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Consent-Health & Human Services # 17.

Adult & Aging

Meeting Date:	10/12/2021
Brief Title: Fourth Amendment with BHC Heritage Oaks
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Ian Evan, Adult and Aging Branch Director, Health and Human Services Agency, x8297

Subject

Approve fourth amendment to Agreement No. 20-04 with BHC Heritage Oaks Hospital to add funding in the amount of $220,000 for 2020-21 for a new contract maximum of $1,996,812, for the period of July 1, 2019, through June 30, 2022, to provide inpatient psychiatric health facility services. (No general fund impact) (Larsen)

Recommended Action

Approve fourth amendment to Agreement No. 20-04 with BHC Heritage Oaks Hospital to add funding in the amount of $220,000 for FY2020-21 for a new contract maximum of $1,996,812, for the period of July 1, 2019, through June 30, 2022, to provide inpatient psychiatric health facility services.

Strategic Plan Goal(s)

	Thriving Residents
	Safe Communities

Reason for Recommended Action/Background

California state law mandates the County to provide psychiatric inpatient hospital services to eligible Medi-Cal and non-Medi-Cal mental health consumers. Woodland Memorial Hospital is the designated and responsible hospital to provide these services to Yolo County residents adults (age 18 or older) who meet California Welfare and Institutions Code criteria and/or who are a danger to self, others or are gravely disabled and require inpatient acute psychiatric services.

When no adult bed space is available at Woodland Memorial Hospital, or when a child or adolescent needs acute psychiatric care, they must be treated by another qualified psychiatric fee-for-service hospital in the surrounding area. BHC Heritage Oaks Hospital, being such a facility and being located relatively close to Yolo County, is equipped to provide appropriate services to meet the needs of HHSA, regardless of client age.

The County is responsible for serving all Yolo Medi-Cal beneficiaries regardless of age. The Contractor is not certified to bill Medi-Cal for services provided to Yolo Medi-Cal beneficiaries whose age is between 21 and 64 years of age. Thus, federal financial participation ("FFP") is not available for these services. The stated contract amount is to be used for funding the services related to this group.

For services provided to Yolo Medi-Cal beneficiaries whose age is either 20 or younger, or 65 or older, the payment to the Contractor for this population is not paid directly via the County. The Contractor bills Medi-Cal directly to receive funding via FFP and the County’s mental health realignment funds. The State then reduces the amount used for this purpose from the monthly realignment apportionment to the County.

Approval of this Fourth Amendment is necessary to cover the remaining claims for fiscal year 2020-21 so that the County can continue to provide acute psychiatric inpatient services to adults with severe mental illness.

Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. 20-04 and are not being changed by this amendment.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

The services in this agreement were procured via a Sole Source Letter, which has been approved by the Procurement Manager.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 220,000
Amount budgeted for expenditure:		$ 0
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 500,000

Source of Funds for this Expenditure

$220,000

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. The action increases the contract maximum by $220,000 for Fiscal Year (FY) 2020-21, for a new contract maximum of $1,996,812, for the period of July 1, 2019, through June 30, 2022. These services will be funded by Realignment. The budget adjustment of $220,000 for FY 2020-21 will be included as part of the year-end item taken to the Board of Supervisors by the Department of Financial Services in November.

The following is the breakdown of funding for this agreement.

Fiscal Year 19-20 July 1, 2019 through June 30, 2020	Fiscal Year 20-21 July 1, 2020 through June 30, 2021	Fiscal Year 21-22 July 1, 2021 through June 30, 2022	Total
$776,812	$720,000	$500,000	$1,996,812

The agreement also includes 2 option years of one-year extension options for fiscal years 2022-23 and 2023-24 in an amount less than or equal to $500,000 per fiscal year.

Option Year/ Fiscal Year (OY/FY)	Maximum Agreement Term Extension Per OY/FY	Increased Funding Amount Per OY/FY	Revised Agreement Maximum Per OY/FY
First/ (FY 2022-23)	On or before June 30, 2023	Less than or equal to: $500,000	Less than or equal to: $2,496,812
Second/ (FY 2023-24)	On or before June 30, 2024	Less than or equal to $500,000	Less than or equal to $2,996,812

In no event shall the term of the Agreement extend beyond June 30, 2024, nor shall the total contract maximum exceed the amount of TWO MILLION NINE HUNDRED NINETY-SIX THOUSAND EIGHT HUNDRED TWELVE DOLLARS ($2,996,812), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.

Attachments
Att. A. Amendment

Form Review

Inbox	Reviewed By	Date
Karen Larsen	Karen Larsen	09/28/2021 10:55 AM
Financial Services	Shelby Milliren	09/28/2021 11:02 AM
County Counsel	Hope Welton	09/28/2021 11:12 AM
Eric Will	Eric Will	10/01/2021 10:48 AM
Form Started By: Emily Covey		Started On: 08/02/2021 12:51 PM
Final Approval Date: 10/01/2021