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File #: 21-726    Version: 1
Type: Agreement Status: Agenda Ready
File created: 7/26/2021 In control: Board of Supervisors
On agenda: 9/14/2021 Final action:
Title: Director of Health and Human Services requests approval of and authorization for the Chair to: 1. Terminate current Agreement No. 170922B with Rex Adamson as of September 14, 2021 and replace it with the new Agreement; and 2. Sign a new Agreement No. 220100B with Rex Adamson, M.D. for an annual maximum of 9,000 for the term September 14, 2021 through June 30, 2022 and each automatic renewal thereof to provide medication services and conservatorship evaluations renewals for mental health clients referred by the County's Health and Human Services Agency.
Sponsors: Board of Supervisors
Attachments: 1. Agreement
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TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services
REPORT BY: Shelli Brobst, Contracts Manager
SUBJECT: Agreement with Rex Adamson, M.D.


RECOMMENDATION
title
Director of Health and Human Services requests approval of and authorization for the Chair to:
1. Terminate current Agreement No. 170922B with Rex Adamson as of September 14, 2021 and replace it with the new Agreement; and
2. Sign a new Agreement No. 220100B with Rex Adamson, M.D. for an annual maximum of 9,000 for the term September 14, 2021 through June 30, 2022 and each automatic renewal thereof to provide medication services and conservatorship evaluations renewals for mental health clients referred by the County's Health and Human Services Agency.

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EXECUTIVE SUMMARY
The County has been under contract with Dr. Adamson for the provision of mental health services provided by Dr. Adamson at Davis Guest Home. Davis Guest Home is an advanced board and care home in Modesto, California where Napa County Mental Health places many adult clients.
The purpose of today's requested action will terminate the current Agreement with Dr. Rex Adamson and replace it with a new Agreement that includes updated terms and conditions. The new Agreement will also reflect an increase to Dr. Adamson's rates for his conservatorship work from $150/client to $200/client. There is no change to the annual maximum amount of the Agreement of $9,000 per fiscal year. Dr. Adamson is one of two physicians that Napa County is under contract with at Davis Guest Home to provide these services.

FISCAL & STRATEGIC PLAN IMPACT
Is there a Fiscal Impact?
Yes
Is it currently budgeted?
Yes
Where is it budgeted?
Health and Human Services, Mental Health
Is it Mandatory or Discretionary?
Mandatory
Is the general fund affected?
No
Future fiscal impact:
The Agreement contains a provision for automatic annual renewal. Appropriations have been included in the Fiscal Year 2021-2022 budget and future fiscal y...

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