Consent-Health & Human Services # 20.
Board of Supervisors
- Meeting Date:
- 06/07/2022
- Brief Title
- First Amendment to agreement No. PO 4077 with North Valley Behavioral Health-PHF Acute Psychiatric Facility
From:
Nolan Sullivan, Interim Director, Health and Human Services Agency
Staff Contact:
Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:
Subject
Approve first amendment to Agreement No. PO 4077 with North Valley Behavior Health to add funding in the amount of $872,200 by adding $487,000 to 2021-22 and $385,200 to 2022-23, for a new contract maximum of $6,916,600 for the period of July 1, 2021 through June 30, 2024; and to update and clarify language in the agreement for the provision of psychiatric health facilities (PHF) acute psychiatric facility services. (No general fund impact) (Sullivan)
Recommended Action
Approve first amendment to Agreement No. PO 4077 with North Valley Behavior Health to add funding in the amount of $872,200 by adding $487,000 to Fiscal Year (FY) 2021-22 and $385,200 to FY 2022-23, for a new contract maximum of $6,916,600 for the period of July 1, 2021 through June 30, 2024; and to update and clarify language in the agreement for the provision of PHF acute psychiatric facility services.
Strategic Plan Goal(s)
 |
Thriving Residents |
 |
Safe Communities |
Reason for Recommended Action/Background
The Health and Human Services Agency (HHSA) purchased six dedicated beds at a client-centered, accessible, quality, affordable inpatient psychiatric service center that is available to the County for patient placement without wait times. North Valley Behavioral Health operates two multidisciplinary inpatient Psychiatric Health Facilities in Yuba City, California. The programs provide patient-centered services with a "Patient's First" philosophical approach and 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. With the purchase of the six dedicated beds, the County is able to collaborate with a consistent provider of intensive, supportive inpatient care, with the goals of decreasing overall hospitalization length of stay and improving client outcomes.
Services are available in a 24-hour care, non-state hospital like setting to referred adults who:
1) require intervention for psychiatric crisis/episode or other acute mental health problems; and
2) have physical health needs that can be met by an affiliated hospital or in an outpatient setting.
The services provided by North Valley Behavioral Health are billable to Medi-Cal and are therefore a more cost-effective option than free-standing psychiatric hospitals.
Staff recommends approval of this amendment to align the funding with current costs and allow for the continuation of these vital services as well as support payment of additional invoices expected through the remainder of the current FY.
Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. PO 4077 and are not being changed by this amendment.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Amendment as to form.
Competitive Bid Process/Vendor Performance
The agreement was procured via a Sole Source approved by the Yolo County Procurement Manager.
The Department confirms Vendor North Valley Behavioral Health has performed satisfactorily on the current agreement.
The Department confirms Vendor North Valley Behavioral Health has performed satisfactorily on the current agreement.
Fiscal Impact
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 487,000
- Amount budgeted for expenditure:
- $ 487,000
- Additional expenditure authority needed:
- $ 0
- On-going commitment (annual cost):
- $ 2,400,000
Source of Funds for this Expenditure
- Realignment
- $487,000
Further explanation as needed:
No general funds are required by this action. These services will be funded by realignment and reimbursed by Medi-Cal. The action increases the contract by $872,200, by adding $487,000 to fiscal year 2021-22 and $385,200 to fiscal year 2022-23 for a new contract maximum of $6,916,600. The amount of $487,000 is included in the HHSA adopted budget for FY 2021-22. The amount of $385,200 is included in the HHSA proposed budget for FY 2022-23. The related funding will be included in the requested budget process for future fiscal years.
The following is the breakdown of funding for this agreement.
| Fiscal Year 2021-22 July 1, 2021 through June, 30 2022 |
Fiscal Year 2022-23 July 1, 2022 through June, 30 2023 |
Fiscal year 2023-24 July 1, 2023 through June, 30 2024 |
Total |
| $2,501,800 | $2,400,000 | $2,014,800 | $6,916,600 |
The agreement also includes two one-year extension options for fiscal Years 2024-25 and 2025-26 in an amount less than or equal to $2,014,800 per fiscal year.
| Option Year/ Fiscal Year (OY/FY) |
Revised Agreement Expiration Date Per OY/FY |
Maximum Increased Funding Amount Per OY/FY |
Revised Agreement Lifetime Maximum per OY/FY |
| OY/FY 2024-25 | On or before June 30, 2025 |
Less than or equal to $2,014,800 | Less than or equal to $8,931,400 |
| OY/FY 2025-26 | On or before June 30, 2026 |
Less than or equal to $2,014,800 | Less than or equal to $10,946,200 |
In no event shall the term of the agreement extend beyond June 30,2026, nor shall the total contract maximum exceed, including the two of one-year extension options, exceed the amount of TEN MILLION NINE HUNDRED FORTY-SIX THOUSAND TWO HUNDRED DOLLARS ($10,946,200), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy approved by the Board of Supervisors.
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | Tom Haynes | 05/31/2022 04:36 PM |
| County Counsel | Phil Pogledich | 06/01/2022 07:30 AM |
- Form Started By:
- Laura Checa
- Started On:
- 03/29/2022 09:32 AM
- Final Approval Date:
- 06/01/2022