Agenda

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Consent-Health & Human Services # 19.

Board of Supervisors

Adult & Aging

Meeting Date:	06/26/2018
Brief Title: Crestwood Behavioral Health, Inc. 5th Amendment
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 fifth amendment to agreement with Crestwood Behavioral Health, Inc., to increase contract amount by $53,000 for 2017-18 for a new contract maximum amount of $9,881,627 to provide mental health services to seriously mentally ill adults for the period July 1, 2014 through June 30, 2020. (No general fund impact) (Larsen)

Recommended Action

Strategic Plan Goal(s)

Operational Excellence
Thriving Residents
Safe Communities

Reason for Recommended Action/Background

Crestwood Behavioral Health, Inc. operates long-term facilities for adult psychiatric consumers. Consumers are placed into various facilities depending on the level of care needed and the specialization of the facility. Many of our most fragile consumers cannot be placed in lower levels of care because they need the clinical/nursing supports offered in long-term facilities for adult psychiatric consumers. Due to the needs of the consumers and the limited availability of inpatient psychiatric beds statewide, Yolo County contracts with all available inpatient psychiatric facilities in the surrounding area to ensure access to adequate bed space for our consumers. Crestwood Behavioral Health, Inc. is one of a handful of facilities that are willing to take these chronically seriously mentally ill patients.

Yolo County continues to experience a steady increase in services needed for the stabilization of seriously mentally ill adults and the cost of care for consumers for several reasons. Due to the Affordable Care Act, the County has increased responsibilities in terms of the newly insured, now comprising of approximately 25% of our population. In addition, due to the severity of the consumer’s mental health conditions there are corresponding needs for the higher level of care provided by Crestwood Behavioral Health, Inc. Lastly, the severity of some consumers’ mental health condition has necessitated longer stays. For these reasons, there is a need to increase the contract amount for this provider.

Approval of this Amendment is needed to bring the funding in line with the actual expenditures.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Amendment as to form.

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, 24 hour services providers are classified as “Any Willing Provider” and are exempt from the competitive bid process.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 53,000
Amount budgeted for expenditure:		$ 53,000
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 1,478,615

Source of Funds for this Expenditure

$53,000

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No County general funds are required by this action. The total cost of the Amendment is $53,000 and is included in the HHSA approved budget for fiscal year 2017-18. The related funding will be included in the requested budget process for future fiscal years.

The breakdown of funding for this Agreement is as follows:

Funding Source: Mental Health Realignment	FY 2014-15	FY 2015-16	FY 2016-17	FY 2017-18	FY 2018-19	FY 2019-20	Total
Original	$1,094,451	$1,094,451	$1,094,451	$0	$0	$0	$3,283,353
First Amendment	$315,000	$315,000	$315,000	$0	$0	$0	$945,000
Second Amendment	$66,000	$66,000	$66,000	$0	$0	$0	$198,000
Third Amendment	$0	$500,000	$0	$0	$0	$0	$500,000
Fourth Amendment	$0	$0	$450,000	$1,642,906	$1,478,615	$1,330,753	$4,902,274
This (Fifth) Amendment	$0	$0	$0	$53,000	$0	$0	$53,000
Total	$1,475,451	$1,975,451	$1,925,451	$1,695,906	$1,478,615	$1,330,753	$9,881,627

Attachments
Att. A. Amendment

Form Review

Inbox	Reviewed By	Date
Financial Services	Tom Haynes	06/15/2018 09:49 AM
County Counsel	Hope Welton	06/15/2018 10:31 AM
Form Started By: kbrockett		Started On: 05/29/2018 09:27 AM
Final Approval Date: 06/15/2018