Agenda

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Consent-Health & Human Services # 25.

Board of Supervisors

Adult & Aging

Meeting Date:	06/29/2021
Brief Title: Second Amendment to Agreement No. 19-230 with BHC Sierra Vista Hospital -Acute Psych Inpatient
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 second amendment to Agreement No. 19-230 with BHC Sierra Vista Hospital to increase funding by $150,000 in 2020-21 for a new contract maximum of $1,320,000, for the period of July 1, 2019 through June 30, 2022; for the provisions of Acute Psychiatric Impatient Services, and update contract language. (No general fund impact) (Larsen)

Recommended Action

Approve second amendment to Agreement No. 19-230 with BHC Sierra Vista Hospital to increase funding by $150,000 in fiscal year 2020-21 for a new contract maximum of $1,320,000, for the period of July 1, 2019 through June 30, 2022; for the provisions of Acute Psychiatric Impatient Services, and update contract language.

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 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.

Based on current utilization trends, staff recommend approval of this amendment in order for the County to continue to provide acute psychiatric inpatient services to adults with severe mental illness and pay any claims through June 30, 2021.

Performance Measures included in this Agreement are as follows:
The Performance Measures associated with this agreement were revised in the First amendment and are not being revised with 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 was sought out by a Sole Source which was approved by Procurement, there is no change in the Scope.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 150,000
Amount budgeted for expenditure:		$ 150,000
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 400,000

Source of Funds for this Expenditure

$150,000

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. This action increases will be funded by Realignment. The action increases the contract maximum by $150,000 for the period of July 1, 2019 through June 30, 2022. The amount of $150,000 is included in the HHSA adopted budget for FY2020-21. 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 2019-20 July 1, 2019 through June 30, 2020	Fiscal Year 2020-21 July 1, 2020 through June 30, 2021	Fiscal Year 2021-22 July 1, 2021 through June 30, 2022	Total
$470,000	$500,000	$350,000	$1,320,000

This agreement also provides for two optional year extensions as follows:

Option Year/ Fiscal Year (OY/FY)	Revised Agreement Expiration Date Per OY/FY	Maximum Increased Funding Amount Per OY/FY	Revised Agreement Maximum Per OY/FY
First/ (FY 22-23)	On or before June 30, 2023	Less than or equal to $400,000	Less than or equal to $1,720,000
Second/ (FY 23-24)	On or before June 30, 2024	Less than or equal to $400,000	Less than or equal to $2,120,000

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 ONE HUNDRED TWENTY THOUSAND DOLLARS ($2,120,000) 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. Second Amendment

Form Review

Inbox	Reviewed By	Date
Financial Services	crinde	06/21/2021 03:53 PM
County Counsel	Hope Welton	06/21/2021 03:57 PM
Form Started By: Laura Checa		Started On: 10/06/2020 04:56 PM
Final Approval Date: 06/22/2021