Consent-Health & Human Services # 22.
Board of Supervisors
- Meeting Date:
- 10/26/2021
- Brief Title
- Third Amendment with BHC Sierra Vista Hospital
From:
Karen Larsen, 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 third amendment to Agreement No. 19-230 with BHC Sierra Vista Hospital to increase funding by $70,000 for 2020-21 for a new contract maximum of $1,390,000, for the period of July 1, 2019, through June 30, 2022, to provide Acute Psychiatric Inpatient Services. (No general fund impact) (Larsen)
Recommended Action
Approve third amendment to Agreement No. 19-230 with BHC Sierra Vista Hospital to increase funding by $70,000 for 2020-21 for a new contract maximum of $1,390,000, for the period of July 1, 2019, through June 30, 2022, to provide Acute Psychiatric Inpatient Services.
Strategic Plan Goal(s)
 |
Thriving Residents |
 |
Safe Communities |
Reason for Recommended Action/Background
California state law mandates the County to provide psychiatric inpatient hospital services to eligible Medi-Cal and non-Medi-Cal mental health consumers. Woodland Memorial Hospital is the designated and responsible hospital to provide these services to Yolo County residents adults (age 18 or older), who meet California 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. BHC Sierra Vista Hospital, being such a facility, is equipped to provide appropriate services to meet client needs. The County is responsible for serving all Yolo Medi-Cal beneficiaries regardless of age. The Contractor is not certified to bill Medi-Cal for services provided to Yolo Medi-Cal beneficiaries whose age is between 21 and 64 years of age. Thus, federal financial participation (FFP) is not available for these services. The stated contract amount is to be used for funding the services related to this group. For services provided to Yolo Medi-Cal beneficiaries whose age is either 20 or younger, or 65 or older, the payment to the Contractor for this population is not paid directly via the County. The Contractor bills Medi-Cal directly to receive funding via FFP 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.
Approval of this third amendment is necessary to cover the remaining claims for fiscal year 2020-21.
Performance Measures included in this Agreement are as follows:
The Performance Measures associated with this agreement were revised in the First amendment and are not being revised with this amendment.
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. BHC Sierra Vista Hospital, being such a facility, is equipped to provide appropriate services to meet client needs. The County is responsible for serving all Yolo Medi-Cal beneficiaries regardless of age. The Contractor is not certified to bill Medi-Cal for services provided to Yolo Medi-Cal beneficiaries whose age is between 21 and 64 years of age. Thus, federal financial participation (FFP) is not available for these services. The stated contract amount is to be used for funding the services related to this group. For services provided to Yolo Medi-Cal beneficiaries whose age is either 20 or younger, or 65 or older, the payment to the Contractor for this population is not paid directly via the County. The Contractor bills Medi-Cal directly to receive funding via FFP 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.
Approval of this third amendment is necessary to cover the remaining claims for fiscal year 2020-21.
Performance Measures included in this Agreement are as follows:
The Performance Measures associated with this agreement were revised in the First amendment and are not being revised with this amendment.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process
This agreement was sought out via a Sole Source, which was approved by the Yolo County Procurement Manager.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 70,000
- Amount budgeted for expenditure:
- $ 0
- Additional expenditure authority needed:
- $ 0
- On-going commitment (annual cost):
- $ 400,000
Source of Funds for this Expenditure
- State MH Realignment
- $70,000
Further explanation as needed:
No general funds are required by this action. This action will be funded by Realignment funding. The action increases fiscal year (FY) 2020-21 contract budget amount by $70,000, for a new contract maximum of $1,390,000 for the period of July 1, 2019, through June 30, 2022. The budget adjustment of $70,000 for FY2020-21 will be included as part of the year-end clean-up item taken to the Board of Supervisors in November by the Department of Financial Services.
The following is the breakdown of funding for this agreement.
This agreement also provides for two optional year extensions as follows:
In no event shall the term of the Agreement extend beyond June 30, 2024, nor shall the total contract maximum exceed the amount of TWO MILLION ONE HUNDRED NINETY THOUSAND DOLLARS ($2,190,000) unless otherwise agreed to in writing by the Parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.
The following is the breakdown of funding for this agreement.
| Fiscal Year 2019-20 July 1, 2019 through June 30, 2020 |
Fiscal Year 2020-21 July 1, 2020 through June 30, 2021 |
Fiscal Year 2021-22 July 1, 2021 through June 30, 2022 |
Total |
| $470,000 | $570,000 | $350,000 | $1,390,000 |
This agreement also provides for two optional year extensions as follows:
| Option Year/ Fiscal Year (OY/FY) |
Revised Agreement Expiration Date Per OY/FY |
Maximum Increased Funding Amount Per OY/FY |
Revised Agreement Maximum Per OY/FY |
| OY/FY 2022-23 | On or before June 30, 2023 |
Less than or equal to $400,000 | Less than or equal to $1,790,000 |
| OY/FY 2023-24 | On or before June 30, 2024 |
Less than or equal to $400,000 | Less than or equal to $2,190,000 |
In no event shall the term of the Agreement extend beyond June 30, 2024, nor shall the total contract maximum exceed the amount of TWO MILLION ONE HUNDRED NINETY THOUSAND DOLLARS ($2,190,000) unless otherwise agreed to in writing by the Parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | smilliren | 10/14/2021 02:22 PM |
| County Counsel | Hope Welton | 10/14/2021 02:42 PM |
- Form Started By:
- Emily Covey
- Started On:
- 08/02/2021 12:53 PM
- Final Approval Date:
- 10/18/2021