Agenda

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Consent-Health & Human Services # 34.

Board of Supervisors

Adult & Aging

Meeting Date:	07/23/2019
Brief Title: Fourth Amendment to Agreement no.17-29 with North Valley Behavioral Health
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 fourth amendment to Agreement No.17-29 with North Valley Behavioral Health, LLC, to extend the agreement through June 30, 2021 and add funding in the amount of $2,777,600, as follows: $200,000 for 2018-19; $1,288,800 for 2019-20; and $1,288,800 for 2020-21, for the provision of inpatient psychiatric health facility services, through June 30, 2021 with 5-year maximum payment obligation of $5,964,150. (No general fund impact) (Larsen)

Recommended Action

Approve fourth amendment to Agreement No.17-29 with North Valley Behavioral Health, LLC, to extend the agreement through June 30, 2021 and add funding in the amount of $2,777,600, as follows: $200,000 for FY 2018-19; $1,288,800 for FY 2019-20; and $1,288,800 for FY 2020-21, for the provision of inpatient psychiatric health facility services, through June 30, 2021 with 5-year maximum payment obligation of $5,964,150.

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

When an adult resident of Yolo County (“the County”) with serious mental illness requires care in a locked facility (other than a State hospital), the Health and Human Services Agency (HHSA) and local hospitals look for available bed space. Currently, these clients receive care in regional hospitals at a cost to the County of $665-950 per day.

This contract allows HHSA to purchase dedicated beds at a high quality, affordable, inpatient psychiatric health facility maintained by North Valley Behavioral Health, LLC (NVBH). The four (4) beds are available to the County for patient placement without wait times. Based on historic trends, we expect these beds to be consistently full.

In case of vacancy for 36 hours or more of beds assigned to HHSA, NVBH has agreed to sell those vacant beds to the other mental health service seekers. This bed sell-back clause may help the County in controlling the cost while providing critical services to the community when required.

The services provided by NVBH will be billable to Medi-Cal and are therefore a more cost-effective option for this important level of care than free-standing psychiatric hospitals whose services are not billable to Medi-Cal, and which would otherwise be used by the County for much of the inpatient care.

Staff hereby recommends approval of this Amendment as this will help the County to provide psychiatric health facility services at a substantially lower cost for patients requiring inpatient interventions to treat a psychiatric crisis or other acute mental health problems.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Amendment as to form.

Competitive Bid Process

The original agreement was procured as an “any willing provider.” This exception was approved by the Board on July 31, 2007. The Board of Supervisors granted an approval to the Yolo County Health and Human Services Agency, formerly known as Alcohol, Drug and Mental Health, for certain exceptions to the contract procurement policy. According to this approval, 24-hour service providers are classified as “any willing providers” and are exempt from the competitive bid process.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 1,288,800
Amount budgeted for expenditure:		$ 1,288,800
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 1,288,800

Source of Funds for this Expenditure

$200,000

$1,288,800

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. For FYs 2018-19 and 2019-20 the increased contracted amount will be funded by MHSA State Funding in the amount of $1,488,800. The amount of $200,000 was included in the HHSA finalized budget for FY 2018-19 and $1,288,800 was included in HHSA proposed budget for FY 2019-20. The remaining $1,288,800 will be included in the HHSA’s budget process for FY 2020-21.

The following is the breakdown of funding for this agreement.

Fiscal Year 2016-17 Feb. 1, 2017 through June 30, 2017	Fiscal Year 2017-18 July 1, 2017 through June 30, 2018	Fiscal Year 2018-19 July 1, 2018 through June 30, 2019	Fiscal Year 2019-20 July 1, 2019 through June 30, 2020	Fiscal Year 2020-21 July 1, 2020 through June 30, 2021	Total
$513,400	$1,395,650	$1,477,500	$1,288,800	$1,288,800	$5,964,150

Attachments
Att. A. Agreement