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Health and Human Services Agency (HHSA) recommending the Board:
1) Approve and authorize the Chair to sign Amendment 1 to Agreement 4282 with California Mental Health Services Authority (CalMHSA) Joint Powers Authority, to continue to participate in the “CalMHSA State Hospital Program” that extends the termination date to June 30, 2021, and continues the annual administrative fee of $1,402/bed/fiscal year, thereby continuing authorization for CalMHSA to negotiate and contract with the State Department of State Hospitals for State hospital beds on behalf of the County; and
2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement 4282, including amendments which do not increase the amount or change the term of the Agreement, and contingent upon approval by County Counsel and Risk Management.
FUNDING: State Funding.
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DISCUSSION / BACKGROUND:
On February 15, 2011, the Board authorized the County to become a participating member in the California Mental Health Services Authority (CalMHSA) JPA via Resolution 024-2011 and participation agreement 373-162-M-E2010 (EDC #142-O1111). Initially, CalMHSA was formed so that counties could pool their Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) funds to maximize the effectiveness of funding. Over time CalMHSA has evolved to include a broader scope of services, including the negotiation on behalf of participating counties for the purchase of State Hospital beds and other programs or activities including but not limited to the Drug-Medical Treatment Program, managed mental health care, and delivery of specialty mental health services, thereby requiring a subsequent Participation Agreement for the State Hospital Bed Program (Agreement 4282).
In accordance with Welfare and Institutions Code Section 4100 et seq., the California Department of State Hospitals (DSH) has jurisdiction over State hospitals for the provision of services to persons with severe mental disorders that have not responded to treatment at lower levels of mental health care. These services include inpatient psychiatric health care, treatment, and support services. County residents who have mental, emotional, or behavioral disorders that cannot be treated at a lower level, are referred to the State hospitals for treatment.
CalMHSA Participation Agreement 4282 authorizes CalMHSA to contract for State Hospital beds on the behalf of the County of El Dorado. The program goals are to ensure compliance by DSH with all applicable requirements, create efficiency and contain costs, establish consistency in quality of care, work collectively to identify and/or develop alternative resources for special populations requiring secure 24 hour treatment services. The administration of these goals is funded by a $1,402/per bed/fiscal year fee. Currently the County is committed to one (1) bed. Execution of Amendment 1 to Participation Agreement 4282 is required to confirm the County’s continued participation in the CalMHSA State Hospital Bed Program.
Additionally, HHSA is recommending the Board find that in accordance with Chapter 3.13, Section 3.13.030 of the County Ordinance the County has neither the facilities nor specialty skills required to provide inpatient treatment and care at the acuity level of the State hospitals. Therefore, it is more economical and feasible to engage an independent contractor for the provision of State hospital beds.
ALTERNATIVES:
Should the Board decline to approve this recommendation, HHSA would be out of compliance with State, Federal, and program requirements.
PRIOR BOARD ACTION:
1) 12/10/10 10-1324 CalMHSA JPA
2) 12/10/13 10-1324 CalMHSA Restated JPA
3) 11/05/19 19-1297 HHSA Agmts 265-M1610 A2, 4282, and 4284
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Human Resources, and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
Participation is funded by MHSA, Medi-Cal, and Realignment. There is no Net County Cost associated with this Agenda item. Sufficient appropriations are included in the Fiscal Year 2020-21 Budget.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain the Chair’s signature on two (2) originals of Amendment 1 to Agreement 4282.
2) Clerk of the Board to return both signed Amendments to Health and Human Services Agency, Contracts Unit, to obtain final signature.
STRATEGIC PLAN COMPONENT:
Healthy Communities.
CONTACT
Don Semon, Health and Human Services Agency Director