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File #: 14-0564    Version: 1
Type: Agenda Item Status: Approved
File created: 4/10/2014 In control: Board of Supervisors
On agenda: 4/29/2014 Final action: 4/29/2014
Title: Health and Human Services Agency, Mental Health Division, recommending the Board consider the following: 1) Approve the Agreement Template for El Dorado County’s use to contract with other counties who refer their clients to the El Dorado County Psychiatric Health Facility and with the same standard terms and conditions as approved by County Counsel and Risk Management; 2) Approve and authorize the Chair to sign Resolution 049-2014 authorizing the Health and Human Services Agency Director to execute said agreements with other counties for the provision of acute inpatient psychiatric treatment for clients referred by those agencies; and 3) Authorize the Health and Human Services Agency Director to execute amendments to these agreements, contingent upon approval by County Counsel and Risk Management. FUNDING: Fee-for-service revenue from other local agencies.
Attachments: 1. A - Approved CRS for PHF Template, 4-29-14, 2. B - PHF Template Resolution, 4-29-14, 3. C - PHF Agreement Template, 4-29-14, 4. Executed Resolution 049-2014 (BOS 4-29-14)
Title
Health and Human Services Agency, Mental Health Division, recommending the Board consider the following:
1) Approve the Agreement Template for El Dorado County’s use to contract with other counties who refer their clients to the El Dorado County Psychiatric Health Facility and with the same standard terms and conditions as approved by County Counsel and Risk Management;
2) Approve and authorize the Chair to sign Resolution 049-2014 authorizing the Health and Human Services Agency Director to execute said agreements with other counties for the provision of acute inpatient psychiatric treatment for clients referred by those agencies; and
3) Authorize the Health and Human Services Agency Director to execute amendments to these agreements, 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 Agreement Template. Sufficient expenditures and revenues will be included in each Fiscal Year Budget Request, based on active agreements.

Background
The Health and Human Services Agency (HHSA) has contracted with other counties for many years in order to provide access to the County’s Psychiatric Health Facility (PHF) services for other-county clients who require short-term 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.

Mental Health staff at the PHF manages the daily census and accepts or declines referrals from other counties based on 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 mental health services. The County retains t...

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