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File #: 19-0627    Version: 1 Name: Retroactive Amendment to Master Agreement for Inpatient Psychiatric Hospital Services
Type: Agenda Item Status: Approved
File created: 5/7/2019 In control: Behavioral Health
On agenda: 5/14/2019 Final action: 5/14/2019
Enactment date: Enactment #: Agreement No. 18-250-1
Title: Approve and authorize the Chairman to execute retroactive Amendment I to Master Agreement A-18-250 for out-of-county inpatient psychiatric services effective September 1, 2018 with no change in term to June 30, 2023 and increasing the maximum by $5,120,000 to a total of $9,000,000.
Attachments: 1. Agenda Item, 2. Agreement No. A-18-250-1 with Contractors in Exhibit A
DATE: May 14, 2019

TO: Board of Supervisors

SUBMITTED BY: Dawan Utecht, Department of Behavioral Health

SUBJECT: Retroactive Amendment to Master Agreement for Inpatient Psychiatric Hospital Services

RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute retroactive Amendment I to Master Agreement A-18-250 for out-of-county inpatient psychiatric services effective September 1, 2018 with no change in term to June 30, 2023 and increasing the maximum by $5,120,000 to a total of $9,000,000.
REPORT
Approval of the recommended action will increase the annual contract maximum in Master Agreement A-18-250 for Fiscal Year (FY) 2018-19 and each subsequent 12-month period through FY 2022-23 to cover the costs associated with the addition of providers and increased demands for inpatient psychiatric services.

ALTERNATIVE ACTION(S):

There is no viable alternative action. If your Board does not approve the recommended action to increase the annual contract maximum, the County would not have the ability to contract with additional contractors and pay for mandated services through this established agreement. In addition, the seriously and persistently mentally ill individuals would not receive the services they require in a timely manner, leaving mentally ill individuals without adequate services.

RETROACTIVE AGREEMENT:

The recommended Amendment is retroactive to September 1, 2018 due to the need for a mechanism to reimburse the out-of-county inpatient psychiatric hospitals that provided services to Medi-Cal and non-Medi-Cal recipients up to that point in the current fiscal year with then available funds in Master Agreement A-18-250.

FISCAL IMPACT:

There is no increase in Net County Cost associated with the recommended action. The cost of the recommended Amendment will increase the maximum compensation amount to $9,000,000; a $5,120,000 increase over the existing maximum ($3,880,000) based on anticipated usage increases during FY 2018-19 and e...

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