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Public Health, Sheriff, and Probation Departments recommending that the Board authorize the Public Health Department to enter into a new contract with California Forensic Medical Group effective July 1, 2007. (Refer 12/12/06, Item 4)
FUNDING: General Fund (to be budgeted in FY 2007-08 in the Public Health Department through a transfer from the Sheriff's Department budget)
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Fiscal Impact/Change to Net County Cost: There is no fiscal impact or net County cost for FY 2006-07. The estimated FY 2007-08 net county cost of the departments' recommendation is approximately $2.52 million. The FY 2006-07 budget includes $2.2 million for this contract. Staff anticipates an additional $236,000 in charges incurred in FY 2006-07 over and above the $15,000 CFMG obligation, bringing the FY 2006-07 amount to $2.4 million.
Background: The County contracted with CFMG beginning January 1, 1996 to provide jail medical/mental health services in Placerville and South Lake Tahoe. This contract has been renewed twice and amended to include Placerville Juvenile Hall (medical only) and South Lake Tahoe Juvenile Treatment Center (medical only) services.
The current contract, administered by the Public Health Department in conjunction with the Sheriff, Probation, and Mental Health Departments, expires June 30, 2007. A review of the service history by County staff indicates that CFMG has performed the services to the County's satisfaction over the entire contractual period. Research of other possible vendors indicates that there is only one other possible vendor. This vendor works in two counties, while CFMG operates in 22 other counties.
CFMG is willing to entertain a three year agreement with a one year increase at 5% (see summary chart below); then the base rate, weekend Licensed Vocational Nurse coverage rate, and per diem rate adjusted in years two and three based on the percentage increase of the medical CPI in the San Francisco - Oakland region from February of the ...
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