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File #: 16-0391    Version:
Type: Agenda Item Status: Approved
File created: 4/6/2016 In control: Board of Supervisors
On agenda: 5/23/2017 Final action: 5/23/2017
Title: Health and Human Services Agency, recommending the Board: 1) Approve and authorize the Chair to sign Amendment 2 to Agreement for Services 010-S1711 with Crestwood Behavioral Health, Inc., for the provision of “as requested” long-term, 24-hour treatment programs for adults with serious mental disorders, for the term ending June 30, 2019, and increasing the compensation by $1,200,000 for a maximum contractual obligation of $4,200,000; and 2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 010-S1711, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management. FUNDING: Federal and State (Medi-Cal).
Attachments: 1. 2A - Approved Contract Routing Sheet 5-23-17, 2. 2B Crestwood Amend 5-23-17, 3. Executed Amendment 2 to Agreement 010-S1711, 4. A - Approved Contract Routing Sheet 5-17-16, 5. B - Crestwood Agreement 5-17-16, 6. Executed Agreement 010-S1711
Related files: 19-0004, 21-0207
Title
Health and Human Services Agency, recommending the Board:
1) Approve and authorize the Chair to sign Amendment 2 to Agreement for Services 010-S1711 with Crestwood Behavioral Health, Inc., for the provision of “as requested” long-term, 24-hour treatment programs for adults with serious mental disorders, for the term ending June 30, 2019, and increasing the compensation by $1,200,000 for a maximum contractual obligation of $4,200,000; and
2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 010-S1711, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management.

FUNDING: Federal and State (Medi-Cal).
Body
DEPARTMENT RECOMMENDATION
Health and Human Services Agency (HHSA) recommending the Board approve and authorize the Chair to sign Amendment 2 to Agreement for Services 010-S1711 with Crestwood Behavioral Health, Inc., to provide “as requested” long-term, 24-hour treatment programs for adults with serious mental disorders. Crestwood Behavioral Health, Inc. services include long-term residential facility services for eligible individuals. The County does not have a long-term residential treatment facility. Due to higher than anticipated utilization and due to a statutorily authorized rate increase, HHSA recommends increasing the compensation by $1,200,000 for a maximum contractual obligation of $4,200,000. The increased compensation factors in an annual increase in rates.

Additionally, HHSA has determined, in accordance with County Ordinance Section 3.13.030, it is more economical and feasible to engage an independent contractor for these services as the County does not possess the facilities required to provide the services.

DISCUSSION / BACKGROUND
On behalf of the County, HHSA contracts with the State as the Mental Health Plan (MHP) for the County. As the MHP, HHSA is required to provide...

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