DATE: June 4, 2019
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Psychiatric Inpatient Services with Community Medical Center dba Community Behavioral Health Center
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 for referral clients requiring acute inpatient psychiatric services to a licensed inpatient facility closest to Fresno County and the client's family for the Department of Behavioral Health.
2. Approve and authorize the Chairman to execute a Retroactive Agreement with Community Medical Center dba Community Behavioral Health Center for referral of adult mental health clients to mandated inpatient psychiatric services, effective July 1, 2018, not to exceed five consecutive years, which includes a three-year base contract and two optional one-year extensions, total not to exceed $22,775,000.
REPORT
Approval of the recommended actions will ensure the continued availability of sufficient inpatient psychiatric beds for 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.
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 DBH contracted Psychiatric Health Facility...
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