Agenda

Return

C. 46

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 26, 2019

Contra

Costa

County

Subject:

Amendment #24–794–12(6) with BHC Fremont Hospital, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/26/2019

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

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

ABSENT:

Diane Burgis, District III Supervisor

Contact:	Matthew White, M.D., 925-957-5201
cc:	L Walker M Wilhelm

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: March 26, 2019
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #24–794–12(6) with BHC Fremont Hospital, Inc., a corporation, effective October 1, 2018, to amend Contract #24-794-12(2) to increase the payment limit by $978,723 from $300,000 to a new payment limit of $1,278,723, with no change in the term of July 1, 2018 through June 30, 2019.

FISCAL IMPACT:

This amendment is funded 100% by Mental Health Realignment Trust Fund.

BACKGROUND:

Assembly Bill (AB) 757, (Chapter 633, Statutes of 1994), authorized the transfer of state funding for Fee-For-Service/Medi-Cal acute psychiatric inpatient hospital services from the Department of Health Services to the Department of Health Care Services. On January 1, 1995, the Department of Mental Health 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.

BACKGROUND: (CONT'D)

In June, 2018, the County Administrator approved and the Purchasing Services Manager executed Contract #24–794–12(2), as amended by Amendment Agreements #24–794–12(3) and #24–794–12(4), with BHC Fremont Hospital, Inc. for the provision of inpatient psychiatric hospital services to County-referred children, adolescents and adults for the period from July 1, 2018 through June 30, 2019.

Due to an increase in the number of patients needing inpatient psychiatric services, County referred clients to Contractor when Contra Costa Regional Medical Center and John Muir Behavioral Heath were both full.

Approval of Contract Amendment Agreement #24–794–12(6) will allow the Contractor to provide additional inpatient psychiatric services through June 30, 2019.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, County’s mental health clients will not receive additional inpatient psychiatric services from 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.