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  Consent-Health & Human Services   # 16.       
Adult & Aging  
Meeting Date: 10/12/2021  
Brief Title:    Second Amendment to Agreement No. 19-265 with Sutter Center for Psychiatry
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297

Subject
Approve second amendment to Agreement No. 19-265 with Sutter Center for Psychiatry to add funding in the amount of $245,000 for 2020-21 for a new contract maximum of $1,465,000 for the period of July 1, 2019, through June 30, 2022, for the provision of Acute Psychiatric inpatient Services and update contract language. (No general fund impact) (Larsen)
Recommended Action
  1. Approve the second amendment to Agreement No. 19-265 with Sutter Center for Psychiatry to add funding in the amount of $245,000 for Fiscal Year ("FY") 2020-21 for a new contract maximum of $1,465,000, for the period of July 1, 2019, through June 30, 2022, for the provisions of Acute Psychiatric inpatient Services and update contract language.
     
  2. Re-authorize the Director of the Yolo County Health and Human Services Agency or her/his designee to 1) exercise optional year extensions up to $400,000 per fiscal year for fiscal years 2022-23 and 2023-24 and 2) issue related option year notices. Please see Section III. of Att. A. Second Amendment.
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 services, the patient must be treated by another qualified psychiatric hospital facility in the surrounding area. Sutter Center for Psychiatry, being such a facility, is equipped to provide appropriate services to meet the needs of HHSA clients.
 
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 particular 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. 
 
Staff recommends approval of this amendment for the County to continue to provide acute psychiatric inpatient services to adults with severe mental illness with an increase in the previously approved funding amount to cover FY2020-21 acute inpatient hospital stay costs.

Performance Measures included in this Agreement are as follows:
The performance measures associated with this agreement are not being revised with this amendment
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process
This agreement was sourced via a Sole Source Letter approved by the Procurement Manager. There is no change being made to the scope of work.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   245,000
Amount budgeted for expenditure:    $   0
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $   350,000
Source of Funds for this Expenditure
$245,000
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action. These services are funded by Mental Health Realignment. This action increased the contract maximum by $245,000 for a total of $1,465,000 for the period of July 1, 2019, through June 30, 2022. The budget adjustment of $245,000 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 related funding will be included in the requested budget process for future fiscal years.

The following is the breakdown of funding for this agreement. 
 
Fiscal Year 2019-20
July 1, 2019
through
June 30, 2020
Fiscal Year 2020-21
July 1, 2020
through
June 30, 2021
Fiscal Year 2021-22
July 1, 2021
through
June 30, 2022
Total
$520,000 $595,000 $350,000 $1,465,000

The agreement also includes two (2) one-year optional extensions for fiscal years 2022-23 and 2023-24 in an amount less than or equal to $400,000 per fiscal year. 
 
Option Year/
Fiscal Year
(OY/FY)
Revised Agreement Expiration Date
Per OY/FY
Maximum Increased Funding Amount
Per OY/FY
  Revised Agreement 
Lifetime Maximum
Per OY/FY
First/
(FY 22-23)
On or before
June 30, 2023
Less than or equal to $400,000 Less than or equal to $1,865,000
Second/
(FY 23-24)
On or before
June 30, 2024
Less than or equal to $400,000 Less than or equal to $2,265,000

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 TWO HUNDRED SIXTY-FIVE THOUSAND DOLLARS ($2,265,000), 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. Second Amendment

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Form Review
Inbox Reviewed By Date
Karen Larsen Karen Larsen 09/30/2021 07:03 AM
Financial Services Shelby Milliren 09/30/2021 07:55 AM
County Counsel Hope Welton 09/30/2021 08:38 AM
Eric Will Eric Will 10/01/2021 10:45 AM
Form Started By: Laura Checa Started On: 08/17/2020 03:44 PM
Final Approval Date: 10/01/2021

    

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