Title
Approve and Authorize the Contracts/Purchasing Officer or Contracts Purchasing Supervisor to sign Amendment No. 8 to Agreement A-12200, retroactive to 07/01/2017, between the Monterey County Sheriff’s Office and California Forensic Medical Group, Inc. (CFMG) for adult inmate medical services, extending the agreement retroactive to July 1, 2017 to September 30, 2017, at an estimated total cost for three (3) months in the FY 2017-18 of $2,140,000 for the Monterey County Sheriff’s Office, to allow for finalization of a new contract.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisor Approve and Authorize the Contracts/Purchasing Officer or Contracts Purchasing Supervisor to sign Amendment #8 to Agreement A-12200, retroactive to 07/01/2017, between the Monterey County Sheriff’s Office and California Forensic Medical Group, Inc. (CFMG) for adult inmate medical services, extending the agreement retroactive to July 1, 2017 to September 30, 2017, at an estimated total cost for three (3) months in the FY 2017-18 of $2,140,000 for the Monterey County Sheriff’s Office, to allow for finalization of a new contract.
SUMMARY:
The Sheriff requests approval of this amendment to ensure continuation of service delivery while finalization of a new contract occurs. Negotiations have been lengthy and additional time is needed for the approval process during this time of year, hence the reason for the need for extension of the existing contract.
DISCUSSION:
California Forensic Medical Group, Inc. (CFMG) has been the provider of inmate medical services at the Monterey County Adult Detention facility since July 1, 1989. This particular contract (A-12200) was awarded effective April 1, 2012 via a Request for Proposals (RFP) process. The annual cost of this contract for direct medical service provision within the Adult Detention facility in FY 2015-16 was $7,580,778 and FY 2016-17 was $8,134,325 which includes $168,447 HIV medicine costs.
The implementation plan for the settlement agreement in the Hernandez litigation, affecting the adult inmate population, has been finalized, and parameters established by this document, as well as changes made to clarify expectations for service delivery have been incorporated into a new document. This document is undergoing negotiation. The revisions include removal of the
$15,000 cap per each inpatient episode, to meet Department of Health Care Services (DHCS) guidelines for participation in the Medi-Cal for Inmates Eligibility Program (MCIEP). These guidelines dictate that the Sheriff’s Office must pay all inpatient bills as primary guarantor to be partially reimbursed for Medi Cal inpatient claims.
A copy of Agreement A-12200 and all associated amendments is on file at the Clerk to the Board’s Office.
OTHER AGENCY INVOLVEMENT:
County Counsel has approved the agreement as to legal form, and the Auditor-Controller has reviewed for fiscal provisions. Probation has ended their portion of the agreement and is operating under a Memorandum of Understanding with Natividad Medical Center. The sections referring to Juvenile Ward care in the contract were removed via this Amendment.
FINANCING:
A full year’s funding for this contract was included in the FY 2017-18 Sheriff’s Office Approved Budget based on FY 2016-17 projected expenditures and contract terms in the amount of $8,364,170.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This contract meets the Board’s Health objectives by improving the health of at risk populations and transient persons incarcerated at the Adult Detention facility.
Mark a check to the related Board of Supervisors Strategic Initiatives
___Economic Development
__ Administration
X Health & Human Services
___Infrastructure
___Public Safety
Prepared by: John Mineau, Undersheriff, ext. 3859
Approved by: Stephen Bernal, Sheriff /Coroner, ext. 3856
Attachments: California Forensic Medical Group contract and its subsequent amendments