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  Consent-Health & Human Services   # 15.       
Adult & Aging  
Meeting Date: 09/14/2021  
Brief Title:    Eighth Amendment to Agreement 17-29 with North Valley Behavioral Health, LLC
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 eighth amendment to Agreement No. 17-29 with North Valley Behavioral Health, LLC, to add funding in the amount of $29,420 for 2020-21, for a new contract maximum of $6,851,150, for the provision of psychiatric health facility services, for the period of February 1, 2017, through June 30, 2021. (No general fund impact) (Larsen)
Recommended Action
Approve eighth amendment to Agreement No.17-29 with North Valley Behavioral Health, LLC, to add funding in the amount of $29,420 for fiscal year 2020-21, for a new contract maximum of $6,851,150, for the provision of psychiatric health facility services, for the period of February 1, 2017, through June 30, 2021.
Strategic Plan Goal(s)
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
When an adult resident of Yolo County (“the County”) with serious mental illness requires care in a locked facility (other than a State hospital), Health and Human Services Agency (HHSA) and local hospitals look for available bed space.
 
This contract has allowed HHSA to purchase dedicated beds at two high-quality, affordable, inpatient psychiatric health facilities (PHFs) maintained by North Valley Behavioral Health, LLC (NVBH). The services are provided by NVBH LLC. PHFs are billable to Medi-Cal and are therefore a more cost-effective option for clients who need this level of care when compared to free-standing psychiatric hospitals. Acute inpatient hospital services at these free-standing hospitals are not billable to Medi-Cal and result in the County using core mental health/realignment funds to cover these costs.
 
Staff recommends approval of this amendment to cover the remaining claims for Fiscal Year 2020-21.
 
Performance Measures included in this Agreement are as follows:
Performance Measures are not being updated by this amendment.
Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Amendment as to form.

Competitive Bid Process
The original agreement was procured as an “any willing provider.” This exception was approved by the Board on July 31, 2007. The Board of Supervisors granted approval to the Yolo County Health and Human Services Agency, formerly known as Alcohol, Drug, and Mental Health, for certain exceptions to the contract procurement policy. According to this approval, 24-hour service providers are classified as “any willing providers” and are exempt from the competitive bid process. Fiscal Year 2020-21 was the final year of the agreement under this procurement method.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   29,420
Amount budgeted for expenditure:    $   29,420
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$29,420
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
The action increases the contract maximum by $29,420 for a total of $6,851,150 for the period of February 1, 2017, through June 30, 2021. No general funds are required by this action.  These services will be funded by Realignment. The budget adjustment of $29,420 will be included as part of the year-end clean-up item taken to the Board of Supervisors by the Department of Financial Services.

The following is the breakdown of funding for this agreement.
Fiscal Year Amount
Fiscal Year 2016-17
February 1, 2017 through June 30, 2017
$513,400
Fiscal Year 2017-18
July 1, 2017 through June 30, 2018
$1,395,650
Fiscal Year 2018-19
July 1, 2018 through June 30, 2019
$1,477,500
Fiscal Year 2019-20
July 1, 2019 through June 30, 2020
$1,420,380
Fiscal Year 2020-21
July 1, 2020 through June 30, 2021
$2,044,220
Total $6,851,150
Attachments
Att. A. Amendment

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Form Review
Inbox Reviewed By Date
Karen Larsen Karen Larsen 09/03/2021 07:21 AM
Financial Services Shelby Milliren 09/03/2021 09:34 AM
County Counsel Hope Welton 09/03/2021 09:38 AM
Eric Will Eric Will 09/07/2021 02:24 PM
Form Started By: Emily Covey Started On: 08/02/2021 12:55 PM
Final Approval Date: 09/07/2021

    

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