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C. 28
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: May  3, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Payments for Services Provided by SJBH, LLC (Dba San Jose Behavioral Health Hospital)

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   05/03/2022
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. 925-957-5212
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:     May  3, 2022
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Auditor-Controller, to pay $5,337 to SJBH, LLC (dba San Jose Behavioral Health Hospital) for the provision of inpatient psychiatric treatment services for Contra Costa County residents who were admitted to this facility during the month of June 2021.

FISCAL IMPACT:

Approval of this retroactive payment will result in a one-time payment of $5,337 and will be funded 100% by Mental Health Realignment funds.

BACKGROUND:

The Behavioral Health division has contracted with SJBH, LLC (dba San Jose Behavioral Health Hospital) for the provision of inpatient psychiatric services to County-referred adults. The County is required by Federal Law to reimburse the hospital for any authorized charges.  
  




BACKGROUND: (CONT'D)
In October 2020, the County Administrator approved and the Purchasing Services Manager executed Contract #24-794-15(5) with SJBH, LLC (dba San Jose Behavioral Health Hospital), in an amount not to exceed $195,000 for the period from July 1, 2020 through June 30, 2021, including a six-month automatic extension through December 31, 2021, in an amount not to exceed $97,500, for the provision of inpatient psychiatric treatment services for County referred children, adolescents and adults.  
  
Contra Costa Regional Medical Center (CCRMC) referred patients to SJBH, LLC (dba San Jose Behavioral Health Hospital) when CCRMC inpatient psychiatric units became full. There was an unanticipated increase in the need for psychiatric services during the contract term and the contract payment limit was exceeded.  
  
As requested by the County, SJBH, LLC (dba San Jose Behavioral Health Hospital) provided additional inpatient psychiatric treatment services in good faith. The Health Services Department has therefore determined that SJBH, LLC (dba San Jose Behavioral Health Hospital) 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 reasonable value of those services. As such, the Department recommends that the Board authorize the Auditor-Controller to issue a one-time payment not to exceed $5,337.  

CONSEQUENCE OF NEGATIVE ACTION:

If this Board Order is not approved, the contractor will not be paid for services requested by County staff and provided by contractor.

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.

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