| | | | | | | | REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS
BOARD MEETING DATE: February 28, 2023
CATEGORY: Consent - Health and Human Services-12.
SUBJECT:
Approve a retroactive agreement with the California Mental Health Services Authority, with an advance payment, for State hospital beds and designate signing authority for amendments. |
| | | | | | | | | DEPARTMENT: | Health and Human Services Agency-Adult Services
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| | | | | | | | Supervisorial District No. : All
DEPARTMENT CONTACT: Miguel Rodriguez, Branch Director, (530) 225-5900
STAFF REPORT APPROVED BY: Laura Burch, Director, Health and Human Services Agency
Vote Required?
Simple Majority Vote | General Fund Impact?
No Additional General Fund Impact |
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| | | | | | | | RECOMMENDATION
Take the following actions: (1) Approve a retroactive agreement with the California Mental Health Services Authority (CalMHSA) to procure state hospital beds with a maximum compensation of $1,402 paid in advance, the amount of $1,402 per bed procurement, which includes CalMHSA administrative charges, authorizing CalMHSA to contract for State Hospital beds on behalf of Shasta County for the period of July 1, 2022 through June 30, 2023; and (2) approve and authorize the Director of the Health and Human Services Agency (HHSA), or any HHSA Branch Director designated by the HHSA Director, to approve total bed procurement payments in an amount not to exceed $14,020 for a ten-year period and to sign prospective and retroactive amendments to the agreement, and substantially similar agreements that do not otherwise result in a substantial or functional change to the intent of the original agreement and do not increase or extend the $14,020 ten-year limitation, as long as they comply with Administrative Policy 6-101, Shasta County Contracts Manual. |
| | | | | | | | DISCUSSION
This agreement is retroactive because it is generated by the California Mental Health Services Authority (CalMHSA) and distributed to member-counties for execution, once prepared.
The proposed agreement will allow Shasta County to participate in the State Hospital Program (SHP) through CalMHSA to contract for State Hospital beds on behalf of the County on an as needed basis. CalMHSA is authorized by its Joint Exercise of Powers Act (JEPA), approved by the Board on January 3, 2012, to act on behalf of member counties in the development and funding of mental health services including the provision of necessary administrative services. Shasta County, as a JEPA participant, would like to continue to authorize CalMHSA to negotiate and contract with the State Department of State Hospitals (DSH) for use of such facilities on our behalf, and to explore and potentially implement related, alternative, and/or replacement services (State Hospital Program; SHP).
This agreement will allow Shasta County to participate in the SHP, acting through CalMHSA, to partner with DSH for access and bed use of state hospital bed resources, while participating in such activities as analysis of cost containment strategies that create efficiency in the purchase of state hospital beds and establishment of standardization and consistency in services ensuring quality and levels of patient care. Through this agreement, CalMHSA will receive an annual administrative fee payable when the County utilizes State hospital beds in any given fiscal year. If the County does not procure a bed in any given fiscal year, a minimum charge to defray indirect costs will be paid to CalMHSA in order to sustain the program. The amount will be determined upon completion of an assessment of participant’s state hospital bed procurement history.
State hospitals provide comprehensive integrated physical and mental health treatment to patients whom Shasta County psychiatrists and clinicians have assessed to need this level of care. This is the highest level of treatment and is reserved for only those patients for whom a lower level of care is not appropriate. The Health and Human Services Agency makes every effort to find placement for patients in private facilities which are lower levels of care and less expensive than the state hospitals, when appropriate. |
| | | | | | | | ALTERNATIVES
The Board could choose not to approve the recommendation, defer consideration to a future date, or provide alternate direction to staff. |
| | | | | | | | OTHER AGENCY INVOLVEMENT
County Counsel has approved the agreement as to form. Risk Management has approved the agreement. This recommendation has been reviewed by the County Administrative Office. |
| | | | | | | | FISCAL IMPACT
The total cost of this agreement for Fiscal Year (FY) 2022-23 is $1,402. Adult Services FY 2022-23 Adopted Budget includes sufficient appropriation authority for the activities described in this agreement and will be included in future year budget submittals. There is no additional General Fund impact from the recommended action. |
| ATTACHMENTS: | | Description | Upload Date | Description | | Agreement | 2/2/2023 | Agreement |
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