DATE: April 23, 2024
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, LMFT, Director of Behavioral Health
SUBJECT: Retroactive Amendment I to Agreement with BHC Heritage Oaks Hospital for Inpatient Psychiatric Hospital Services.
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive Amendment I to Agreement with BHC Heritage Oaks Hospital, to modify the Scope of Work and rate sheet, effective January 1, 2024 with no change in term of July 1, 2023 to June 30, 2025 and increasing the maximum by $3,920,000 to a total of $5,500,000.
REPORT
Approval of the recommended action will modify the agreement scope of work and rates to align the service rates with Contractor's Regional Rate as well as the most current Specialty Mental Health Services Medi-Cal Billing Manual Version 1.4, which aligns with CalAIM payment reform. An increase in the maximum compensation is required to cover costs due to increased demand for inpatient psychiatric services at BHC Heritage Oaks Hospital. The increase will be funded with Behavioral Health Realignment funds with no increase to Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. If the Board does not approve the recommended action, DBH will not be able to pay BHC Heritage Oaks for Fresno County persons referred and will lose access to needed Inpatient Psychiatric services for persons with high acuity needs to serve the community.
RETROACTIVE AGREEMENT:
The recommended amendment is retroactive to January 1, 2024 to modify BHC Heritage Oaks rate sheet to reflect Regional Rates that are published annually by the Department of Health Care Services (DHCS). The Regional Rates were published by DHCS on August 21, 2023, requested by the hospital on November 20, 2023, were approved by the DBH executive team and brought to your Board at the earliest possible date possible due to delays in approval by BHC Heritage Oaks Hospital.
FISCAL IMPACT:
Th...
Click here for full text