Agenda

Return

C.123

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 20, 2021

Contra

Costa

County

Subject:

Payment for Services Provided by Crestwood Behavioral Health, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/20/2021

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, Ph.D, 925-957-5169
cc:	E Suisala 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: April 20, 2021
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Auditor-Controller, or designee, to pay $221,924 to Crestwood Behavioral Health Inc., a corporation, for residential treatment services to Severely and Persistently Mentally Ill (SPMI) adults provided in good faith for the period October 1, 2020 through December 31, 2020.

FISCAL IMPACT:

This retroactive payment in the amount of $221,924 is funded by 44% Federal Medi-Cal ($97,646); 26% State Mental Health Services Act ($57,700) and 30% Mental Health Realignment ($66,578) revenues.

BACKGROUND:

The Behavioral Health Services Department has been contracting with Crestwood Behavioral Health, Inc., since January 2007 to provide transitional residential treatment, rehabilitative services, medication support, and mental health services to SPMI adult clients. This Contract meets the social needs of County’s population by providing transitional residential treatment, rehabilitative services, medication support, and mental health services to SPMI adult clients at its Crestwood Healing Center.

BACKGROUND: (CONT'D)

On April 14, 2020, the Board of Supervisors approved Contract #74-286-18 with Crestwood Behavioral Health, Inc., to provide residential treatment services to SPMI adults for the period January 1, 2020 through June 30, 2020, with a six-month automatic extension through December 31, 2020.

Due to an administrative oversight the contract did not have sufficient funds to pay demands since October 1, 2020. Crestwood continued to provide residential treatment services to County clients in good faith for the period October 1, 2020 through December 31, 2020, which exceeded the payment limit by $221,924.

Therefore, the County has determined that Crestwood Behavioral Health, Inc., is entitled to payment for the reasonable value of their services under the equitable relief theory of quantum meruit. That theory provides that where a person has been asked to provide services without a valid contract, and the provider does so to the benefit of the recipient, the provider is entitled to recover the reasonable value of those services.

CONSEQUENCE OF NEGATIVE ACTION:

If this request is not approved, Crestwood Behavioral Health, Inc. will not be paid for services provided to County clients outside of the contract payment limit rendered in good faith.