DATE: April 22, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Amendment l to Agreement with UHS Madera, Inc. dba River Vista Behavioral Health for Inpatient Psychiatric Hospital Services
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment I to Agreement No. 23-312 with UHS Madera, Inc. dba River Vista Behavioral Health, to modify the Contractor Scope of Work and Rates Exhibit, with no change in term of July 1, 2023 to June 30, 2025, or compensation maximum of $23,800,000.
REPORT
There are no additional Net County Cost associated with the recommended action. The recommended amendment will modify the Contractor Scope of Work and Rates Exhibit of the Agreement to align with the Administrative Day Rates set by California Department of Health Care Services (DHCS). This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. If your Board does not approve the recommended action, the Agreement will continue to exclude the administrative day services rate that Contractor is to be paid. The Department is required by DHCS to provide and reimburse inpatient psychiatric services, including administrative day services.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum compensation of the agreement will remain at $23,800,000, which will be fully funded by Mental Health Realignment Funds. Sufficient appropriations and estimated revenues are included in the Department's Org 5630 FY 2024-25 Adopted Budget and will be included in future budget requests for the duration of the term. Actual costs will be determined by actual services provided.
DISCUSSION:
On October 11, 2022, the Board approved the California Department of Health Care Services (DHCS) Agreement 22-452 (State agreement#22-20101) to continue to operate the Fresno County Mental Health Plan (FCMHP) in accordance with all applicabl...
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