Approve fifth amendment to Agreement No. 20-04 with BHC Heritage Oaks Hospital to increase maximum compensation by $236,000 ($111,000 for 2021-22 and $125,000 for 2022-23) for a new contract maximum of $2,732,812 for the period of July 1, 2019 through June 30, 2023, to provide psychiatric health facility services. (No general fund impact) (Sullivan)

Approve fifth amendment to Agreement No. 20-04 with BHC Heritage Oaks Hospital to increase maximum compensation by $236,000 ($111,000 for FY 2021-22 and $125,000 for FY 2022-23), for a new contract maximum of $2,732,812 for the period of July 1, 2019 through June 30, 2023, to provide psychiatric health facility services.

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 needs acute psychiatric care, they must be treated by another qualified psychiatric fee-for-service hospital in the surrounding area.  BHC Heritage Oaks Hospital, being such a facility and being located relatively close to Yolo County, is equipped to provide appropriate services to meet our clients’ needs, regardless of client age.
 
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. 
 
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 $500,000 for Fiscal Year 2022-23.
 
Approval of this amendment is necessary to cover the remaining claims for fiscal year 2021-22 so that the County can continue to provide acute psychiatric inpatient services to adults with severe mental illness and add additional funding for Fiscal Year 2022-23. Additional annual funding as of Fiscal Year 22-23 is needed as actual costs each year have surpassed previously planned annual budgets and resulted in repeated contract budget amendments.

Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. 20-04 and are not being changed by this amendment.

This agreement was sought out by a Sole Source, which has been approved by Procurement.
 
The Department confirms BHC Heritage Oaks Hospital has performed satisfactorily on the current agreement.