Memorandum
Date: June 8, 2021
To: The Honorable Bruno Sabatier, Chair, Lake County Board of Supervisors
From: Todd Metcalf, M.P.A.
Behavioral Health Services Director
Subject: Consideration of (a) Waiving 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) Approval of the Agreement between the County of Lake and Crestwood Behavioral Health for Adult Residential Support and Specialty Mental Health Services for Fiscal Year 2021-22 for a contract maximum of $1,400,000.00 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 2021-22. 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 LCBHS 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, LCBHS 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.
If not budgeted, fill in the blanks below only:
Estimated Cost: $1,400,000 Amount Budgeted: $1,400,000 Additional Requested: $0 Future Annual Cost: TBD
Consistency with Vision 2028 and/or Fiscal Crisis Management Plan (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Infrastructure ☐ Technology Upgrades
☐ Economic Development ☐ Disaster Recovery ☐ County Workforce ☐ Revenue Generation
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake ☐ Cost Savings
If request for exemption from competitive bid in accordance with County Code Chapter 2 Sec. 2-38, fill in blanks below:
Which exemption is being requested? 38.2
How long has Agreement been in place? Ongoing
When was purchase last rebid? N/A
Reason for request to waive bid? Unique Nature of Goods/Services
Recommended Action: Consideration of (a) Waiving 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) Approval of the Agreement between the County of Lake and Crestwood Behavioral Health for Adult Residential Support and Specialty Mental Health Services for Fiscal Year 2021-22 for a contract maximum of $1,400,000.00 and authorize the Board Chair to sign the Agreement.