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Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings pursuant to Section 3.13.030 (E) of the El Dorado County Ordinance Chapter 3.13, Contracting Out, that the provision of Psychiatric Inpatient Concurrent Reviews by California Mental Health Services Authority (CalMHSA) will be performed by another governmental entity or agency;
2) Make findings in accordance with Procurement Policy C-17 Section 3.4 (3) exempting the competitive bidding process, with Purchasing Agent concurrence, because “competitive bidding would produce no economic benefit to the County”;
3) Approve and authorize the Chair to sign Participation Agreement 10153 with CalMHSA, in the amount of $148,176, and for the term of two years from July 1, 2026, through June 30, 2028;
4) Authorize the Purchasing Agent to execute amendments relating to Participation Agreement 10153, contingent upon approval by County Counsel and Risk Management, which does not increase the maximum dollar amount or increase the term of the Agreement beyond three years; and
5) Authorize the HHSA Director, or the Chief Assistant Director, to execute programmatic, administrative, and fiscal documents relating to Participation Agreement 10153.
FUNDING: 100% State Behavioral Health Realignment.
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DISCUSSION / BACKGROUND:
HHSA contracts with California Department of Health Care Services (DHCS) to serve as the Mental Health Plan (MHP) for El Dorado County (County). As the MHP, HHSA is required to conduct concurrent review of all treatment authorization requests (TARs) for the County Psychiatric Health Facility (PHF) services beginning on the first day of a client’s admission.
On May 31, 2019, DHCS issued Behavioral Health Information Notice (BHIN) 19-026, which mandated that county MHPs approve, modify, or deny TARs during inpatient stays and provide written notification to both the treating providers and the beneficiary when an adverse determination is made. BHIN 22-017, issued on April 15, 20...
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