Title
Health Services Department, Mental Health Division recommending the Board authorize the Chair to sign Agreement 011-S1111 with Crestwood Behavioral Health, Inc. in the amount of $1,025,000 for the term July 1, 2010 through June 30, 2013 to provide a long-term, 24-hour special treatment program for mentally ill adults on an "as requested" basis for said Department.
FUNDING: Funding is provided by State Managed Care and Realignment.
Body
BUDGET SUMMARY: |
|
|
Total Estimated Cost |
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$1,025,000 |
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|
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Funding |
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|
Budgeted |
$1,025,000 |
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New Funding |
$ |
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Savings |
$ |
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Other |
$ |
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Total Funding Available |
$1,025,000 |
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Change To Net County Cost |
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$0 |
Fiscal Impact/Change to Net County Cost: The not-to-exceed amount of this Agreement is $1,025,000 for the three year term. There is no Net County Cost associated with this Agreement.
Compensation for Services: Payments are made to Contractor based upon monthly invoicing at specified billing rates for actual services performed and documented per contract requirements. Services and rates are detailed in Exhibit "B" of the contract.
Contract Termination: This Agreement includes the County's standard Fiscal Considerations termination language, as well as a provision for the County to terminate the Agreement without cause in seven (7) calendar days upon written notice.
Reason for Recommendation: Crestwood Behavioral Health, Inc. has been providing long-term 24-hour care and treatment to seriously mentally ill County adults (18 and older) for over nine years. Crestwood has a number of locations throughout northern California offering various types and levels of care, based on the client's needs.
Most clients placed in Crestwood facilities have been found by the courts to be gravely disabled due to a mental disorder and placed on an LPS Conservatorship. When it is necessary to place clients in a Crestwood treatment facility, the Health Services Department's Mental Health Division is financially responsible for the placement and mental health treatment costs. To meet this need, Crestwood offers a variety of treatment centers providing clinically appropriate services. Rates vary at the different Crestwood facilities; however, even the highest level/highest cost treatment facilities are significantly more cost effective than use of State Hospitals. In recent years, El Dorado County has had no State Hospital placements. The Mental Health Division has been successful in maintaining clients in the lower level Crestwood facilities.
In accordance with Section 7.10 of the Procurement Policy, the Purchasing Agent has determined that it is appropriate to dispense with outside review of this vendor's qualifications as the Department is satisfied with the services previously received from Crestwood and additionally, the Department contracts with multiple vendors to provide similar services in order to provide necessary client services.
Renewal of this contract will allow the continued use of Crestwood's facilities for seriously mentally ill adults who are in need of 24-hour residential care and treatment at various levels.
Action to be taken following Board approval:
1. Chair to sign three (3) original Agreements.
2. Board Clerk's Office to return two (2) original Agreements to the Health Services Department, Mental Health Division.
3. Mental Health Division to distribute as appropriate.
Contact: Neda West, Health Services Department
Concurrences: This Agreement has been approved by County Counsel and Risk Management and a copy is on file in the Board Clerk's Office.