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Approve a first contract amendment with Medical Hill Rehabilitation Center, LLC. for $34,400, for a total contract amount of $160,400, to provide additional sub-acute inpatient residential psychiatric medical services from the current contract period through June 30, 2019; and Authorize the County Administrator to execute the amendment and any subsequent amendments that remain within budgeted appropriations
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Published Notice Required? Yes ___ No _ X_
Public Hearing Required? Yes ___ No _X _
DEPARTMENTAL RECOMMENDATION:
The Department of Health & Social Services (H&SS) recommends that the Board approve a first contract amendment with Medical Hill Rehabilitation Center, LLC. for $34,400 for a total contract amount of $160,400 to provide additional sub-acute inpatient residential psychiatric medical services from the current contract period through June 30, 2019 and authorize the County Administrator to execute the amendment and any subsequent amendments that remain within budgeted appropriations.
SUMMARY:
In July 2017, a contract was established with Medical Hill Rehabilitation Center, LLC for $126,000 to provide intensive services for clients referred by the County with the express intent of increasing client independence and stability in their lives. The proposed amendment of $34,400 for a total contract amount of $164,400 will help to maintain the increase in County referrals to Medical Hill Rehabilitation Center, LLC for the remaining contract period.
FINANCIAL IMPACT:
The contract is funded with approximately 75% 1991 Realignment, and 24% County General Fund and 1% Other. Appropriation is included in the Department’s FY2018/19 Adopted Budget. The cost associated with preparing the agenda item is nominal and absorbed by the Department’s FY2018/19 Adopted Budget. There is no additional financial impact to the County General Fund.
DISCUSSION:
On July 25, 2017, the Board approved a two-year contract with Medical Hill Rehabilitation Center, LLC, which provides treatment to the complex, disabled adult population with neuro-behavioral impairments who require a more structured treatment environment than can be provided in community treatment settings. This facility, Medical Hill Rehabilitation Center, LLC, provides sub-acute mental health inpatient rehabilitation and stabilization services for the seriously and persistently mentally ill who concurrently suffer with neuro-behavioral conditions. Focusing on behavioral expectations, rehabilitation, medication, and social skills training, the facility provides comprehensive therapeutic supervised programs to the clients.
Medical Hill Rehabilitation Center, LLC, has accepted clients requiring the level of service needed, providing the County placement options to keep clients out of higher cost acute facilities and State Hospital beds. Due to increased placements, it is anticipated the current maximum contract amount will be exceeded in March. This amendment will ensure continued psychiatric coverage to meet the service needs for consumers currently in that facility.
ALTERNATIVES:
The Board may choose not to approve the contract amendment with Medical Hill Rehabilitation Center, LLC. This is not recommended as the County is required to have psychiatric services for clients served in the County mental health system.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved the contract for legal sufficiency.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION