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Consent-Health & Human Services # 10.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve Third Amendment to Agreement with BHC Heritage Oaks Hospital, Inc., dba Heritage Oaks Hospital to increase contract amount by $958,800 for a new contract maximum amount of $2,033,900 to provide Acute Psychiatric Inpatient Hospital services to Yolo County residents for the period July 1, 2014 through June 30, 2018. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve Third Amendment to Agreement with BHC Heritage Oaks Hospital, Inc., dba Heritage Oaks Hospital to increase contract amount by $958,800 for a new contract maximum amount of $2,033,900 to provide Acute Psychiatric Inpatient Hospital services to Yolo County residents for the period July 1, 2014 through June 30, 2018. |
| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
California state law mandated 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 adults (age 18 or older) who meet State Welfare and Institutions Code criteria and/or who are a danger to self or 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. Heritage Oaks Hospital, being such a facility, is equipped to provide appropriate services to meet our patients’ needs.
The stated contract maximum is for services related to Yolo Medi-Cal beneficiaries whoare between 21 and 64 years of age. The Contractor is not certified to bill Medi-Cal for these services. Nonetheless, the County is responsible for serving all Yolo Medi-Cal beneficiaries. The stated 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 Contractor bills Medi-Cal directly to receive funding from federal financial participation 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. The payment to the Contractor for this population is not paid directly via the County.
All services described above require Yolo County Health and Human Services Agency (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 needed for all services.
This Amendment is to increase FY15-16 to align with actual expenses, the increase for FY16-17 and FY17-18 is based this same projection.
The following is the breakdown of funding for this Agreement:
| Fiscal Year/fund source |
Original Contract |
First
Amd |
Second
Amd |
This
Amd |
New Contract |
| FY 2014-15 |
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| Realignment |
$190,000 |
$55,100 |
-0- |
-0- |
$245,100 |
| FY 2015-16 |
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| Realignment |
$190,000 |
$60,000 |
$150,000 |
$128,800 |
$528,800 |
| FY 2016-17 |
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| Realignment |
$190,000 |
$60,000 |
$180,000 |
$200,000 |
$630,000 |
| FY 2017-18 |
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| Realignment |
-0- |
-0- |
-0- |
$630,000 |
$630,000 |
| TOTAL |
$570,000 |
$175,100 |
$330,000 |
$958,800 |
$2,033,900 |
Competitive Bid Process:
On July 31, 2007, the Board of Supervisors granted an approval to the Department of Alcohol, Drug and Mental Health for certain exceptions to the contract procurement policy. According to this approval, hospital providers are classified as “Any willing providers” and are exempt from the competitive bid process. |
| Collaborations (including Board advisory groups and external partner agencies) |
| County Counsel approved the Amendment as to form. |
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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 county general funds are required for this action. The total cost of this Agreement is $2,033,900 for four fiscal years. This Amendment increases the contract amount by $128,800 for FY15-16; $200,000 for FY16-17; and adds $630,000 for FY17-18 for a total increase of $958,800. HHSA has included the funding and offset for these increased amounts in the adopted budgets for FY15-16 and FY16-17. HHSA will budget the funding accordingly for FY17-18.
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