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a. Approve and authorize the Director of Health to sign a three-year term Mental Health Services Agreement (July 1, 2012 to June 30, 2015) with Medical Hill Rehabilitation Center, L.L.C. dba Medical Hill Rehabilitation for the provision of skilled nursing services for organic brain syndrome, traumatic brain injured, and medically debilitated patients in the amount of $416,603.70 for Fiscal Year (FY) 2012-13, $435,595.31 for FY 2013-14, and $455,479.53 for FY 2014-15, for a total Agreement in the amount of $1,307,678.54; and
b. 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 amount and do not significantly change the scope of work or result in an increase in the County General Fund Contribution.
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RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health to sign a three-year term Mental Health Services Agreement (July 1, 2012 to June 30, 2015) with Medical Hill Rehabilitation Center, L.L.C. dba Medical Hill Rehabilitation for the provision of skilled nursing services for organic brain syndrome, traumatic brain injured, and medically debilitated patients in the amount of $416,603.70 for Fiscal Year (FY) 2012-13, $435,595.31 for FY 2013-14, and $455,479.53 for FY 2014-15, for a total Agreement in the amount of $1,307,678.54; and
b. 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 amount and do not significantly change the scope of work or result in an increase in the County General Fund Contribution.
SUMMARY/DISCUSSION:
Medical Hill Rehabilitation Center, L.L.C. dba Medical Hill Rehabilitation is a mental health rehabilitation center for adults with psychiatric impairments and disabilities that require a locked skilled nursing level of care. The services of Medical Hill Rehabilitation are necessary to maintain medical continuity of critical mental health care services provided to severe mentally ill adult patients currently placed in this facility located in the City of Oakland. Medical Hill Rehabilitation program is a specialized care program that provides skilled nursing services to organic brain syndrome, traumatic brain injured, and medically debilitated patients.
This Agreement with Medical Hill Rehabilitation is a three (3) fiscal year renewal (Fiscal Year 2012-13 through Fiscal Year 2014-15). There are no changes to the scope of services from prior fiscal years. In December 2010 AB 2645 implemented a rate freeze of the Institution for Mental Disease (IMD) daily reimbursement rate to the rates that were in effect on July 1, 2009 for the period of July 1, 2010 through June 30, 2012. However, this enactment did not change the rate structure with Medical Hill Rehabilitation in FY 2009-10 thru FY 2011-12 since they were already operating at a lower rate structure. Confirmation of the IMD rate schedule for FY 2012-13 thru FY 2014-15 is pending State notification.
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:
County Counsel, Auditor-Controller, and Risk Management have reviewed and approved this Agreement as to legal form, fiscal provisions, and insurance requirements. This Agreement is on file with Clerk of the Board.
FINANCING:
This Agreement is funded by Realignment revenues. The funds for this Agreement ($416,603.70) are included in the Health Department's Behavioral Health (HEA012, Unit 8410) Fiscal Year 2012-13 Requested 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 Clerk of the Board.