DATE: July 18, 2023
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Retroactive Agreement with Fresno Community Hospital and Medical Center dba Community Behavioral Health Center 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 Fresno Community Hospital and Medical Center dba Community Behavioral Health Center 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 a retroactive Agreement with Fresno Community Hospital and Medical Center dba Community Behavioral Health Center 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 $22,750,000.
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 Community Behavioral Health Center (CBHC) located in the city of Fresno, in closest proximity to the client's family. The inpatient psychiatric per client rate was negotiated by the Department of Behavioral Health (DBH) and CBHC and was set based on the Consumer Price Index (CPI) for inpatient hospital services 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 psychiatri...
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