DATE: June 18, 2019
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Retroactive Agreement for Psychiatric Inpatient Services with Kaweah Delta Health Care District's Mental Health Hospital in Tulare County
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 referring 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 Kaweah Delta Health Care District dba Kaweah Delta Mental Health Hospital in Tulare County for referral of Fresno County adult mental health clients for 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 $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 Delta Mental Health Hospital. The inpatient psychiatric per client day rate is not negotiable and is set based on Kaweah Delta Mental Health Hospital's negotiated rate with the County of Tulare. 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, bed space for adult clients with acute inpatient psychiatric services may be delayed due to unavailability at the Department of Behavioral Health's contracted Psychiatric Health Facility (PHF) or the client may be placed at a non-contracted facility that cha...
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