Title
Approve and authorize the Director of Health to sign renewal and Amendment No. 3 to the Mental Health Services Agreement A-12373 with Crestwood Behavioral Health, Inc. for the provision of mental health services to adults with severe psychiatric disabilities. Amendment No. 3 revises the Scope of Services and Payment and Billing Provisions, and increases Fiscal Year (FY) 2013-14 annual amount by $116,062 for a revised total Agreement amount not to exceed $716,887.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health to sign renewal and Amendment No. 3 to the Mental Health Services Agreement A-12373 with Crestwood Behavioral Health, Inc. for the provision of mental health services to adults with severe psychiatric disabilities. Amendment No. 3 revises the Scope of Services and Payment and Billing Provisions, and increases Fiscal Year (FY) 2013-14 annual amount by $116,062 for a revised total Agreement amount not to exceed $716,887.
SUMMARY/DISCUSSION:
Crestwood Behavioral Health, Inc. provides intensive psychiatric treatment programs with a high level of security and education to assist clients to live independently. Treatment services include an individualized program to meet the specific needs of each client and a structured regimen with services to assist clients in their development of new skills. These individuals are in need of 24-hour skilled services that preclude them from being admitted into a lower-level care facility. Crestwood BH provides similar services as provided at State Hospitals at a lower rate.
This Amendment No. 3 accepts the Crestwood Behavioral Health rate increase of the Mental Health Rehabilitation Center (MHRC) Basic Rate from $218 to $228 for FY 2013-14; adds to FY 2013-14 the following five (5) MHRC facilities: Crestwood Center at Napa Valley (Angwin), Crestwood Behavioral Health Center (Bakersfield), Crestwood Behavioral Health Center (Eureka), Crestwood Center (Sacramento), and Crestwood Recovery & Rehabilitation Center (Vallejo); adds to FY 2013-14 the following Skilled Nursing Facility/Special Treatment Program, Institution for Mental Disease facility: Crestwood Manor (Vallejo); and deletes the Business Associate Agreement as Crestwood BH is a healthcare covered entity.
These additional facilities provide an option to accommodate immediate urgent client placement for the provision of intensive and rehabilitative mental health services to adults with severe psychiatric disabilities. This Amendment No. 3 revises the FY 2013-14 contract amount to $535,182. The FY 2012-13 thru FY 2013-14 revised total contract amount is $716,887.
This Amendment No. 3 was delayed for presentation to the Board of Supervisors because of the lengthy contract negotiations between the County and the Contractor. It is recommended that this Agreement for FY 2012-13 thru FY 2013-14 become effective July 1, 2013 to provide full payment to the Contractor for services provided from July 1, 2013 to present. Approval of this Agreement is mission critical to maintain the continuity of critical care as required by the State Welfare and Institutions Code 5600 (Bronzan-McCorquodale Act), the California Code of Regulations Titles 9 and 22, and to sustain the continuity of core services to seriously mentally ill clients of Monterey County.
This Agreement contains the County's standard 30-day no cause provision (Section IV. B) and an additional defunding provision (Section IV. D), which provides the County the ability to amend or terminate the Agreement in the event of a reduction and/or termination of funding.
OTHER AGENCY INVOLVEMENT:
The Agreement has been approved by County Counsel as to legal form and Auditor-Controller as to fiscal provisions. Risk Management has reviewed and does not concur with the insurance modification of the original Crestwood BH Agreement as approved by the Board of Supervisors on December 11, 2012, as it is a deviation from the County's risk standard. The Director of Health recommends Board approval of Amendment No. 3, given the low risk of liability. The Contracts/Purchasing Manager concurs with the contract terms. Amendment No. 3 is on file with the Clerk of the Board.
FINANCING:
This Agreement is funded by Realignment (100%) revenues. The funds for this Agreement ($535,182) are included in the Health Department's Behavioral Health (HEA012, Unit 8410) Fiscal Year 2013-14 Adopted Budget. Approval of this action has no impact on the County General Fund.
Prepared By: Gloria Rodriguez, Management Analyst, 8986
Approved By: Ray Bullick, Director of Health, 4526
Attachment:
Amendment No. 3 is on file with the Clerk of the Board