California state law mandates that psychiatric inpatient hospital services be provided to eligible Medi-Cal and non-Medi-Cal mental health consumers.  Woodland Memorial Hospital is the designated and responsible hospital to provide such services to Yolo County residents, age 18 or older, who meet State Welfare and Institutions Code criteria, who are a danger to self, others or are gravely disabled and require inpatient acute psychiatric services or are voluntarily seeking acute care and deemed appropriate.  For the Medi-Cal eligible inpatient services, the hospital is responsible to claim for federal reimbursement.  The non-federal reimbursable portion of these services is funded by Yolo County Health and Human Services Agency (HHSA) realignment, which is offset from the state payment to HHSA. HHSA and the hospital staff work closely to coordinate and ensure quality services are continuously made available to eligible clients.  Both parties recognized and agreed their responsibilities, medically and financially. 

The current agreement with Dignity expires on June 30, 2021. Approval of this item will allow expedited approval of the new agreement by the Procurement Manager to ensure there is no lapse of coverage with these vital services.

Performance measures will be included in the resulting Agreement.

County Counsel will approve the resulting Agreement as to form.

This agreement is being procured via a Sole Source approved by the Yolo County Procurement Manager.

No general funds are required by this action. These services will be funded by HHSA Core Mental Health Funds.  The total amount of this action is $450,000 for the period of July 1, 2021 through June 30, 2024. The amount of $150,000 is included in the HHSA proposed budget for fiscal year 2021-22. 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 2021-22 July 1, 2021 through June 30, 2022	Fiscal Year 2022-23 July 1, 2022 through June 30, 2023	Fiscal Year 2023-24 July 1, 2023 through June 30, 2024	Total
Inpatient Services	$150,000	$150,000	$150,000	$450,000

The agreement also includes two one-year extension options for Fiscal Year 2024-25 and FY 2025-26 in an amount less than or equal to $150,000 per fiscal year.

Option Year/ Fiscal Year (OY/FY)	Revised Agreement Expiration Date Per OY/FY	Maximum Increased  Funding Amount Per OY/FY	Revised Agreement  Lifetime Maximum Per OY/FY
First/ (FY 2024-25)	On or before June 30, 2025	Less than or equal to $150,000	Less than or equal to $600,000
Second/ (FY 2025-26)	On or before June 30, 2026	Less than or equal to $150,000	Less than or equal to $750,000