TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 4 to Agreement No. 160075B with North Valley Behavioral Health, LLC.
RECOMMENDATION
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Director of Health and Human Services Agency (HHSA) requests approval of and authorization for the Chair to sign Amendment No. 4 to Agreement No. 160075B with North Valley Behavioral Health, LLC., for a new contract maximum of $1,000,000 for Fiscal Year 2022-2023, and each subsequent automatic renewal, for psychiatric hospitalization services.
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EXECUTIVE SUMMARY
Approval of today’s action will increase the maximum contract amount by $400,000, for a new contract maximum of $1,000,000, in order to accommodate a rising number of clients needing placement.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health & Human Services Mental Health |
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Is it Mandatory or Discretionary? |
Mandatory |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This Agreement contains a provision for automatic annual renewal. Appropriations have been included in the approved Fiscal Year 2022-2023 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If not approved, HHSA would be severely limited to provide mandated inpatient psychiatric hospitalization services for clients who are at risk of harm to themselves or others, resulting in extended stays in Agency’s Crisis Stabilization Services Program. |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
Currently, North Valley Behavioral Health provides inpatient psychiatric services at two locations: Plumas Court and Stabler Lane, both located in Yuba City, California. Services are provided to stabilize uninsured adults and Medi-Cal beneficiaries who are deemed an imminent risk to themselves, others, or are gravely disabled because of a mental disorder. This is an acute care, locked facility. Clients can only be referred to these facilities by HHSA Mental Health Division's Crisis Stabilization Services Program after being fully evaluated and considered to be appropriate for this type of placement. Contracting with these facilities helps ensure that psychiatric inpatient resources are available for HHSA Mental Health Division clients in the event that more locally based facilities are unavailable, or unable to accept referrals, due to capacity or other issues.
Approval of this amendment will implement a contract maximum increase, bringing the maximum from $600,000 to $1,000,000. Facility rates are comparable to other inpatient units under County contract. Rates are all-inclusive and are the same for both Medi-Cal and uninsured clients. North Valley Behavioral Health’s two facilities in this agreement allow Napa County's CSS program greater ability to place clients. An increase in placements has prompted the need for this mid-fiscal year amendment to increase the current contract maximum.
Due to limited placement options within Napa County for individuals with severe mental illness in need of acute care, utilization of out of county facilities is often necessary.