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  Consent-Health & Human Services   # 27.       
Board of Supervisors Adult & Aging  
Meeting Date: 07/21/2020  
Brief Title:    First Amendment to the Agreement with Crestwood Behavioral Health, Inc FY 20-25
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Sandra Sigrist, Adult and Aging Branch Director, Health and Human Services Agency, x8794
Supervisorial District Impact:

Subject
Approve first amendment to agreement (Infor PO No. 3647) with Crestwood Behavioral Health Inc. to extend the term through June 30, 2023 and add funding in the amount of $4,666,667, for a contract maximum of $4,800,000, for the period of July 1, 2020 through June 30, 2023, for the provision of 24-hour, long-term residential mental health services for adults with serious mental illness. (No general fund impact) (Larsen)
Recommended Action
  1. Approve first amendment to agreement (Infor PO No. 3647) with Crestwood Behavioral Health Inc. to extend the term through June 30, 2023 and add funding in the amount of $4,666,667, for a contract maximum of $4,800,000, for the period of July 1, 2020 through June 30, 2023, for the provision of 24-hour, long-term residential mental health services for adults with serious mental illness (SMI); and
     
  2. 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 two (2) additional fiscal years, for a 5-year maximum payment obligation not to exceed $8,000,000; and 2) issue related option year notices. (Please see Att. A. First Amendment, Section 2. amending section III. Compensation and Payment Terms of the agreement.)
Strategic Plan Goal(s)
Thriving Residents
Reason for Recommended Action/Background
Crestwood Behavioral Health Inc. (Crestwood) operates eighteen long-term facilities for adult psychiatric consumers providing  24-hour/long-term residential mental health services for adults with serious mental illness (SMI). Consumers are placed into various facilities depending on the level of care needed and on the specialization of the facility. These services assist the County with reducing State hospital and acute psychiatric hospital placements and allow the County to place consumers in the least restrictive setting. 

The previous contract (BOS Agreement No. 14-133) between Crestwood and Yolo County (the County) expired June 30, 2020. To prevent a contract lapse and to maintain continuity of care for the County's consumers currently placed at the various Crestwood facilites, the County and Crestwood entered into a new 1-month agreement, otherwise known as Infor PO No. 3647 (the agreement). The term of the agreement was from July 1, 2020 through July 31, 2020, in the amount of $133,333 and was executed by the Yolo County Procurement Manager, under the authority provided in the Yolo County Procurement Policy.

Approval of this amendment extends the term of the agreement through June 30, 2023 and adds funding in the amount of $4,666,667, for a contract maximum of $4,800,000, for the 3-year period. This amendment also provides for two (2) optional year extensions up to $1,600,000 per extension, for a 5-year maximum payment obligation not to exceed $8,000,000 and delegates authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to exercise the optional year extensions and issue related option year notices.

Performance measures were included in the underlying agreement and are not being changed by this amendment.  
 
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this amendment as to form.
 
Competitive Bid Process
These services were procured via a sole source letter approved by the Yolo County Procurement Manager on June 30, 2020.
 

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   1,466,667
Amount budgeted for expenditure:    $   1,466,667
Additional expenditure authority needed:    $  
On-going commitment (annual cost):    $   1,600,000
Source of Funds for this Expenditure
$1,466,667
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action. The total amount of this action is $4,800,000 for the period of July 1, 2020 through June 30, 2023. These services will be funded by Realignment.  The amount of $1,466,667 is included in the HHSA proposed budget for fiscal year 2020-21. The related funding will be included in the requested budget process for future fiscal years.
 
The following is the breakdown of funding for this agreement.
Fiscal Year 2020-21
July 1, 2020
 through
June 30, 2021
Fiscal Year 2021-22
July 1, 20121
 through
June 30, 2022
Fiscal Year 2022-23
July 1, 2022
 through
June 30, 2023
 
 
Total
$1,600,000 $1,600,000 $1,600,000 $4,800,000

The agreement also includes two (2) one-year extension options for (FY2023-24 and FY2024-25) 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 $6,400,000
Second/
(FY 2024-25)
On or before
June 30, 2025
Less than or equal to $1,600,000 Less than or equal
to $8,000,000

In no event shall the term of the Agreement extend beyond June 30, 2025 nor shall the total contract maximum exceed the amount of EIGHT MILLION DOLLARS ($8,000,000), 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. First Amendment

Form Review
Inbox Reviewed By Date
Financial Services mqader 07/08/2020 07:45 AM
County Counsel Hope Welton 07/08/2020 11:55 AM
Form Started By: Kimberly Mayfield Started On: 06/11/2020 03:46 PM
Final Approval Date: 07/08/2020

    

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