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Consent-Health & Human Services # 21.
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| Board of Supervisors Meeting |
Health Services |
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| Subject |
| Approve agreement with BHC Heritage Oaks Hospital, Inc. dba Heritage Oaks Hospital in the amount of $190,000 per fiscal year for three years to provide Acute Psychiatric Inpatient Hospital services to Yolo County residents for the period July 1, 2014 through June 30, 2017. (No general fund impact) (Planell) |
| Recommended Action |
- Approve and authorize the Chair to sign agreement with BHC Heritage Oaks Hospital, Inc. dba Heritage Oaks Hospital in the amount of $190,000 per fiscal year for three years to provide Acute Psychiatric Inpatient Hospital services to Yolo County residents for the period July 1, 2014 through June 30, 2017.
- Delegate authority to the Director of Health and Human Services or his/her designee to sign and execute any additional forms, documents and/or Amendments as necessary relating to this Agreement.
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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.
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 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.
This agreement is coming late to the Board due to the lengthy review process by BHC Heritage Oaks and their Legal Counsel. There were also numerous, lengthy discussions surrounding the responsibility of payment for physician fees for those consumers who are Yolo County Medi-Cal eligible and 21 years of age and younger. The county and BHC Heritage Oaks have now come to an agreement. BHC Heritage Oaks will abide by regulation changes allowing them to bill Medi-Cal the full rate of $860 per day in order to be reimbursed by the State for the physician fees. Upon agreement by both parties, we are now bringing this contract to the Board for approval.
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 agreement 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 the Agreement is $570,000 for three fiscal years. The table below details the funding sources and annual amount. HHSA has included the funding and offset for FY1415 in the approved budget for that year, and FY1516 in the recommended budget. The amount for FY1617 will be included in the budget development cycle for that year.
| Funding Source |
FY2014/15 |
FY2015/16 |
FY2016/17 |
| Mental Health Realignment |
$190,000 |
$190,000 |
$190,000 |
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