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File #: 14-0698    Version: 1
Type: Agenda Item Status: Approved
File created: 5/12/2014 In control: Board of Supervisors
On agenda: 6/10/2014 Final action: 6/10/2014
Title: Health and Human Services Agency, Mental Health Division recommending the Board consider the following: 1) Approve and authorize the Chair to execute perpetual Agreement for Services 448-S1311 with BHC Heritage Oaks Hospital, Inc. with a maximum not-to-exceed compensation of $200,000 during any fiscal year with a term that shall commence upon execution, and remain in perpetuity, unless terminated by either party for the provision of acute psychiatric inpatient placement services on an “as requested” basis; 2) Approve and authorize the Chair to execute perpetual Agreement for Services 449-S1311 with BHC Sierra Vista Hospital, Inc. with a maximum not-to-exceed compensation of $200,000 during any fiscal year with a term that shall commence upon execution, and remain in perpetuity, unless terminated by either party for the provision of acute psychiatric inpatient placement services on an “as requested” basis; 3) Approve and authorize the Chair to execute retroactive Agreement for Service...
Attachments: 1. A - Approved CRS 448-S1311, 2. B - BHC Heritage Oaks Hospital 448-S1311, 3. C - Approved CRS 449-S1311, 4. D - BHC Sierra Vista Hospital 449-S1311, 5. E - Approved CRS 520-S1411, 6. F - Final BHC Health Svcs of Nevada dba West Hills Hospital 520-S1411, 7. Executed Agreement 448-S1311 (BOS 6-10-14), 8. Executed Agreement 449-S1311 (BOS 6-10-14), 9. Executed Agreement 520-S1411 (BOS 6-10-14)
Related files: 18-1873, 18-1904
Title
Health and Human Services Agency, Mental Health Division recommending the Board consider the following:
1) Approve and authorize the Chair to execute perpetual Agreement for Services 448-S1311 with BHC Heritage Oaks Hospital, Inc. with a maximum not-to-exceed compensation of $200,000 during any fiscal year with a term that shall commence upon execution, and remain in perpetuity, unless terminated by either party for the provision of acute psychiatric inpatient placement services on an "as requested" basis;
2) Approve and authorize the Chair to execute perpetual Agreement for Services 449-S1311 with BHC Sierra Vista Hospital, Inc. with a maximum not-to-exceed compensation of $200,000 during any fiscal year with a term that shall commence upon execution, and remain in perpetuity, unless terminated by either party for the provision of acute psychiatric inpatient placement services on an "as requested" basis;
3) Approve and authorize the Chair to execute retroactive Agreement for Services 520-S1411 with BHC Health Services of Nevada, doing business as West Hills Hospital with a maximum not-to-exceed compensation of $200,000 during any fiscal year with a term that shall be effective upon execution and cover the period March 1, 2014 through February 28, 2019 unless terminated by either party for the provision of acute psychiatric inpatient placement services on an "as requested" basis; and
4) Authorize the Purchasing Agent, or their designee, to execute further documents relating to Agreement for Services 448-S1311, Agreement for Services 449-S1311, and Agreement for Services 520-S1411, including amendments which do not affect the maximum compensation or term of the Agreement, and contingent upon approval by County Counsel and Risk Management.
 
FUNDING:  State and Federal Funds.
Body
 
 
Total Estimated Cost………………………………………………
$600,000
 
 
BHC Heritage Oaks Hospital, Inc. ………………………………
$200,000
BHC Sierra Vista Hospital, Inc. ………………………………….
$200,000
BHC Health Services of Nevada, dba West Hills Hospital …
$200,000
 
 
Total Funding Available…………………………
$600,000
 
 
Change To Net County Cost……………………….
$0
Fiscal Impact/Change to Net County Cost
There is no change to the Net County Cost associated with this agenda item.  Sufficient appropriations are included in the Fiscal Year 2013-14 budget and will be included in future County Budget Requests.
 
Background
Welfare and Institutions (W&I) Code Section 5897 directs the State to implement the mental health services defined in the W&I Code Section 5800 (Adult and Older Adult Mental Health System of Care Act), Section 5840 (Prevention and Early Intervention Programs), and Section 5850 (The Children's Mental Health Services Act) through contracts with county mental health programs or with counties acting jointly.  
 
Chapter 633, Statutes of 1994, Assembly Bill 757 consolidated the authorization of Fee-for-Service/Medi-Cal and Short-Doyle/Medi-Cal psychiatric inpatient hospital services at the county level.  Under this program, the State Department of Health Care Services (DHCS) transferred the responsibility for psychiatric inpatient hospital services to the county's Mental Health Plan (MHP).  The MHP authorizes psychiatric inpatient hospital service admissions, continued stay services and administrative days for all Medi-Cal recipients based on county of residence.  
 
The Health and Human Services Agency (HHSA), on behalf of the County, contracts with the State to serve as the Mental Health Plan (MHP) for the County.  HHSA, as the MHP, contracts with multiple inpatient acute psychiatric hospital facilities, to ensure the availability of services on an "as needed" basis, in accordance with Title 9, California Code of Regulations Sections 1700-1799.  
 
Reason for Recommendation
Approval of these Agreements for Services will ensure availability of acute psychiatric inpatient facilities for adults, older adults, and adolescents in locations that allow Clients to receive services in various geographical locations close to their personal support systems.  
 
Approval of retroactive Agreement for Services 520-S1411 with BHC Health Services of Nevada, doing business as West Hills Hospital will allow for payment of services provided to an El Dorado County resident for acute inpatient psychiatric treatment  for the period of March 3, 2014 through April 11, 2014.
 
The County of El Dorado Psychiatric Health Facility (PHF) does not provide acute inpatient services for children.  BHC Sierra Vista and BHC Heritage Oaks have provision for adolescent (ages 13-17) acute inpatient treatment and BHC West Hills has provision for pediatric (ages 4-12) and adolescent (ages 13-17) acute inpatient treatment.
 
Clerk of the Board Follow Up Actions
1) Chair to sign two (2) originals of Agreement for Services 448-S1311.
2) Chair to sign two (2) originals of Agreement for Services 449-S1311.
3) Chair to sign two (2) originals of Agreement for Services 520-S1411.
4) Clerk of the Board to return one (1) original Agreement for Services 448-S1311, Agreement for Services 449-S1311, and Agreement for Services 520-S1411to HHSA, Contracts Unit
 
Contact
Don Ashton, M.P.A., Director
 
Concurrences
County Counsel, Risk Management, and Human Resources