Agenda

Return

C. 94

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	June 7, 2022

Contra

Costa

County

Subject:

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

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 06/07/2022

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:	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: June 7, 2022
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 Amendment Agreement #24–794–12(12) with BHC Fremont Hospital, Inc., a corporation, effective April 1, 2022, to amend Novation Contract #24-794-12(11), to increase the payment limit by $105,000, from $700,000, to a new payment limit of $805,000, with no change in the term of July 1, 2021 through June 30, 2022 and to increase the automatic extension payment limit by $52,500, from $350,000 to a new payment limit of $402,500 through December 31, 2022.

FISCAL IMPACT:

Approval of this amendment will result in additional annual expenditures of up to $105,000 for FY 2021-2022 and will be funded 100% by Mental Health Realignment funds. (No 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 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 BHC Fremont Hospital, Inc. under this contract since January 2018.

On November 23, 2021, the Board of Supervisors approved Novation Contract #24–794–12(11) with BHC Fremont Hospital, Inc. in an amount not to exceed $700,000 for the provision of inpatient psychiatric hospital services to county-referred adolescents and adults for the period from July 1, 2021 through June 30, 2022.

At the time of negotiations, the payment limit was based on target levels of utilization. However, the utilization and service units during the term of the contract were higher than originally anticipated.

Approval of Contract Amendment Agreement #24–794–12(12) will increase the payment limit and allow the contractor to provide additional inpatient psychiatric services through June 30, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

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