Agenda

Return

C. 80

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

Contra

Costa

County

Subject:

Novation Contract #24-794-12(13) with BHC Fremont Hospital, Inc. (dba Fremont Hospital)

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., 925-927-5212
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 Novation Contract #24-794-12(13) with BHC Fremont Hospital, Inc. (dba Fremont Hospital), a corporation, in an amount not to exceed $700,000, to provide inpatient psychiatric hospital services to County-referred adults and adolescents for the period from July 1, 2022 through June 30, 2023, which includes a six-month automatic extension through December 31, 2023, in an amount not to exceed $350,000.

FISCAL IMPACT:

Approval of this contract will result in budgeted expenditures of up to $700,000 for fiscal year 2022-2023 and will be funded 100% by Mental Health Realignment funding. (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 St. Helena Hospital under this contract since January 1998.

On November 23, 2021, the Board of Supervisors approved Novation Contract #24–794–12(11), for the provision of inpatient psychiatric hospital services in an amount not to exceed $700,000, for the period from July 1, 2021 through June 30, 2022, which included a six-month automatic extension through December 31, 2022.

On June 7, 2022, the Board of Supervisors approved Contract Amendment Agreement #24–794–12(12), to increase the payment limit by $105,000 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 to a new payment limit of $402,500 through December 31, 2022.

Approval of Contract #24–794–12(13) will allow this contractor to continue to provide inpatient psychiatric services through June 30, 2023.

CONSEQUENCE OF NEGATIVE ACTION:

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