Approve agreement with BHC Sierra Vista Hospital dba Sierra Vista Hospital in the amount of $2,674,204 for the period of July 1, 2024 through June 30, 2027 for the provision of Acute Psychiatric Inpatient Hospital services. (No general fund impact) (Sullivan)

Approve agreement with BHC Sierra Vista Hospital dba Sierra Vista Hospital in the amount of $2,674,204 for the period of July 1, 2024 through June 30, 2027 for the provision of Acute Psychiatric Inpatient Hospital 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 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 our clients’ 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 particular 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. 

HHSA request approval of this Agreement in order for the County to continue to provide Acute Psychiatric Inpatient services to SMI adults. The Agreement will have an initial term of July 1, 2024 through June 30, 2027 for a total of $2,674,204.

Performance Measures included in this Agreement are as follows:

The Performance Measures associated with this Agreement are included in Attachment A, Exhibit E.

This is a new agreement, therefore there are no performance measures to report. However, in the prior Sierra Vista Agreement for 2023-24, the provider served 56 unduplicated Yolo County Clients; there were 62 Yolo County inpatient admissions in 2023-24 with a total of 879 days of inpatient treatment. The average length of stay at this facility was 14 days, the median was 16, and the range was 1-67 days. 96% of clients did not experience a psychiatric re-admission within 7 days of discharge; 83% of clients did not experience a psychiatric re-admission within 30 days of discharge.

County Counsel has approved this Agreement as to form.
General Services Department, Procurement Division

On February 29, 2024, the Yolo County Deputy Director/Manager of Procurement or designee approved a sole/single source procurement for these services.

This vendor is able to provide the required acute psychiatric inpatient hospital services locally for adult consumers (aged 21 to 64 years old), when no beds are available at our in-county Unit (at Woodland Memorial Hospital).

If this sole source justification were not approved, Yolo County would have a reduced ability to care for residents in acute crisis who need psychiatric inpatient services to stabilize. This would place these consumers, their loved ones, and the community as a whole at risk. Further, the County in some instances would be unable to meet state-mandated standards regarding the provision of care for persons deemed a risk to themselves or to others, or too gravely disabled to function independently.