Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings that the provision of Psychiatric Inpatient Concurrent Review services provided by California Mental Health Services Authority are in the public's best interest and that the work is with or among another governmental entities or agencies in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(B), El Dorado County Charter, Section 210(b)(6), and/or Government Code Section 31000;
2) Approve and authorize the Chair to sign Participation Agreement 6422 with California Mental Health Services Authority, with a not-to-exceed amount of $99,025.92, and for a term effective upon final execution through December 31, 2024; and
3) Authorize the HHSA Director, or Director of Behavioral Health, to execute further documents relating to Agreement 6422, contingent upon approval by County Counsel and Risk Management, including amendments which do not increase the maximum dollar amount or term of the Agreement.
FUNDING: 100% 1991 State Realignment.
Body
DISCUSSION / BACKGROUND:
The El Dorado County Health and Human Services Agency (HHSA) contracts with the State of California Department of Health Care Services (DHCS) as the Mental Health Plan (MHP) for the County of El Dorado. As the MHP, HHSA is required to conduct concurrent review and treatment authorizations for all psychiatric inpatient hospital services and psychiatric health facility services.
On May 31, 2019, DHCS issued Mental Health Substance Used Disorder Services Information Notice (IN) No. 19-026. This Information Notice mandates that county MHPs conduct concurrent review and treatment authorizations for all psychiatric inpatient hospital services and psychiatric health facility services, following the first day of admission. For Medi-Cal reimbursement of psychiatric inpatient hospital services, the beneficiary must meet medical necessity criteria set forth in Title 9 of the California Code of Regulations, Secti...
Click here for full text