To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
First Amendment to the Mental Health Organizational Provider Services Agreement with Crestwood Behavioral Health, Inc. - Pathways Regarding the Provision of Adult Residential Treatment Services to Eligible Medi-Cal Beneficiaries Residing in Humboldt Countyend
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve, and authorize the Chair of the Board to execute, the attached first amendment to the mental health organizational provider services agreement with Crestwood Behavioral Health, Inc. - Pathways regarding the provision of adult residential treatment services to eligible Medi-Cal beneficiaries residing in Humboldt County for the period of July 1, 2018 through June 30, 2021;
2. Authorize the Department of Health and Human Services - Mental Health Director, or a designee thereof, to execute any and all subsequent amendments to the mental health organizational provider services agreement with Crestwood Behavioral Health, Inc. - Pathways after review and approval by County Counsel, Risk Management and the County Administrative Office; and
3. Direct the Clerk of the Board to return a fully executed original copy of the attached first amendment to the mental health organizational provider services agreement with Crestwood Behavioral Health, Inc. - Pathways to the Department of Health and Human Services - Contract Unit for further processing.
Body
SOURCE OF FUNDING:
Mental Health Fund
DISCUSSION:
The Board of Supervisors has authorized the Department of Health and Human Services - Mental Health (DHHS - Mental Health) to operate the County of Humboldt’s Mental Health Plan. The provision of specialty mental health treatment services to all Medi-Cal beneficiaries residing in Humboldt County that meet necessary criteria is, and will remain, the responsibility of DHHS - Mental Health. Therefore, since April 1998, DHHS - Mental Health has contracted with qualified specialty mental health providers, including Crestwood Behavioral Health, Inc. - Pathways (Crestwood), who have historically served Medi-Cal beneficiaries residing in Humboldt County. DHHS - Mental Health has established a provider network with in-county as well as out-of-county providers for referrals of Medi-Cal beneficiaries residing in Humboldt County to ensure such beneficiaries have a choice of appropriate providers.
On Sept. 11, 2018 (item C-7), the Board approved the current mental health organizational provider services agreement with Crestwood regarding the provision of adult residential treatment services to eligible Med-Cal beneficiaries residing in Humboldt County for the period of July 1, 2018 through June 30, 2020. The attached first amendment to the mental health organizational provider services agreement will increase the maximum amount payable thereunder in order to cover unexpected utilization of the adult residential treatment services provided by Crestwood.
Accordingly, DHHS - Mental Health recommends that the Board approve, and authorize the Chair of the Board to execute, the attached first amendment to the mental health organizational provider services agreement with Crestwood regarding the provision of adult residential treatment services to eligible Medi-Cal beneficiaries residing in Humboldt County for the period of July 1, 2018 through June 30, 2020. It is also recommended that the Board authorize the DHHS - Mental Health Director, or a designee thereof, to execute any and all subsequent amendments to the mental health organizational provider services agreement with Crestwood, after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to avoid any unnecessary delays in the provision of needed adult residential treatment services.
FINANCIAL IMPACT:
The attached first amendment to the mental health organizational provider services agreement with Crestwood will increase the maximum amount payable thereunder from $1,621,000 to $1,661,500 for the period of July 1, 2018 through June 30, 2021. In no event shall the maximum amount paid under the attached mental health organizational provider services agreement with Crestwood exceed the following amounts:
• $580,500 for fiscal year 2018-19,
• $540,500 for fiscal year 2019-20, and
• $540,500 for fiscal year 2020-21.
However, if local, state or federal funding is reduced or eliminated, the County of Humboldt may reduce the above-referenced maximum amount payable or terminate the mental health organizational provider services agreement with Crestwood in its entirety.
Expenditure appropriations related to the attached first amendment to the mental health organizational provider services agreement with Crestwood have been included in the approved fiscal year 2018-19 budget for DHHS - Mental Health Administration budget unit 1170-424. Funding for the mental health organizational provider services agreement with Crestwood is made available through Medi-Cal financial participation and state realignment revenues received by DHHS - Mental Health. As a result, approval of the attached first amendment to the mental health organizational provider services agreement with Crestwood will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ strategic framework by protecting vulnerable populations, supporting self-reliance of citizens and improving the safety and health of our communities.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to approve the attached first amendment to the mental health organizational provider services agreement with Crestwood regarding the provision of adult residential treatment services to eligible Medi-Cal Beneficiaries residing in Humboldt County. However, this alternative is not recommended since it would require DHHS - Mental Health to place clients at inpatient facilities which will be more costly and may not provide the appropriate level of treatment for such clients.
ATTACHMENTS:
1. First Amendment to the Mental Health Organizational Provider Services Agreement with Crestwood Behavioral Health, Inc. - Pathways Regarding the Provision of Adult Residential Treatment Services to Eligible Medi-Cal Beneficiaries Residing in Humboldt County dated September 11, 2018
2. Mental Health Organizational Provider Services Agreement with Crestwood Behavioral Health, Inc. - Pathways Regarding the Provision of Adult Residential Treatment Services to Eligible Medi-Cal Beneficiaries Residing in Humboldt County dated September 11, 2018
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-11, C-7
Meeting of: 2/23/16, 9/11/18
File No.: 19-904