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Consent-Health & Human Services # 14.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve fifth amendment to agreement with BHC Heritage Oaks Hospital Inc. dba Heritage Oaks Hospital to extend the term through June 30, 2019 and add funding in the amount of $630,000 for 2018-19 for a new contract maximum amount of $2,883,900 to provide Acute Psychiatric Inpatient Hospital services for the period July 1, 2014 through June 30, 2019. (No general fund impact) (Larsen) |
| Recommended Action |
- Approve fifth amendment to agreement with BHC Heritage Oaks Hospital Inc. dba Heritage Oaks Hospital to extend the term through June 30, 2019 and add funding in the amount of $630,000 for fiscal year 2018-19 for a new contract maximum amount of $2,883,900 to provide Acute Psychiatric Inpatient Hospital services for the period July 1, 2014 through June 30, 2019, and
- Delegate authority to the Director of Health and Human Services Agency and/or her/his designee to sign and execute any additional forms, documents and/or amendments as necessary relating to this agreement, provided there are no significant programmatic changes or increases in funding.
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| Strategic Plan Goal(s) |
| Preserve and ensure safe and crime free 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, others or are gravely disabled and require inpatient acute psychiatric services.
When no adult bed space is available at North Valley Behavioral Health Psychiatric Health Facility or 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 whose age is 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 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.
Approval of this Amendment is necessary in order to continue to provide services for our most vulnerable population. |
| Collaborations (including Board advisory groups and external partner agencies) |
| County Counsel has approved this Agreement as to form. |
| Competitive Bid Process |
| On July 31, 2007, the Board of Supervisors granted an approval to Yolo County Health and Human Services Agency (HHSA) for certain exceptions to the contract procurement policy. According to this approval, Residential Treatment Services in a locked 24-hour facility is classified as “Any Willing Provider” and are exempt from the competitive bid process. |
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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 Mental Health Realignment. The amount of $630,000 is included in the HHSA proposed budget for FY18-19.
The following is the breakdown of funding for this agreement.
| Scope of Services |
FY14-15 |
FY15-16 |
FY16-17 |
FY17-18 |
FY18-19 |
Total Contract Amount |
| BHC Heritage Oaks |
$245,100 |
$528,800 |
$850,000 |
$630,000 |
$0 |
$2,253,900 |
| Amendment #5 |
$0 |
$0 |
$0 |
$0 |
$630,000 |
$630,000 |
| New Contract Total |
$245,100 |
$528,800 |
$850,000 |
$630,000 |
$630,000 |
$2,883,900 |
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