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Consent-Health & Human Services # 13.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve agreement with BHC Sierra Vista Hospital to provide Acute Psychiatric Inpatient Hospital services in the amount of $470,000 per fiscal year for three years for a total contract maximum of $1,410,000, for the period July 1, 2019 through June 30, 2022. (No general fund impact) (Larsen) |
| Recommended Action |
- Approve agreement with BHC Sierra Vista Hospital to provide Acute Psychiatric Inpatient Hospital services in the amount of $470,000 per fiscal year for three (3) years for a total contract maximum of $1,410,000, for the period July 1, 2019 through June 30, 2022; and
- Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to approve Option Year Letters not to exceed $470,000 per fiscal year, for a 5-year maximum payment obligation not to exceed $2,235,000 (Please see Section III. And IV. of Att. A. Agreement.)
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| Strategic Plan Goal(s) |
Operational Excellence
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 residents 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 Sierra Vista 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 HHSA approval. 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.
This agreement also delegates authority to the HHSA Director or her/his designee to approve two Option Year Letters not to exceed $470,000 per fiscal year, for FYs 2022-23 and 2023-24, for a 5-year maximum payment obligation not to exceed $2,350,000. (Please see section III and IV. of Att. A. Agreement.)
Thus, staff recommends approval of this Agreement in order for the County to continue to provide Acute Psychiatric Inpatient services to SMI adults; and delegation of authority to the HHSA Director for the approval and execution of Option Year letters for FYs 2022-23 and 2023-24.
The Performance Measures associated with this agreement are included in Attachment B. |
| 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 through a Sole Source which has been approved by Procurement. |
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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: |
No general funds are required by this action. These services will be funded by State Mental Health Realignment funds. The amount of $470,000 is included in the HHSA adopted budget for FY19-20. 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 19-20 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 |
| $470,000 |
$470,000 |
$470,000 |
$1,410,000 |
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 THREE HUNDRED FIFTY THOUSAND DOLLARS ($2,350,000), unless otherwise agreed to in writing by the parties and in conformity with the Yolo County Procurement Policy (“Yolo County Procurement Policy”) approved by the Yolo County Board of Supervisors on December 11, 2018, via Minute Order No. 18-202, Item No. 18.
Option Year/
Fiscal Year |
Maximum Agreement Term Extension Per Option Year/Fiscal Year |
Increased Funding Amount Per Option Year/
Fiscal Year |
Revised Agreement
Lifetime Maximum
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First/
(FY 22-23) |
On or before
June 30, 2023 |
Less than or equal to $470,000 |
Less than or equal to $1,880,000 |
Second/
(FY 23-24) |
On or before
June 30, 2024 |
Less than or equal to $470,000 |
Less than or equal to $2,350,000 |
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