To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: Majority
SUBJECT:title
Third Amendment to the Professional Services Agreement with Mariane Gilbert Dated May 26, 2023, Regarding the Provision of Non-Emergency Medical Care Services to Patients at the County of Humboldt’s Psychiatric Health Facility in the Amount of $123,000end
RECOMMENDATION(S):Recommendation
That the Board of Supervisors:
1. Approve, and authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute, the attached third amendment to the professional services agreement with Mariane Gilbert dated May 26, 2023, regarding the provision of non-emergency medical care services to patients at the County of Humboldt’s psychiatric health facility in an amount not to exceed One Hundred Twenty-Three Thousand Dollars ($123,000.00) for the period of July 1, 2023, through June 30, 2027; and
2. Authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to the professional services agreement with Mariane Gilbert dated May 26, 2023, after review and approval by County Counsel, Risk Management and the County Administrative Office; and
3. Authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute professional services agreements that are substantially similar to the professional services agreement with Mariane Gilbert dated May 26, 2023, and any amendments thereto, after review and approval by County Counsel, Risk Management and the County Administrative Office; and
4. Direct the Clerk of the Board to provide the Department of Health and Human Services - Contract Unit with one (1) fully executed certified copy of the Board order related to this item.
Body
STRATEGIC PLAN:
The recommended actions support the following areas of the Board of Supervisors’ Strategic Plan:
Area of Focus: Safe & Healthy Communities
Strategic Plan Category: 1001 -Support and sustain partnerships between public safety and partner agencies to enhance public safety in our communities
DISCUSSION:
Pursuant to Section 77061(d) of Title 22 of the California Code of Regulations, the County of Humboldt’s psychiatric health facility is required to have a physician on-call at all times for the provision of non-emergency physical health care. Additionally, Section 77113(d) of Title 22 of the California Code of Regulations requires that all patients must receive a physical examination within twenty-four (24) of hours of their admission to the County of Humboldt’s psychiatric health facility.
On May 26, 2023, the County of Humboldt, by and through its Department of Health and Human Services - Behavioral Health (DHHS - Behavioral Health), entered into a professional services agreement with Mariane Gilbert regarding the provision of non-emergency medical care services to patients at the County of Humboldt’s psychiatric health facility for the period of July 1, 2023 through June 30, 2024. DHHS - Behavioral Health subsequently amended the professional services agreement with Mariane Gilbert dated May 26, 2023, in order to extend the term thereof and increase the maximum amount payable thereunder on May 26, 2024, and May 2, 2025.
The attached third amendment to the professional services agreement with Mariane Gilbert dated May 26, 2023, will allow for the continued provision of non-emergency medical care services to patients at the County of Humboldt’s psychiatric health facility for the period of July 1, 2023, through June 30, 2027.
Accordingly, DHHS - Behavioral Health recommends that the Board approve, and authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute, the attached third amendment to the professional services agreement with Mariane Gilbert dated May 26, 2023, regarding the provision of non-emergency medical care services to patients at the County of Humboldt’s psychiatric health facility for the period of July 1, 2023 through June 30, 2027. It is also recommended that the Board authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments, and additional professional services agreements that are substantially similar, to the professional services agreement with Mariane Gilbert dated May 26, 2023, 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 non-emergency medical care services.
SOURCE OF FUNDING:
Behavioral Health (1170-495)
FINANCIAL IMPACT:
|
Expenditures (1170-495) |
FY 26-27 Projected* |
|
Budgeted Expenses |
$33,000.00 |
|
Total Expenditures |
$33,000.00 |
|
Funding Sources (1170-495) |
FY 26-27 Projected* |
|
State/Federal Funds |
$33,000.00 |
|
Total Funding Sources |
$33,000.00 |
*Projected amounts are estimates and are subject to change.
The attached third amendment to the professional services agreement with Mariane Gilbert dated May 26, 2023, will increase the maximum amount payable thereunder from Ninety Thousand Dollars ($90,000.00) to One Hundred Twenty-Three Thousand Dollars ($123,000.00) for the period of July 1, 2023, through June 30, 2027. In no event shall the maximum amount paid under the professional services agreement with Mariane Gilbert dated May 26, 2023, exceed Thirty Thousand Dollars ($30,000.00) per fiscal year for fiscal years 2023-2024 through 2025-2026 and Thirty-Three Thousand Dollars ($33,000.00) for fiscal year 2026-2027. However, in the event local, state or federal funding is reduced or eliminated, the County of Humboldt may reduce the above-referenced maximum amount payable or terminate the professional services agreement with Mariane Gilbert dated May 26, 2023, in its entirety.
Expenditure appropriations related to the attached third amendment to the professional services agreement with Mariane Gilbert dated May 26, 2023, have been included in the proposed fiscal year 2026-2027 budget for DHHS - Behavioral Health budget unit 1170-495. Funding for the attached third amendment to the professional services agreement with Mariane Gilbert dated May 26, 2023, is available through Medicare and Medi-Cal federal financial participation and state realignment and Behavioral Health Services Act revenues received by DHHS - Behavioral Health.
STAFFING IMPACT:
Approval of the attached third amendment to the professional services agreement with Mariane Gilbert dated May 26, 2023, will not impact current staffing levels.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose to not approve the attached third amendment to the professional services agreement with Mariane Gilbert dated May 26, 2023, regarding the provision of non-emergency medical care services to patients at the County of Humboldt’s psychiatric health facility. However, this alternative is not recommended since it will cause DHHS - Behavioral Health to be out of compliance with applicable local, state and federal laws, regulations, policies, procedures and standards.
ATTACHMENTS:
1. Third Amendment to the Professional Services Agreement with Mariane Gilbert Dated May 26, 2023 Regarding the Provision of Non-Emergency Medical Care Services to Patients at the County of Humboldt’s Psychiatric Health Facility
2. Second Amendment to the Professional Services Agreement with Mariane Gilbert Dated May 26, 2023 Regarding the Provision of Non-Emergency Medical Care Services to Patients at the County of Humboldt’s Psychiatric Health Facility
3. First Amendment to the Professional Services Agreement with Mariane Gilbert Dated May 26, 2023 Regarding the Provision of Non-Emergency Medical Care Services to Patients at the County of Humboldt’s Psychiatric Health Facility
4. Professional Services Agreement with Mariane Gilbert Dated May 26, 2023 Regarding the Provision of Non-Emergency Medical Care Services to Patients at the County of Humboldt’s Psychiatric Health Facility
PREVIOUS ACTION/REFERRAL:
Meeting of: 7/7/2020
File No.: 20-800