To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
SUBJECT:
title
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 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, 2020 through June 30, 2023;
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 attached 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 one fully executed original copy of the attached 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:
Behavioral Health Fund
DISCUSSION:
The Board of Supervisors has authorized the Department of Health and Human Services - Behavioral Health (DHHS - Behavioral 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 - Behavioral Health. Therefore, since April 1998, DHHS - Behavioral Health has contracted with qualified specialty mental health providers, including, without limitation, Crestwood Behavioral Health, Inc. - Pathways (Crestwood ), who have historically served Medi-Cal beneficiaries residing in Humboldt County. DHHS - Behavioral 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.
DHHS - Behavioral Health has previously contracted with Crestwood on numerous occasions. On each occasion, Crestwood has demonstrated expertise in providing a full range of adult residential treatment services, including, without limitation, psychological assessment, individual and family therapy, mental health plan development, mental health rehabilitation and medication support services. The attached mental health organizational provider services agreement will allow eligible Medi-Cal beneficiaries residing in Humboldt County to receive continued adult residential treatment services from Crestwood from July 1, 2020 through June 30, 2023.
Accordingly, DHHS - Behavioral Health recommends that the Board approve, and authorize the Chair of the Board to execute, the attached 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, 2020 through June 30, 2023. It is also recommended that the Board authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to the attached 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 mental health organizational provider services agreement with Crestwood has a maximum amount payable of $1,741,500 for the period of July 1, 2020 through June 30, 2023. In no event shall the maximum amount paid under the attached mental health organizational provider services agreement with Crestwood exceed $580,500 per fiscal year for fiscal years 2020-2021 through 2022-2023. 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 attached mental health organizational provider services agreement with Crestwood in its entirety.
Expenditure appropriations related to the attached mental health organizational provider services agreement with Crestwood have been included in the proposed fiscal year 2020-2021 budget for DHHS - Behavioral Health Administration budget unit 1170-424. Funding for the attached mental health organizational provider services agreement with Crestwood is available through Medi-Cal financial participation and state realignment revenues received by DHHS - Behavioral Health. As a result, approval of the attached 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 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 - Behavioral 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. 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 Fiscal Years 2020-2021 through 2022-2023
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-11; C-7; C-32
Meeting of: 02/23/16; 09/11/18; 06/25/19
File No.: TBD