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MEMORANDUM
TO: BOARD OF SUPERVISORS
FROM: Todd Metcalf, Interim Behavioral Health Director
DATE: January 3, 2017
SUBJECT: (a) Waive the formal bidding process, per Ordinance #3043, Purchasing Code 38.2, as it is not in the public interest due to the unique nature of goods or services; and (b) Approve the Third Amendment to the Agreement between the County of Lake and Crestwood Behavioral Health for Adult Residential Support and Specialty Mental Health Services for Fiscal Year 2015-16, an increase of $29,392 for a new contract maximum of $774,392 and authorize the Board Chair to sign.
EXECUTIVE SUMMARY: Attached for your approval, is the Third Amendment to the Agreement between County of Lake and Crestwood Behavioral Health for Adult Residential Support Services for Fiscal Year 2015-16.
BACKGROUND AND DISCUSSION: Crestwood Behavioral Health has numerous facilities throughout the State of California and serves multiple Lake County Medi-Cal beneficiaries. Crestwood Behavioral Health facilities include Skilled Nursing Facilities (SNFs), Mental Health Rehabilitation Centers (MHRCs), Adult Residential Facilities (ARFs), Community Programs, and Residential Facilities for the Elderly where clients are offered a continuum of care and treatment from traditional psychiatric services to innovative recovery programs geared toward community reintegration.
A Lake County Medi-Cal beneficiary is placed at Crestwood Modesto. The beneficiary’s insurance was changed by Social Security in error for the period of 7/1/15 through 11/30/15; therefore, the charges were denied by Medi-Cal when billed by Crestwood. Now that the insurance has been corrected, the charges are unbillable due to time limits.
We are requesting to waive the formal bidding process, per Ordinance #3043, Purchasing Code 38.2 as it is not in the public interest due to the unique nature of goods or services.
FISCAL IMPACT: __ None _X_Budgeted __Non-Budgeted
Current Contract Amount (With Amendment): $774,392
FISCAL IMPACT (Narrative): Due to all of the above reasons, Lake County Behavioral Health is accepting responsibility to reimburse t for the unbillable daily IMD rate of $192.10 per day in order to maintain the positive working relationship LCBH currently has with Crestwood. Funds in the amount of $29,392 will be added to the contract which was $745,000 for a new contract maximum of $774,392.
STAFFING IMPACT (if applicable): N/A
Recommended Action
RECOMMENDED ACTION:
(a) Waive the formal bidding process, per Ordinance #3043, Purchasing Code 38.2, as it is not in the public interest due to the unique nature of goods or services; and (b) Approve the Third Amendment to the Agreement between the County of Lake and Crestwood Behavioral Health for Adult Residential Support and Specialty Mental Health Services for Fiscal Year 2015-16, an increase of $29,392 for a new contract maximum of $774,392 and authorize the Board Chair to sign.