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Consent-Health & Human Services   # 24.
Board of Supervisors
Meeting Date:
09/13/2022
Brief Title
Fourth Amendment to Agreement No. 17-217
From:
Nolan Sullivan, 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 fourth amendment to Agreement No. 17-217 with LocumTenens.com, LLC to add funding in the amount of $6,000 for 2021-22 for a new contract maximum of $2,206,000, for the period of July 1, 2017 through June 30, 2022, for the provision of locum tenens medical adult psychiatric services. (No general fund impact) (Sullivan)

Recommended Action

Approve fourth amendment to Agreement No. 17-217 with LocumTenens.com to add funding in the amount of $6,000 for fiscal year 2021-22 for a new contract maximum of $2,206,000, for the period of July 1, 2017 through June 30, 2022, for the provision of locum tenens medical adult psychiatric services.

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

Pursuant to the County’s obligations as the Yolo County Mental Health Plan (MHP) and the related Title 9 and MHP contract requirements, the County via Yolo County Health and Human Services Agency (HHSA) is required to provide psychiatry services to either: 1) residents with severe and persistent mental illness who are indigent or 2) residents who are recipients of Yolo County Medi-Cal. In Yolo County, the need for Adult Psychiatrist services has steadily increased—especially given the changes in the number of qualified Medi-Cal recipients. Yet it has become increasingly difficult to find providers, due to national and statewide shortages in the field, increasing demand for psychiatry services, increasing number of Medi-Cal recipients as a result of the Affordable Healthcare Act, and competition with the private sector.

Agreement No. 17-217 approved by this Board on August 1, 2017 provided for the continuation of required outpatient psychiatry services specifically needed for seriously mentally ill consumers, reducing the risk of placement at higher level/cost facilities. This fourth amendment seeks to add funding to pay pending claims for fiscal year 2021-22.

Performance Measures included in this Agreement are as follows:
Performance Measures were included in the original agreement and are not being changed with this amendment.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process/Vendor Performance

On September 13, 2016, per Minute Order 16-116 Item No. 24, the Board granted HHSA an any willing provider exception to the County’s Procurement policy as it relates to psychiatry service providers.

Vendor Performance
The Department confirms LocumTenens.com, LLC has performed satisfactorily on the current agreement.

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    6,000
Amount budgeted for expenditure:
$    6,000
Additional expenditure authority needed:
$    0
One-time commitment:
Yes

Source of Funds for this Expenditure

MHSA
$6,000

Further explanation as needed:

No general funds are required by this action. These services will be paid for utilizing Mental Health Services Act (MHSA) funds. The action increases the contract maximum by $6,000 for a total of $2,206,000 for the period of July 1, 2017 through June 30, 2022. The amount of $6,000 was included in the HHSA adopted budget for fiscal year 2021-22.

The following is the breakdown of funding for this agreement.
FY2017-18
July 1, 2017
through
June 30,2018
FY2018-19
July 1, 2018 through
June 30, 2019
FY2019-20
July 1, 2019
through
June 30, 2020
FY2020-21
July 1,2020 through
June 30, 2021
FY2021-22
July 1, 2021 through
June 30, 2022


Total
$600,000 $600,000 $600,000 $100,000 $306,000 $2,206,000

Attachments

Form Review

Inbox Reviewed By Date
Financial Services Tom Haynes 09/01/2022 01:59 PM
County Counsel Hope Welton 09/02/2022 08:41 AM
Mark Bryan Mark Bryan 09/02/2022 09:54 AM
Form Started By:
Elizabeth Brown
Started On:
08/03/2022 11:21 AM
Final Approval Date:
09/02/2022