Skip to main content
File #: 23-0540   
On agenda: 6/20/2023 Final action: 6/20/2023
Enactment date: Enactment #: Agreement No. 23-313
Recommended Action(s)
1. Make a finding that it is in the best interest of the County to waive the competitive bidding process consistent with Administrative Policy No. 34 for unusual or extraordinary circumstances as Kaweah Delta Health Care District dba Kaweah Health Mental Health Hospital in Tulare County is one of two certified and licensed facilities willing to accept the County's medically indigent on an overflow basis. 2. Approve and authorize the Chairman to execute an Agreement with Kaweah Delta Health Care District dba Kaweah Health Mental Health Hospital in Tulare County for referral of Fresno County adult mental health clients to mandated inpatient psychiatric services, effective July 1, 2023, not to exceed five consecutive years, which includes a three-year base contract and two optional one-year extensions, total not to exceed $11,250,000.
Attachments: 1. Agenda Item, 2. Suspension of Competition Acquisition Request, 3. Agreement A-23-313 with KDHCD
DATE: June 20, 2023

TO: Board of Supervisors

SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health

SUBJECT: Agreement with Kaweah Delta Health Care District's Mental Health Hospital in Tulare County for Inpatient Psychiatric Services

RECOMMENDED ACTION(S):
TITLE
1. Make a finding that it is in the best interest of the County to waive the competitive bidding process consistent with Administrative Policy No. 34 for unusual or extraordinary circumstances as Kaweah Delta Health Care District dba Kaweah Health Mental Health Hospital in Tulare County is one of two certified and licensed facilities willing to accept the County's medically indigent on an overflow basis.
2. Approve and authorize the Chairman to execute an Agreement with Kaweah Delta Health Care District dba Kaweah Health Mental Health Hospital in Tulare County for referral of Fresno County adult mental health clients to mandated inpatient psychiatric services, effective July 1, 2023, not to exceed five consecutive years, which includes a three-year base contract and two optional one-year extensions, total not to exceed $11,250,000.
REPORT
Approval of the recommended actions will ensure the continued availability of sufficient inpatient psychiatric beds for Fresno County adult mental health clients on an overflow basis at Kaweah Health Mental Health Hospital located in Tulare County. The inpatient psychiatric per client day rate is not negotiable and is set based on Kaweah Health Mental Health Hospital's negotiated rate with the County of Tulare, not to exceed a maximum increase of 4% each fiscal year during the contract's term. The beds are funded by Medi-Cal Federal Financial Participation (FFP) and Mental Health Realignment funds with no increase in Net County Cost. This item is countywide.

ALTERNATIVE ACTION(S):

If the recommended actions are not approved, acute inpatient psychiatric services needed by adult clients may be delayed due to unavailability at the Department of Behavio...

Click here for full text