Consent-Health & Human Services # 26.
Board of Supervisors
- Meeting Date:
- 05/24/2022
- Brief Title
- Sixth Amendment to Agreement No. PO 3647 with Crestwood Behavioral Health-Adult inpatient
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 sixth amendment to Agreement No. PO 3647 with Crestwood Behavioral Health to increase funding in the amount of $2,027,000 by increasing 2021-22 funding by $1,027,000; and 2022-23 funding by $1,000,000 for a new contract maximum of $8,752,000 for the period of July 1, 2020 through June 30, 2023 for the provision of 24-hour, long term mental health residential and rehabilitation services for Seriously Mental Ill (SMI) adults; increase option year funding; update the maximum payment obligation; add rates for FY 2022-23; add a scope of services for Lanterman-Petris-Short (LPS) evaluation services; and update and clarify language. (No general fund impact) (Sullivan)
Recommended Action
- Approve sixth amendment to Agreement No. PO 3647 with Crestwood Behavioral Health to increase funding in the amount of $2,027,000 by increasing Fiscal Year (FY) 2021-22 funding by $1,027,000; and FY 2022-23 funding by $1,000,000 for a new contract maximum of $8,752,000 for the period of July 1, 2020 through June 30, 2023 for the provision of 24-hour, long term mental health residential and rehabilitation services for Seriously Mental Ill (SMI) adults; increase option year funding; update the maximum payment obligation; add rates for FY 2022-23; and add a scope of services for Lanterman-Petris-Short (LPS) evaluation services; and update and clarify language; and
- Re-delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to: 1) exercise optional year extensions up to $3,000,000 per fiscal year for fiscal years 2023-24 and 2024-25 and 2) issue related option year notices. Please see Section III. of Att. A. Fourth Amendment.
Strategic Plan Goal(s)
 |
Thriving Residents |
 |
Safe Communities |
Reason for Recommended Action/Background
Crestwood Behavioral Health, Inc. operates eighteen long-term facilities for adult psychiatric consumers. Consumers are placed into various facilities depending on the level of care needed and on the specialization of the facility.
Due to the limited availability of psychiatric beds statewide, Yolo County contracts with all available psychiatric residential facilities in the surrounding area to ensure access to adequate availability for our consumers.
Approval of this amendment will allow the County to pay remaining FY 2021-22 invoices and will provide funding to maintain the continuity of medically necessary care for consumers currently in treatment at the various facilities of Crestwood Behavioral Health, Inc. This amendment will allow HHSA to continue to reduce State Hospital and Acute Psychiatric Hospital placements and ensure access for consumers to all services necessary to live in the least restrictive setting.
Performance Measures included in this Agreement are as follows
Performance measures were included in Agreement No. 20-190 and are not being changed by this amendment.
Due to the limited availability of psychiatric beds statewide, Yolo County contracts with all available psychiatric residential facilities in the surrounding area to ensure access to adequate availability for our consumers.
Approval of this amendment will allow the County to pay remaining FY 2021-22 invoices and will provide funding to maintain the continuity of medically necessary care for consumers currently in treatment at the various facilities of Crestwood Behavioral Health, Inc. This amendment will allow HHSA to continue to reduce State Hospital and Acute Psychiatric Hospital placements and ensure access for consumers to all services necessary to live in the least restrictive setting.
Performance Measures included in this Agreement are as follows
Performance measures were included in Agreement No. 20-190 and are not being changed by 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
These services were sourced via a Sole Source Letter approved by the Procurement Manager.
The Department confirms Crestwood has performed satisfactorily on the current agreement.
The Department confirms Crestwood has performed satisfactorily on the current agreement.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 1,027,000
- Amount budgeted for expenditure:
- $ 1,027,000
- Additional expenditure authority needed:
- $ 0
- On-going commitment (annual cost):
- $ 3,000,000
Source of Funds for this Expenditure
- Realignment and/or IGT
- $1,027,000
Further explanation as needed:
No general funds are required by this action. These services will be funded by Realignment and/or IGT. The action increases the contract maximum by $2,027,000 for a total of $8,752,000 for the period of July 1, 2020 through June 30, 2023. The amount of $1,027,000 is included in the HHSA proposed 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.
The agreement also includes two one-year extension options for July 1, 2023 through June 30, 2024 and July 1, 2024 through June 30, 2025 in an amount less than or equal to $3,000,000 per fiscal year.
In no event shall the term of the Agreement extend beyond June 30, 2025 nor shall the total contract maximum exceed the amount of $14,752,000 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 2020-21 July 1, 2020 through June 30, 2021 |
Fiscal Year 2021-22 July 1, 2021 through June 30, 2022 |
Fiscal Year 2022-23 July 1, 2022 through June 30, 2023 |
Total |
||
| Institution for Mental Disease | $1,945,000 |
$2,724,000 |
$2,696,000 |
$7,365,000 |
|
| Mental Health Services for SMI in Board and Care (Patch Only) | $780,000 | $300,000 | $300,000 |
$1,380,000 | |
| LPS Evaluations/Affidavits | n/a | $3,000 | $4,000 | $7,000 | |
| Total
|
$2,725,000 | $3,027,000 | $3,000,000 | $8,752,000 |
The agreement also includes two one-year extension options for July 1, 2023 through June 30, 2024 and July 1, 2024 through June 30, 2025 in an amount less than or equal to $3,000,000 per fiscal year.
| Option Year/ Fiscal Year |
Maximum Agreement Term Extension Per Option Year/ Fiscal Year | Maximum Increased Funding Amount Per Option Year/ Fiscal Year |
Revised Maximum Payment Obligation including Option Year Increase |
| (OY/FY 2023-24) | On or before June 30, 2024 |
Less than or equal to $3,000,000 | Less than or equal to $11,752,000 |
| (OY/FY 2024-25) | On or before June 30, 2025 |
Less than or equal to $3,000,000 | Less than or equal to $14,752,000 |
In no event shall the term of the Agreement extend beyond June 30, 2025 nor shall the total contract maximum exceed the amount of $14,752,000 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 | Tom Haynes | 05/16/2022 09:21 PM |
| County Counsel | Hope Welton | 05/17/2022 08:51 AM |
- Form Started By:
- Laura Checa
- Started On:
- 04/01/2022 04:00 PM
- Final Approval Date:
- 05/19/2022