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Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Revenue Agreement for Services 4765 with the County of Trinity 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 through December 31, 2021, in the amount of $25,000 per fiscal year; and
2) Authorize the Director of Health and Human Services Agency, or designee, to execute further documents relating to Agreement for Services 4765, 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 Trinity.
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DISCUSSION / BACKGROUND:
The Welfare and Institutions Code Section 14680 through 14726 directs the California Department of Health Care Services 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 Trinity for many years to provide access to the County’s Psychiatric Health Facility (PHF) for the provision of services for Trinity 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) (File ID: 19-1397, Item No. 19) 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.
The prior agreement with Trinity was executed on a Board approved template via Resolution 029-2015 (File ID: 15-0187, Item No. 32). This new agreement updates requirements as directed by the state.
ALTERNATIVES:
Should the Board decline to approve this recommendation, HHSA would continue to provide services through existing contracts, but will be limited in maximizing PHF revenue to offset costs.
PRIOR BOARD ACTION:
1) 02/24/15, 15-0187, HHSA Use of County PHF Template/Resolution
2) 12/17/19, 19-1397, HHSA PHF Telecare Agreements 4330 and 4332
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
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 #4765.
2) Clerk of the Board to return one (1) fully executed Agreement to the HHSA Contracts Unit at 3057 Briw Rd.
STRATEGIC PLAN COMPONENT:
N/A
CONTACT
Don Semon, Director