Title
Body
MEMORANDUM
TO: BOARD OF SUPERVISORS
FROM: Todd Metcalf
Behavioral Health Administrator
DATE: July 25, 2017
SUBJECT: Approve the Agreement between the County of Lake and Crestwood Behavioral Health for Adult Residential Support Services and Specialty Mental Health Services for Fiscal Year 2017-18 in the amount of $500,000 and Authorize the Board Chair to sign the Agreement.
EXECUTIVE SUMMARY: Attached, for your approval, is the Agreement between the County of Lake and Crestwood Behavioral Health for Adult Residential Support Services and Specialty Mental Health Services for Fiscal Year 2017-18.
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 Psychiatric Health Facilities (PHFs), 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.
As LCBH has clients placed at numerous Crestwood facilities and as it is our goal to keep Lake County clients at the lowest level of care possible, it would require extensive work to find new placement for these clients. Changes in placement could cause the exacerbation of the client’s symptoms, which could potentially result in moving the client to a higher, more expensive level of care. Therefore, LCBH is requesting to waive the formal bidding process, pursuant to Lake County Code Section 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
MHRC: Contract Amount: $200,000
Amount Budgeted: $575,000
SNFs: Contract Amount: $150,000
Amount Budgeted: $150,000
ARFs: Contract Amount: $150,000
Amount Budgeted: $700,000
TOTAL CONTRACT AMOUNT: $500,000
FISCAL IMPACT (Narrative): The total amount budgeted for Skilled Nursing Facilities is $150,000; the total amount budgeted for Mental Health Rehabilitation Centers is $575,000; and the amount budgeted for Adult Residential Facilities is $700,000. LCBH is requesting approval of the Agreement with Crestwood Behavioral Health for Fiscal Year 2017-18 for a contract maximum of $500,000. Of the $500,000 contract maximum requested, $200,000 will be allocated to the MHRC level of care, $150,000 will be allocated to the SNF level of care, and $150,000 will be allocated to the ARF level of care.
STAFFING IMPACT (if applicable): N/A
Recommended Action
RECOMMENDED ACTION: (a) Waive the formal bidding process, pursuant to Lake County Code Section 38.2, as it is not in the public interest due to the unique nature of goods or services; and (b) Approve the Agreement between the County of Lake and Crestwood Behavioral Health for Adult Residential Support and Specialty Mental Health Services for Fiscal Year 2017-18 for a contract maximum of $500,000 and authorize the Board Chair to sign the Agreement.