Agenda

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Consent-Health & Human Services # 23.

Board of Supervisors

Adult & Aging

Meeting Date:	08/04/2020
Brief Title: Second Amendment to Agreement 20-04 with BHC Heritage Oaks Hospital
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Mila Green, Deputy Director, Adult and Aging Branch, Health and Human Services, x8544
Supervisorial District Impact:

Subject

Approve second amendment to Agreement No. 20-04 with BHC Heritage Oaks Hospital, to add funding in the amount of $91,812 for 2019-20, and reduce funding in the amount of $40,000 in 2020-21 and 2021-22, for a new contract maximum of $1,731,812, for the provision of psychiatric health facility services, for the period of July 1, 2019 through June 30, 2022. (No general fund impact) (Larsen)

Recommended Action

Approve second amendment to Agreement No. 20-04 with BHC Heritage Oaks Hospital, to add funding in the amount of $91,812 for fiscal year (FY) 2019-20, and reduce funding in the amount of $40,000 in FY 2020-21 and FY 2021-22, for a new contract maximum of $1,731,812, for the provision of psychiatric health facility services, for the period of July 1, 2019 through June 30, 2022.

Strategic Plan Goal(s)

	Thriving Residents
	Safe Communities

Reason for Recommended Action/Background

California state law mandates the County to provide psychiatric inpatient hospital services to eligible Medi-Cal and non-Medi-Cal mental health consumers. Woodland Memorial Hospital is the designated and responsible hospital to provide these services to Yolo County resident adults (age 18 or older) who meet California Welfare and Institutions Code criteria and/or who are a danger to self, others or are gravely disabled and require inpatient acute psychiatric services.

When no adult bed space is available at Woodland Memorial Hospital, or when a child or adolescent is in need of services, the patient must be treated by another qualified psychiatric hospital facility in the surrounding area. BHC Heritage Oaks Hospital, being such a facility, is equipped to provide appropriate services to meet our clients’ needs.

The County is responsible for serving all Yolo Medi-Cal beneficiaries regardless of age. The Contractor is not certified to bill Medi-Cal for services provided to Yolo Medi-Cal beneficiaries whose age is between 21 and 64 years of age. Thus, federal financial participation (FFP) is not available for these services. The stated contract amount is to be used for funding the services related to this particular group.

For services provided to Yolo Medi-Cal beneficiaries whose age is either 20 or younger, or 65 or older, the payment to the Contractor for this population is not paid directly via the County. The Contractor bills Medi-Cal directly to receive funding via FFP and the County’s mental health realignment funds. The State then reduces the amount used for this purpose from the monthly realignment apportionment to the County.

All services described above require approval of the County via the Health and Human Services Agency (HHSA). The contract details the approval process and method of payment. HHSA monitors the use of the services regardless of the patient’s age. The HHSA budget includes the estimated funding need for all services.

Thus, staff recommends approval of the second amendment to pay pending claims for FY 2019-20 and for the County to continue to provide Acute Psychiatric Inpatient services to SMI adults through FY2021-22.

Performance measures were included in Agreement No. 20-04 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

This agreement is being sought out by a Sole Source which has been approved by Procurement.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 91,812
Amount budgeted for expenditure:		$ 91,812
Additional expenditure authority needed:		$
On-going commitment (annual cost):	$ 500,000

Source of Funds for this Expenditure

$91,812

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. The action increases the contract maximum by $91,812 for Fiscal Year (FY) 2019-20, and reduces the contract maximum by $40,000 for FY 2020-21 and FY 2021-22, for a new contract maximum of $6,731,812, for the period of July 1, 2019 through June 30, 2022. These services will be funded by Realignment. The amount of $91,812 is included in the HHSA adopted budget for FY2019-20. The funds for FY2020-21 were included in HHSA’s proposed budget. The funding for FY 2021-22will be included in budget planning for that fiscal year.

The following is the breakdown of funding for this agreement.

	Fiscal Year 2019-20 July 1, 2019 through June 30, 2020	Fiscal Year 20-21 July 1, 2020 through June 30, 2021	Fiscal Year 21-22 July 1, 2021 through June 30, 2022	Total
MHSA	$0	$0	$0	$0
Realignment	$731,812	$500,000	$500,000	$1,731,812
Total	$731,812	$500,000	$500,000	$1,731,812

The agreement also includes 2 option years of one-year extension options for FY’s 2022-23 and 2023-24) in an amount less than or equal to $500,000.

Option Year/ Fiscal Year (OY/FY)	Maximum Agreement Term Extension Per OY/FY	Increased Funding Amount Per OY/FYOY/FY	Revised Agreement Lifetime Maximum per OY/FY
First/ (FY 22-23)	On or before June 30, 2023	Less than or equal to $500,000	Less than or equal to $2,231,812
Second/ (FY 23-24)	On or before June 30, 2024	Less than or equal to $500,000	Less than or equal to $2,731,812

In no event shall the term of the Agreement extend beyond June 30, 2024 nor shall the total contract maximum exceed the amount of TWO MILLION SEVEN HUNDRED THIRTY-ONE THOUSAND EIGHT HUNDRED TWELVE DOLLARS ($2,731,812), 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. Second Amendment

Form Review

Inbox	Reviewed By	Date
Financial Services	mqader	07/24/2020 03:31 PM
County Counsel	Hope Welton	07/24/2020 03:34 PM
Form Started By: Kimberly Mayfield		Started On: 06/15/2020 02:33 PM
Final Approval Date: 07/24/2020