Agenda

Return

C. 29

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	November 23, 2021

Contra

Costa

County

Subject:

Contract #24–794–12(11) with BHC Fremont Hospital, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 11/23/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Suzanne Tavano, PhD., 925-957-5212
cc:	Alaina Floyd marcy.wilham

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: November 23, 2021
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #24–794–12(11) with BHC Fremont Hospital, Inc., a corporation, in an amount not to exceed $700,000, to provide inpatient psychiatric hospital services to County-referred adults and adolescents for the period from July 1, 2021 through June 30, 2022, which includes a six-month automatic extension through December 31, 2022, in an amount not to exceed $350,000.

FISCAL IMPACT:

Approval of this contract will result in annual budgeted expenditures of up to $700,000 and will be 100% funded by Mental Health Realignment revenues. (Rate increase)

BACKGROUND:

Assembly Bill (AB) 757, (Chapter 633, Statutes of 1994), authorized the transfer of state funding for Fee-For-Service/Medi-Cal (FFS/MC) acute psychiatric inpatient hospital services from the Department of Health Care Services (DHCS) to the Department of Mental Health (DMH). On January 1, 1995, the DMH transferred these funds and the responsibility for authorization and funding of Medi-Cal acute psychiatric inpatient hospital services to counties that chose to participate in this program. The County has been contracting with St. Helena Hospital under this contract since January 1998.

On September 22, 2020, the Board of Supervisors approved Contract #24–794–12(10) with BHC Fremont Hospital, Inc., in an amount not to exceed $1,300,000 for the provision of inpatient psychiatric hospital services to County-referred adults and adolescents for the period from July 1, 2020 through June 30, 2021, which includes a six-month automatic extension through December 31, 2021, in an amount not to exceed $650,000.

Approval of Contract #24-794-12(11) will allow the contractor to continue to provide inpatient psychiatric hospital services through June 30, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, the County’s mental health clients will not receive needed inpatient psychiatric services from this contractor’s facility.

CHILDREN'S IMPACT STATEMENT:

This program supports the following Board of Supervisors’ community outcome: “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include a decrease in the need for inpatient care and placement at a lower level of care.