Approve first amendment to Agreement No. 23-149 with North Valley Behavioral Health to add funding in the amount of $1,605,950, for a new contract maximum of $3,620,750, for the period of July 1, 2023 through June 30, 2024, for the provision of Adult Inpatient Psychiatric Health Facility Services. (No general fund impact) (Sullivan)

Approve first amendment to Agreement No. 23-149 with North Valley Behavioral Health to add funding in the amount of $1,605,950, for a new contract maximum of $3,620,750, for the period of July 1, 2023 through June 30, 2024, for the provision of Adult Inpatient Psychiatric Health Facility Services. 

North Valley Behavioral Health operates two multidisciplinary inpatient Psychiatric Health Facilities (PHF). The programs offer a patient-centered, “Patient’s First” philosophical approach and are guided by a multidisciplinary team that provides individualized pharmacological, therapeutic, and rehabilitative interventions in a safe and secure environment.  Eligible clients are Yolo County residents who are 18 years or older with serious mental illness (SMI) who are deemed in need of the highest level of care provided in a non-state (local) hospital like facility.

California Advancing and Innovating Medi-Cal (CalAIM) Initiative
In January 2022, California Department of Health Care Services (DHCS) rolled out the CalAIM initiative that aims to provide broad delivery system program and payment reform across the Medi-Cal system. The goal is transformation of the Medi-Cal delivery system, moving it towards a population health approach that prioritizes prevention and whole person care. Focus shifts from compliance to quality and performance metrics.

On June 27, 2023, the County and North Valley Behavioral Health entered into Agreement No. 23-149, with a term of July 1, 2023 through June 30, 2024, for the provision of psychiatric health facility (PHF) services.

This first amendment adds funding in the amount of $1,605,950 for Fiscal Year 2023-24. The funding is needed to meet the needs of current clients and projected clients to be served through the fiscal year.

Performance Measures
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures).

County Counsel-review and approval of the Yolo County SMHS boilerplate
County Counsel-review and approval of amendment as to form
General Services Department, Procurement Division
CalMHSA-technical assistance with CalAIM Initiative

On or about July 20, 2021, the Yolo County Procurement Manager approved a sole source letter in conformance with the then current Yolo County Procurement Policy.

No general funds are required by this action. These services will be funded by Realignment. The total amount of this action is $3,620,750 for the period of July 1, 2023 through June 30, 2024. The amount of $1,605,950 is included in the HHSA adopted budget for FY 2023-24.