Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Approve the attached template Agreement that allows other counties to contract with the County of El Dorado for the provision of acute inpatient mental health services for clients they refer to the County Psychiatric Health Facility; and
2) Adopt and authorize the Chair to sign Resolution 015-2022 authorizing the Director of HHSA to execute said agreements on behalf of the County with other local agencies for the provision of acute inpatient psychiatric treatment for clients referred by those agencies, for a term no longer than three years, and an amount not-to-exceed $300,000, contingent upon approval by County Counsel and Risk Management.
FUNDING: Fee-for-service from other local agencies.
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DISCUSSION / BACKGROUND:
The Health and Human Services Agency (HHSA) has historically contracted with other counties to provide access to the El Dorado County’s Psychiatric Health Facility (PHF) for the provision of services for their clients who require acute inpatient mental health services. Services provided by the County PHF, operated by Telecare Corporation, Inc. (Telecare) per Agreement #4330 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.
Telecare staff manage the daily census and, in conjunction with the Behavioral Health Division, accepts or declines referrals from other counties based on specified requirements including availability of beds in the facility. 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 services. To ensure availability of PHF beds for County Clients, the County retains the exclusive right of refusal for referrals from other counties.
HHSA has worked with County Risk and County Counsel to draft a new Insurance Article to accurately reflect the applicable insurance when the PHF services are contracted out. Should further minor modifications to the PHF template Agreement be necessary (e.g. updates to the rate exhibit as approved by the Board, changes in code references, or changes suggested by Counsel, etc), those revisions must be reviewed and approved by County Counsel and Risk Management, but will not require Board approval. If changes to the services provided by the County PHF occur, which result in significant changes to the template, or upon advisement by Counsel, a new template Agreement will be brought to the Board for approval.
Upon adoption and authorization of the revised PHF template Agreement, this Resolution will replace and supersede Resolution 185-2020.
ALTERNATIVES:
Should the Board decline to approve this recommendation, the process of executing Use of PHF Agreements with other local agencies will take longer, possibly decreasing needed revenue that offsets the cost of PHF operations.
PRIOR BOARD ACTION:
1) 11/17/20, 20-1293, HHSA Use of Psychiatric Health Facility Boilerplate Resolution
2) 12/17/19, 19-1397, HHSA Psychiatric Health Facility Agreements 4330 and 4332
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 template agreement. The Use of PHF Agreements helps offset the cost of PHF operations, saving Behavioral Health realignment.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Resolutions.
2) Clerk of the Board to return one (1) certified Resolution and one (1) Certified Minute Order to HHSA Contracts Unit at 3057 Briw Road.
STRATEGIC PLAN COMPONENT:
N/A
CONTACT
Don Semon, Director, Health and Human Services Agency