth amendment to Agreement No. 17-29 with North Valley Behavioral Health, LLC, to add funding in the amount of $31,580 for fiscal year 2019-20 and $726,000 for fiscal year 2020-21, for a new contract maximum of $6,821,730, for the provision of psychiatric health facility services, for the period of February 1, 2017 through June 30, 2021. |
| Strategic Plan Goal(s) |
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Thriving Residents |
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Safe Communities |
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| Reason for Recommended Action/Background |
When an adult resident of Yolo County (“the County”) with serious mental illness requires care in a locked facility (other than a State hospital), the Health and Human Services Agency (HHSA) and local hospitals look for available bed space. Currently, these clients receive care in regional hospitals at a cost to the County of at least $950 per day.
This contract allows HHSA to purchase dedicated beds at a high quality, affordable, inpatient psychiatric health facility maintained by North Valley Behavioral Health, LLC (NVBH). Originally, four (4) beds were purchased with the expectation that they would be consistently full. With this amendment, the County is increasing the number of purchased beds from four (4) to six (6) beds to be used between both Stabler Lane PHF and North Valley Behavioral Health PHF. Based on historic trends, we expect these six (6) beds to be consistently full.
In case of vacancy for 36 hours or more of beds assigned to HHSA, NVBH has agreed to sell those vacant beds to the other mental health service seekers. This bed sell-back clause will assist the County in controlling for costs while ensuring critical services are provided to consumers when required.
The services provided by NVBH LLC. will be billable to Medi-Cal and are therefore a more cost-effective option for this important level of care than free-standing psychiatric hospitals whose services are not billable to Medi-Cal, and which would otherwise be used by the County for much of the inpatient care. For fiscal year 2020-21 it is anticipated that up to $805,920 of this agreement will be Medi-Cal reimbursable.
Staff hereby recommends approval of this Amendment as this will assist the County with continuing to provide psychiatric health facility services at a substantially lower cost for patients requiring inpatient interventions to treat a psychiatric crisis or other acute mental health conditions.
Performance Measures are not being updated with this amendment but being extended to include both PHFs under the vendor’s purview. |
| Collaborations (including Board advisory groups and external partner agencies) |
| County Counsel has approved this Amendment as to form |
| Competitive Bid Process |
| The original agreement was procured as an “any willing provider.” This exception was approved by the Board on July 31, 2007. The Board of Supervisors granted an approval to the Yolo County Health and Human Services Agency, formerly known as Alcohol, Drug and Mental Health, for certain exceptions to the contract procurement policy. According to this approval, 24-hour service providers are classified as “any willing providers” and are exempt from the competitive bid process. |
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
The action increases the contract maximum by $31,580 for Fiscal Year 2019-20 and $726,000 for Fiscal Year 2020-21 for a total of $6,821,730 for the period of February 1, 2017 through June 30, 2021. No general funds are required by this action. These services will be funded by Realignment. The amount of $31,580 is included in the HHSA adopted budget budget for FY2019-20.
The following is the breakdown of funding for this agreement.
FY 2016-17
Feb. 1, 2017
through
June 30, 2017 |
FY 2017-18
July 1, 2017
through
June 30, 2018 |
FY 2018-19
July 1, 2018
through
June 30, 2019 |
FY 2019-20
July 1, 2019
through
June 30, 2020 |
FY 2020-21
July 1, 2020
through
June 30, 2021 |
Total |
| $513,400 |
$1,395,650 |
$1,477,500 |
$1,388,800 |
$2,014,800 |
$6,790,150 |
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