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Approve a second contract amendment with Crestwood Behavioral Health, Inc. for $265,000 for a total contract amount of $6,688,828 to provide psychiatric medical services from July 1, 2019 through June 30, 2020; and Authorize the County Administrator to execute the amendment
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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 of Supervisors approve a second contract amendment with Crestwood Behavioral Health, Inc. for $265,000 for a total contract amount of $6,688,828 to provide psychiatric medical services from July 1, 2019 through June 30, 2020, and authorize the County Administrator to execute the amendment.
SUMMARY:
Crestwood Behavioral Health, Inc. provides inpatient psychiatric services within their Psychiatric Hospital Facility (PHF). Under the current contract, Crestwood Behavioral Health, Inc. provides assessment, diagnosis, and psychiatric inpatient treatment services for Solano County responsible clients in a 24-hour secure setting. Individuals are typically admitted to the PHF when placed on a Welfare and Institution (W&I) Code 5150, which indicates the individual is a danger to self, others, or gravely disabled due to a mental illness.
This second amendment provides for the equivalent of 315 additional acute psychiatric bed days to fund an active capacity of ten beds per day, due to increased costs of operation and the daily rates charged to the County. Indigent clients who do not have Medi-Cal coverage also require a small differential payment, and more indigent clients were admitted in FY2019/20 than were originally anticipated based on historical data.
FINANCIAL IMPACT:
Funding for this amendment is from Federal Short Doyle Medi-Cal, 1991 and 2011 Realignment, and County General Fund. Appropriations are available in the Department's FY2019/20 Adopted Budget to fund this am...
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