Title
Health and Human Services Agency, Mental Health Division, recommending the Board consider the following:
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 Resolution 029-2015 authorizing the Director of the Health and Human Services Agency 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 effective upon execution and ending January 19, 2020, and an amount not-to-exceed $100,000, contingent upon approval by County Counsel and Risk Management.
FUNDING: Fee-for-service revenue from other local agencies.
Body
Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with this revenue generating template Agreement.
Background
The Health and Human Services Agency (HHSA) has contracted with other counties for many years to provide access to the 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 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.
The Telecare contractor staff manage the daily census, and, in conjuction with the Mental Health Department, 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.
The new PHF template Agreement would be used to replace existing Agreements and to execute new Agreements with other local agencies. Should any modifications to the PHF template Agreement be necessary (e.g. to accommodate issues such as changes in code references, or changes suggested by Counsel, etc), those revisions must be reviewed and approved by County Counsel and Risk Management.
Reason for Recommendation
Approval of the template Agreement for use of the County's Psychiatric Health Facility by other counties and authorizing the Director to execute said Agreements will update language to reflect the current service model and expedite Agreement processing to ensure that these revenue Agreements are in place as soon as possible to avoid retroactive Agreements.
Clerk of the Board Follow up Actions
Provide HHSA with a Certified Minute Order approving the template and a certified copy of the adopted Resolution.
Contact
Don Ashton, M.P.A., Director
Concurrences
County Counsel and Risk Management