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File #: 18-1904    Version: 1
Type: Agenda Item Status: Approved
File created: 12/5/2018 In control: Board of Supervisors
On agenda: 2/5/2019 Final action: 2/6/2019
Title: Health and Human Services Agency recommending the Board: 1) Approve and authorize the Chair to sign Amendment 1 to Agreement for Services 847 with BHC Sierra Vista, Inc. doing business as (dba) Sierra Vista Hospital, Inc., for the provision of acute inpatient mental health services, for the perpetual term from June 10, 2014 until terminated, increasing the maximum obligation per fiscal year by $100,000, effective upon contract execution, for a new total obligation of $300,000 per fiscal year; 2) Make findings in accordance with County Ordinance 3.13.030 that it is more economical and feasible to contract with BHC Sierra Vista, Inc. dba Sierra Vista Hospital, Inc. for services provided under this Agreement 847 because the County has neither the staff nor facilities to perform said services; and 3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 847, including amendments which do not increase the maximum dollar amount or term...
Attachments: 1. A - Approved CRS BHC Sierra Vista, 847 A1, 2. B - BHC Sierra Vista Hospital, 847 A1, 3. C - BHC Sierra Vista, 847, 4. D - BHC Sierra Vista 185-S1110, 5. Executed Agreement #847 (449-S1311)
Related files: 14-0698, 12-1524, 07-375
Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Amendment 1 to Agreement for Services 847 with BHC Sierra Vista, Inc. doing business as (dba) Sierra Vista Hospital, Inc., for the provision of acute inpatient mental health services, for the perpetual term from June 10, 2014 until terminated, increasing the maximum obligation per fiscal year by $100,000, effective upon contract execution, for a new total obligation of $300,000 per fiscal year;
2) Make findings in accordance with County Ordinance 3.13.030 that it is more economical and feasible to contract with BHC Sierra Vista, Inc. dba Sierra Vista Hospital, Inc. for services provided under this Agreement 847 because the County has neither the staff nor facilities to perform said services; and
3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 847, 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: 1991 and 2011 Mental Health Realignment.
Body
DISCUSSION / BACKGROUND:
The Health and Human Services Agency (HHSA) contracts with the State Department of Health Care Services (DHCS) to serve as the Mental Health Plan (MHP) for the County. HHSA, as the MH, contracts with multiple inpatient acute psychiatric hospital facilities to ensure availability of services, on an “as needed” basis, in accordance with Exhibit E, Attachment 1 of the MHP Agreement (3190), and per 42 Code of Federal Regulations Section 438.2.

On June 10, 2014, the Board of Supervisors approved perpetual Agreement 847 (447-S1311; File ID No. 14-0698; Agenda Item 68) with BHC Sierra Vista for acute inpatient mental health services for medically indigent County residents and County Medi-Cal clients.

Based on historical usage and current trending of utilization, the maximum obligation of $200,000 per fiscal...

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