Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a three-year Mental Health Services Agreement with the Community Hospital of the Monterey Peninsula for acute inpatient psychiatric Medi-Cal services, in the amount of $110,430 for Fiscal Year (FY) 2021-22, $110,430 for FY 2022-23, and $114,660 for FY 2023-24, for a maximum County obligation of $335,520 for the term of July 1, 2021 through June 30, 2024; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($33,552) of the original Agreement amount and do not significantly alter the scope of services.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a three-year Mental Health Services Agreement with the Community Hospital of the Monterey Peninsula for acute inpatient psychiatric Medi-Cal services, in the amount of $110,430 for Fiscal Year (FY) 2021-22, $110,430 for FY 2022-23, and $114,660 for FY 2023-24, for a maximum County obligation of $335,520 for the term of July 1, 2021 through June 30, 2024; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($33,552) of the original Agreement amount and do not significantly alter the scope of services.
SUMMARY/DISCUSSION:
This Agreement with the Community Hospital of the Monterey Peninsula is for a three (3) fiscal year term from July 1, 2021 to June 30, 2024, which renews and updates Agreement A-13997 ending June 30, 2021. This Agreement renews inpatient and day treatment psychiatric services on the Monterey Peninsula by contracting the Community Hospital of the Monterey Peninsula to provide inpatient psychiatric services to clients reimbursed under Medi-Cal for the next three (3) fiscal years.
This Agreement provides $1,178 per day per client for FY 2021-22 and FY 2022-23, and $1,225 per day per client for FY 2023-24 based on a negotiated rate in consideration of the Medi-Cal Hospital Services Regional Average Negotiated Rates for Acute Inpatient-Psychiatric Services; and $441 per day per client for Hospital Inpatient Administrative Day Services based on the most recent County Interim Rate set by the State until the County maximum reimbursement rate schedule is established. This agreement decreases the total allocated Units of Service (UOS) and overall County obligation by 48% based on a FY 2018-21 usage analysis from Behavioral Health Admin and Finance.
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.
This work supports the following Monterey County Health Department 2018-2021 strategic plan initiative: 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of the ten essential public health services, specifically: 7) Link people to needed personal health services and assure the provisions of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel-Risk Management and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by Realignment revenues. The funds for this Agreement ($110,430) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2021-22 Requested Budget. The funds for this Agreement for FY 2022-23 ($110,430) and FY 2023-24 ($114,660) will be included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2022-23 and Fiscal Year 2023-24 Requested Budgets.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared By: Norm Morris, Management Analyst II, 1277
Approved By:
____________________________Date:________
Elsa M. Jimenez, Director of Health, 4526
Attachments:
Agreement