Agenda

Return

C. 76

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	July 26, 2022

Contra

Costa

County

Subject:

Contract #24–933–45 with Crestwood Behavioral Health, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/26/2022

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: July 26, 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 #24–933–45 containing mutual indemnification with Crestwood Behavioral Health, Inc., a corporation, in an amount not to exceed $4,189,081, to provide subacute skilled nursing care services for the period July 1, 2022 through June 30, 2023.

FISCAL IMPACT:

Approval of this contract will result in annual expenditures of up to $4,189,081 and will be funded as budgeted by the department in FY 2022-23, by 100% Mental Health Realignment. (Rate increase)

BACKGROUND:

The County has been contracting with Crestwood Behavioral Health, Inc., since July 1997 for sub-acute skilled nursing care for the County’s Severely and Persistently Mentally Ill (SPMI) and neurobehavioral clients of the Behavioral Health Division.

BACKGROUND: (CONT'D)

On June 8, 2021, the Board of Supervisors approved Contract #24-933-43 with Crestwood Behavioral Health, Inc., in an amount not to exceed $8,389,976 to provide sub-acute skilled nursing care for SPMI and neurobehavioral clients, for the period from July 1, 2021 through June 30, 2022.

On June 7, 2022, the Board of Supervisors approved Contract Amendment Agreement #24-933-44 with Crestwood Behavioral Health, Inc., to increase the payment limit by $1,100,000, from $8,389,976 to a new payment limit of $9,489,976, for the provision of additional sub-acute skilled nursing care for SPMI and Neurobehavioral clients for the period from July 1, 2021 through June 30, 2022.

Approval of Contract #24-933-45 will allow the contractor to continue to provide services through June 30, 2023. This contract includes mutual indemnification.

CONSEQUENCE OF NEGATIVE ACTION:

The Behavioral Health Services Division/Mental Health places clients at this contractor's facilities, which are licensed for various levels of care. If this contract is not approved, a significant number of mentally ill young adults and adults may be displaced to the community without the mental health services they require.