Consent-Health & Human Services # 28.
Board of Supervisors
- Meeting Date:
- 01/10/2023
- Brief Title
- Fifth Amendment to Agreement No. 19-230 with BHC Sierra Vista Hospital-Acute Psych Inpatient
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Karleen Jakowski, Assistant Director, Health and Human Services Agency, x2978
Supervisorial District Impact:
Countywide
Subject
Approve fifth amendment to Agreement No. 19-230 with BHC Sierra Vista Hospital to add funding in the amount of $62,650 for 2021-22 for a new contract maximum of $2,004,650 for the period of July 1, 2019 through June 30, 2023; and update language, for the provision of Acute Psychiatric Inpatient Services. (No general fund impact) (Sullivan)
Recommended Action
Approve fifth amendment to Agreement No. 19-230 with BHC Sierra Vista Hospital to add funding in the amount of $62,650 for 2021-22 for a new contract maximum of $2,004,650 for the period of July 1, 2019 through June 30, 2023; and update language, for the provision of 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 themselves, 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 needs 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 our client’s 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 who are 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.
On or about March 24, 2022 the County exercised the option to extend the Agreement through Fiscal Year 2022-23 under the same terms and conditions and added $400,000 for Fiscal Year 2022-23
Approval of this Fifth Amendment is necessary to cover the remaining claims for fiscal year(s) 2021-22 so that the County can continue to provide acute psychiatric inpatient services to adults with severe mental illness.
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 needs 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 our client’s 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 who are 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.
On or about March 24, 2022 the County exercised the option to extend the Agreement through Fiscal Year 2022-23 under the same terms and conditions and added $400,000 for Fiscal Year 2022-23
Approval of this Fifth Amendment is necessary to cover the remaining claims for fiscal year(s) 2021-22 so that the County can continue to provide acute psychiatric inpatient services to adults with severe mental illness.
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/Vendor Performance
This agreement was sought out by a Sole Source, which was approved by Procurement.
The Department confirms BHC Sierra Vista has performed satisfactorily on the current agreement.
The Department confirms BHC Sierra Vista has performed satisfactorily on the current agreement.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 62,650
- Amount budgeted for expenditure:
- $ 62,650
- Additional expenditure authority needed:
- $ 0
- On-going commitment (annual cost):
- $ 400,000
Source of Funds for this Expenditure
- MH Realignment
- $62,650
Further explanation as needed:
No general funds are required by this action. These services will be funded by Realignment. The action increases the contract maximum by $62,650 for a new contract total of $2,004,650 for the period of July 1, 2019 through June 30, 2023. The amount of $62,650 is included in the HHSA adopted budget for FY2021-22. 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.
.
| FY 2019-20 July 1, 2019 through June 30, 2020 |
FY 2020-21 July 1, 2020 through June 30, 2021 |
FY 2021-22 July 1, 2021 through June 30, 2022 |
FY 2022-23 July 1, 2022 through June 30, 2023 |
Total |
| $470,000 | $652,000 | $482,650 | $400,000 | $2,004,650 |
The agreement also includes one one-year extension option for Fiscal Year 2023-24 in an amount less than or equal to $400,000.
| 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 2023-24 | On or before June 30, 2024 |
Less than or equal to $400,000 | Less than or equal to $2,404,650 |
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 FOUR HUNDRED FOUR THOUSAND SIX HUNDRED FIFTY DOLLARS ($2,404,650) 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 | Tom Haynes | 12/28/2022 01:51 PM |
| County Counsel | Hope Welton | 12/28/2022 03:10 PM |
- Form Started By:
- Laura Checa
- Started On:
- 07/27/2022 03:38 PM
- Final Approval Date:
- 12/28/2022