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Health and Human Services Agency (HHSA) recommending the Board:
1) Approve and authorize the Chair to sign revenue Agreement for Services 8448 with County of Nevada to allow the County of Nevada to utilize the County of El Dorado’s Psychiatric Health Facility for their clients, for the revenue amount of $2,400,000, and a term beginning upon execution through June 30, 2027;
2) Authorize the Purchasing Agent to execute amendments relating to Agreement 8448, contingent upon approval by County Counsel and Risk Management, which do not increase the Net County Cost of the revenue Agreement; and
3) Authorize the HHSA Director, or the Chief Assistant Director, to execute programmatic, administrative, and fiscal documents relating to Agreement 8448.
FUNDING: Fee-for-service revenue received from County of Nevada.
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DISCUSSION / BACKGROUND:
The El Dorado County (County) PHF is a secure 16-bed facility that provides intensive mental health and psychiatric treatment services to admitted clients in a safe, welcoming environment. Clients admitted to the County’s PHF are adults, ages 18 and over, that are experiencing a mental health emergency. Prior to admission, individuals will have a medical screening performed to determine if they are medically stable to be admitted, in adherence with California Welfare and Institutions Code Section 5150.
HHSA has contracted with other counties for many years to provide access to the County's PHF and for the provision of mental health services for their clients who require acute inpatient mental health services and are eligible for these services. Services provided by the County PHF include psychiatry, medication, clinical treatment, nursing, and the required documentation and maintenance of health information in accordance with prevailing federal and state laws and regulations. Accepting clients from other counties helps HHSA to maximize revenues and offset fixed operational costs of the PHF, while assisting other counties with their mandated mental health services.
This proposed Agreement with County of Nevada is a renewal of Agreement 5818 approved by the Board on May 4, 2021 (Legistar file 21-0259) and its Amendment I approved by the Board on December 12, 2023 (Legistar file 23-1679) to provide the services described in Agreement 5818. The proposed Agreement 8448 would allow the County of Nevada to continue referring clients for admission to the County’s PHF, based on bed availability, with one dedicated bed reserved for County of Nevada clients. In return, the County of Nevada shall reimburse HHSA for their admitted clients’ usage of PHF beds.
HHSA recommends the Board approve this Agreement to allow HHSA to continue maximizing revenues and offset fixed operational costs of the PHF, while assisting the County of Nevada with their mandated mental health services.
ALTERNATIVES:
Should the Board decline to approve this recommendation, the County will continue to provide PHF services, but the County will not be able to maximize PHF revenue by providing services to County of Nevada to include the reservation of one dedicated bed.
PRIOR BOARD ACTION:
1) 04/28/18, 17-1268, HHSA Nevada Co. (Use of PHF) 295-S1811
2) 12/17/19, 19-1397, PHF Telecare Agreements 4330 and 4332
3) 05/04/21, 21-0259, HHSA County of Nevada Use of PHF RFS-988
4) 12/12/23, 23-1679, HHSA County of Nevada Use of PHF
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with the revenue generating Agreement 8448. Revenue from this Agreement is included in the HHSA Behavioral Health Division budget for Fiscal Year (FY) 2024-25, and will be included in future budget requests throughout the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two original Agreements for Services 8448; and
2) Clerk of the Board to return one fully executed Agreement to HHSA Contracts Unit at 3057 Briw Rd, Suite B.
STRATEGIC PLAN COMPONENT:
N/A
CONTACT
Olivia Byron-Cooper, MPH, Director, Health and Human Services Agency