Action 21.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 04/28/2015
- Title:
- Title 36 Mental Health Services, New Provider Contract with CHSS & SVRHC/CVMC
- Submitted By:
- Jennifer Steiger, Health & Social Services
- Department:
- Health & Social Services
Presentation:
No A/V Presentation
Recommendation:
Approve
Document Signatures:
BOS Signature Required
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
2
NAME
of PRESENTER:
of PRESENTER:
Mary Gomez
TITLE
of PRESENTER:
of PRESENTER:
Health Director
Mandated Function?:
Not Mandated
Source of Mandate
or Basis for Support?:
or Basis for Support?:
ADHS, CHSS
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Information
Agenda Item Text:
Approve the new Provider Contract, Title 36 Mental Health Services, between Cochise Health & Social Services and RCHP-Sierra Vista, Inc., dba Sierra Vista Regional Healthcare Center/Canyon Vista Medical Center, which is a Level 1 psychiatric facility, effective April 23, 2015 through April 22, 2018, unless further extended pursuant to the provisions of Article 7.
Background:
Cochise Health & Social Services is pleased to enter into this agreement with the new hospital facility and its newly built mental health wing. Since the SEABHS psychiatric facility closed in Benson a few years back, Cochise County has been without a Level 1 facility and patients have to be transferred for care to Tucson and beyond. In this agreement, RCHP-Sierra Vista, Inc., dba Sierra Vista Regional Healthcare Center/Canyon Vista Medical Center will provide Title 36 pre-screening and evaluation services for, and on behalf of the County pursuant to, in accordance with and governed by Chapter 5, Title 36 of the Arizona Revised Statutes and any other current and future applicable statutes, rules and regulations. In providing such services, SVRHC/CVMC will function as the Title 36 pre-petition screening agency for the County and, when appropriate, as the Title 36 evaluation agency for matters initiated by the County. To facilitate pre-petition screenings, all local law enforcement will be directed to transport any potential patient to the SVRHC/CVMC’s emergency room. It is understood that neither the County nor SVRHC/CVMC assumes any duty or obligation to provide or pay for medical or mental health treatment, but only for screening and evaluation services and any associated court testimony. For example, and not by way of limitation, neither party is responsible for the payment of hospital costs (i.e., non-evaluation costs, such as physical medical treatment) incurred by a patient before, during or after screening and evaluation services have been provided for the patient. Further, subject to applicable law, the County is not responsible for the cost of any short or long-term mental health treatment provided by the Provider. All mental health services provided under this Agreement shall be rendered in accordance with applicable law and community professional and ethical standards.
Department's Next Steps (if approved):
Your approval is respectfully requested.
Impact of NOT Approving/Alternatives:
Not approving this Agreement will prevent Cochise County from entering into the Title 36 services program for with SVRHC/CVMC and patients will continue to be transported to Tucson and beyond for services.
To BOS Staff: Document Disposition/Follow-Up:
BOS signature is required. Two originals sent to BOS for signature on 4/27/15. A fully executed original will be sent to the Clerk of the Board for filing purposes.
Fiscal Impact
- Fiscal Year:
- 2014-2015
- One-time Fixed Costs? ($$$):
- Ongoing Costs? ($$$):
- County Match Required? ($$$):
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- Source of Funding?:
- ADHS
Fiscal Impact & Funding Sources (if known):
tbd
- Fiscal Year:
- 2014-2015
- One-time Fixed Costs? ($$$):
- 0
- Ongoing Costs? ($$$):
- 0
- County Match Required? ($$$):
- 0
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- 0
- Source of Funding?:
- ADHS-CHSS
Fiscal Impact & Funding Sources (if known):
100-6000-6210-431.322 is the fund line. Rates are competitive with Tucson facilities and daily hospital rate includes professional fees excluding the evaluation(s). This new contract limits our total annual payments to $500k vs. our current budget of $325k. Actual payments for Title 36 services in FYE 14 were $123k and $303k in FYE 13. Significant savings will be realized in transport costs for inmates in need of these services if they can be provided locally. Will also be more convenient and less costly for public and legal defenders to work with clients who may require hospitalization, again saving time and travel expenses.