Title
Approve and authorize the Director of Health to sign Amendment No. 1 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. 1 extends the termination date to June 30, 2014, revises the Scope of Services and Payment and Billing Provisions, and increases Fiscal Year (FY) 2012-13 annual amount by $148,240 and FY 2013-14 annual amount by $397,850 for a revised total Agreement amount not to exceed $601,024.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health to sign Amendment No. 1 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. 1 extends the termination date to June 30, 2014, revises the Scope of Services and Payment and Billing Provisions, and increases Fiscal Year (FY) 2012-13 annual amount by $148,240 and FY 2013-14 annual amount by $397,850 for a revised total Agreement amount not to exceed $601,024.
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. However, the negotiated rate at Crestwood BH is $227 versus a State Hospital rate at $775.
This Amendment No. 1 would accommodate an urgent placement made on December 12, 2012 and increase funding for additional capacity for clients with basic and special physical needs. Crestwood BH is a viable option to a State Hospital at a lower cost. Therefore, Amendment No. 1 extends the termination date for an additional year (from June 30, 2013 to June 30, 2014), adds the ‘basic’ service type component with associated rate of $218, and adds a total of $546,090 for Fiscal Year 2012-13 thru Fiscal Year 2013-14 to accommodate for five (5) clients each fiscal year. It is recommended that this Amendment No. 1 become effective December 12, 2012. This recommendation to the Board meets the standard processing timeframe from the onset of the urgent placement.
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. 1, given the low risk of liability. The Contracts/Purchasing Manager concurs with the contract terms. Amendment No. 1 is on file with the Clerk of the Board.
FINANCING:
This Agreement is funded by realignment revenues. The funds for this Agreement ($203,174) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2012-13 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
Attachments:
Amendment No. 1 is on file with the Clerk of the Board