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Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Agreement for Services 5363 with Crestwood Behavioral Health, Inc. for the provision of adult inpatient/residential treatment services, in the amount of $3,600,000, for the term of July 1, 2021 through June 30, 2024;
2) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Crestwood Behavioral Health, Inc. for services provided under Agreement 5363 because (B) “Specialty skills and qualifications not expressly identified in County classifications are involved in the performance of the work;” and
3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 5363 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: Behavioral Health Realignment State Funding.
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DISCUSSION / BACKGROUND:
On behalf of the County, the Health and Human Services Agency (HHSA) contracts with the State as the Mental Health Plan (MHP) for the County. As the MHP, HHSA is required to provide Specialty Mental Health Services to eligible individuals, including long-term residential facility placements when appropriate. To meet this requirement, the MHP contracts with long-term residential treatment facilities and psychiatric facilities, to ensure availability of services on an “as requested” basis, in accordance with Title 9, California Code of Regulations (CCR), Title 22 CCR and Welfare and Institutions Code (WIC), Division 5.
Crestwood Behavioral Health, Inc. (Crestwood) is licensed by the State of California to provide long-term residential intensive psychiatric and rehabilitation services to adults with serious mental health disorders. The services are designed to assist eligible clients, age 18 or older, in the development of skills to become more self-sufficient and to move toward increasing levels of independent functioning with the goal of community reintegration.
Pursuant to WIC Section 5912, Crestwood’s rates will increase annually by 3.5 percent. The rates are established by the State Department of Health Care Services.
HHSA has contracted with Crestwood since 2007. Agreement 5363 is a renewal of Crestwood’s current agreement approved by the Board on May 17, 2016 (File ID: 16-0391, Agenda No. 19), and will be for the term of July 1, 2021 through June 30 2024, and a maximum obligation of $3,600,000.
In accordance with Board of Supervisors Procurement Policy C-17, Section 7.11, the contractor selection process for service contracts in excess of $100,000 must include a review of the scope of services and contractor’s professional qualifications by a group of individuals (including at least one representative from outside the department requesting the services) qualified to judge the contractor’s ability to perform the services. HHSA has documentation on file that such a review was performed for Agreement 5363 with Crestwood.
ALTERNATIVES:
Should the Board decline to approve this recommendation, HHSA would continue to provide services through existing contracts, but HHSA would be limited in access to adult residential mental health facility services. In addition, the County will have diminished ability to provide services required of the Mental Health Plan, and the continuity of care for clients currently placed in one of Crestwood’s facilities would be disrupted.
PRIOR BOARD ACTION:
1) 05/17/2016, 16-0391 v.1, HHSA Crestwood
2) 05/23/2017, 16-0391 v.2, HHSA Crestwood Amendment
3) 06/04/2019, 19-0004 HHSA Amendment 3, #25 (010-S1711) Crestwood Behavioral Health, Inc.
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Procurement and Contracts, Human Resources, Auditor Controller, and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with this Agenda item as funding is provided through behavioral health realignment state funding. Sufficient appropriations were included in the Fiscal Year 2020-21 Budget, and will be included in future budgets for the term of the 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 #5363.
2) Clerk of the Board to return one (1) fully executed Agreement to the HHSA Contracts Unit at 3057 Briw Road.
STRATEGIC PLAN COMPONENT:
County of El Dorado Strategic Plan Goal: Healthy Communities - Improved health, well-being and self-sufficiency of El Dorado County communities, residents, and visitors.
CONTACT
Don Semon, Director