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Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign revenue Agreement for Services 295-S1811 with County of Nevada, for the provision of acute inpatient mental health services for the clients they refer to the El Dorado County Psychiatric Health Facility effective upon execution for a three (3) year term, with a maximum contractual obligation of $200,000 per fiscal year; and
2) Authorize the Director of the Health and Human Services Agency, or designee, to execute further documents relating to Agreement for Services 295-S1811 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: Fee for service revenue from the County of Nevada.
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DEPARTMENT RECOMMENDATION
Health and Human Services Agency (HHSA) recommending the Board approve and authorize the renewal of this revenue-generating Agreement to allow County of Nevada Behavioral Health to pay for services provided by County of El Dorado’s Psychiatric Health Facility (PHF). This Agreement includes a provision for a bed at the PHF to be held for use by Nevada County (a dedicated bed) as well as compensation for said dedicated bed.
Approval of revenue Agreement for Services 295-S1811 with County of Nevada is necessary in order to provide mandated short-term inpatient mental health services to that County’s respective clients who require the specialized mental health services provided by the County’s PHF.
DISCUSSION / BACKGROUND:
The Welfare and Institutions Code Section 14680 through 14726 directs the California Department of Health Care Services (DHCS) to implement and administer Mental Health Plans (MHPs) for the provision of mental health care for Medi-Cal eligible residents of this state. The Health and Human Services Agency (HHSA) has contracted with the County of Nevada for many years to provide access to the County’s PHF for the provision of services for Nevada County’s clients who require acute inpatient mental health services under the direction of their MHP. 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.
The PHF is now operated and managed on behalf of the County by Telecare Corporation, Inc. (Telecare) and its staff manages the daily census. In conjunction with HHSA, Telecare accepts or declines referrals from other counties based on specified requirements including 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 services.
For the term of this Agreement, County PHF will reserve and maintain in their bed inventory, one (1) bed for the sole use of County of Nevada. In return, County of Nevada shall reimburse HHSA for said dedicated bed.
ALTERNATIVES:
Disapproval of Agreement for Services 295-S1811 will result in the County not being able to maximize PHF revenues by providing services to Nevada County to include the reservation of one (1) dedicated bed.
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
County Counsel and Risk Management
CAO RECOMMENDATION:
It is recommended that the Board approve this item.
FINANCIAL IMPACT:
There is no Net County Cost associated with this revenue-generating Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Agreements for Services 295-S1811.
2) Clerk of the Board to return one (1) fully executed Agreement to the HHSA Contracts Unit at 3057 Briw Road.
STRATEGIC PLAN COMPONENT:
N/A
CONTACT
Patricia Charles-Heathers, Ph.D., M.P.A., Director