Title
a. Approve and authorize the Director of Health to sign a one fiscal year term Mental Health Services Agreement (November 1, 2012 to June 30, 2013) with Crestwood Behavioral Health, Inc. for the provision of mental health services to adults with severe psychiatric disabilities in the amount of $54,934.00 for Fiscal Year 2012-13 (November 1, 2012 through June 30, 2013), for a total maximum agreement amount of $54,934.00;
b. Authorize the Director of Health to sign the Mental Health Services Agreement with Addendum No. 1 for the County of Monterey; and
c. Authorize the Director of Health to approve up to three future amendments to this Agreement where the amendments do not exceed ten percent (10%) of the original contract amount and do not significantly change the scope of work or result in an increase to County General Fund Contribution.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health to sign a one fiscal year term Mental Health Services Agreement (November 1, 2012 to June 30, 2013) with Crestwood Behavioral Health, Inc. for the provision of mental health services to adults with severe psychiatric disabilities in the amount of $54,934.00 for Fiscal Year 2012-13 (November 1, 2012 through June 30, 2013), for a total maximum agreement amount of $54,934.00;
b. Authorize the Director of Health to sign the Mental Health Services Agreement with Addendum #1 for the County of Monterey; and
c. Authorize the Director of Health to approve up to three future amendments to this Agreement where the amendments do not exceed ten percent (10%) of the original contract amount and do not significantly change the scope of work or result in an increase to County General Fund Contribution.
SUMMARY/DISCUSSION:
Crestwood Behavioral Health (BH), Inc. has provided mental health services for over a decade and for thirty (30) years prior under the previous corporate umbrella of Crestwood Hospitals. Crestwood BH has eighteen (18) California facilities ranging in size from 12 to 194 beds. Crestwood's programs provide recovery oriented psychiatric services to adults, older adults, and transition age youth with severe and persistent mental health illnesses. Crestwood BH provides intensive 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.
This new Crestwood BH Agreement is recommended for services at the Crestwood Center located in San Jose, California to provide an immediate urgent placement of one (1) client with a special physical need effective November 1, 2012 or soon thereafter upon placement availability. Crestwood Center will provide this option at a much lower cost for those clients who may otherwise be referred to a State Hospital to receive the necessary services and treatment to successfully integrate into the community. The negotiated rate at Crestwood BH is $227.00 versus a State Hospital rate at $775.00.
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. Counsel has reviewed and concurs with Addendum #1 modification to Section XIV. Preparation of Annual Report(s) and Contractor's Year-End Cost Report Settlement as the strikeout language does not pertain to the services at Crestwood BH.
Risk Management has reviewed and does not concur with Addendum #1 addition of a 'mutual' indemnification, as provided, as it is a deviation from the County's risk standard. The Director of Health recommends Board approval of the non-standard language, given the low risk of liability associated with the revision of Section XI. Indemnification to add a 'mutual indemnification' to the MHS Agreement with Crestwood BH as listed in Addendum #1.
The Agreement with Addendum #1 has been approved by the Director of Health. The Contracts/Purchasing Manager concurs with the contract terms. Agreement is on file with the Clerk of the Board. Addendum #1 is on file with the Clerk of the Board.
FINANCING:
This Agreement is funded by Realignment revenues. The funds for this Agreement ($54,934.00) 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:
Agreement is on file with the Clerk of the Board
Addendum #1 is on file with the Clerk of the Board