Title
Mental Health Department recommending Chairman be authorized to sign Amendment I to Agreement 759-S0711 with Nevada County increasing compensation by $72,000 to $92,000 for a term to expire June 30, 2009 for use of El Dorado County's Psychiatric Health Facility (PHF) on an "as requested" basis.
RECOMMENDED ACTION: Approve.
FUNDING: Nevada County.
Body
BUDGET SUMMARY: |
|
|
Total Estimated Cost |
Amendment: |
$72,000 |
|
|
|
Funding |
|
|
Budgeted |
$72,000 |
|
New Funding |
$ |
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Savings |
$ |
|
Other |
$ |
|
Total Funding Available |
$72,000 |
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Change To Net County Cost |
|
$0 |
Fiscal Impact/Change to Net County Cost: There is no Net Change to County Cost.
Background: The PHF is a 15-bed, acute, inpatient facility for adults. Because there are usually available beds and the costs to operate the PHF are fairly fixed whether there are 2 patients or 10, the County contracts with other counties to care for their acute psychiatric patients. However, the County may stop accepting out of County admissions at any time, and usually does so when the census reaches 8 patients, saving the last seven beds for any El Dorado County admissions that may occur. Nevada County is one county that utilizes the PHF on a fee-for-service basis at a rate of $580 per patient per day.
All contracts with other counties specify a daily rate that is to be paid for each day their patient is cared for at the PHF. If an out of county patient has no Medi-Cal or other insurance, the admitting county is responsible for paying the entire bill. If the patient is a Medi-Cal recipient, the department bills Medi-Cal for the stay. Medi-Cal reimburses one half the rate and the admitting county is charged with the other half of the outstanding bill. The Department's collection rate is nearly 100% since psychiatric beds are in short supply and the Department can refuse to accept any additional patients from a county that does not pay for services. The payment received for the services provided covers 100% of El Dorado County's costs.
Reason for Recommendation: Contracting with other counties allows the Mental Health Department to gain needed revenue from the PHF. This in turn supports the overall operation of the PHF and helps to keep it open for use by El Dorado County residents when needed.
Nevada County currently has a contract to use the PHF; the purpose of this amendment is to increase the not to exceed amount of the contract from $20,000 to $92,000 with no change to the original two year contract term. This increase is needed due to recent greater than expected use of the PHF by Nevada County.
Action to be taken following Board approval:
1. The Chairman of the Board will sign two duplicates of Amendment I to Agreement #759-S0711 with Nevada County.
2. The Board Clerk's Office will forward the executed amendment to the Mental Health Department.
3. The Mental Health Department will forward to the Procurement and Contracts division of the Chief Administrator's Office one duplicate of the fully executed amendment with original signatures, together with supporting administrative documents.
4. The Mental Health Department will forward to Nevada County one duplicate of the fully executed amendment with original signatures.
Contact: John A. Bachman, Mental Health
Concurrences: This amendment has been approved by County Counsel and Risk Management and a copy is on file in the Board Clerk's Office.