To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #24-933-50 with Crestwood Behavioral Health, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #24-933-50 with Crestwood Behavioral Health, Inc., a corporation, in an amount not to exceed $5,925,000, to provide subacute skilled nursing care services for clients with Severe and Persistent Mental Illness (SPMI) and neurobehavioral disorders for the period July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $5,925,000 and will be funded 100% by Mental Health Realignment revenues.
BACKGROUND:
The Behavioral Health Services Department has been contracting with Crestwood Behavioral Health, Inc., since July 1997 to provide sub-acute skilled nursing care for County clients with SPMI and neurobehavioral disorders. This Contractor has been a longstanding partner since January 1998 in treating Contra Costa clients, fostering a deep understanding of the County’s mission, values and long-term objectives.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code, § 5600 et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, § 523 et seq. (Community Mental Health Services) and California Government Code §§ 26227 and 31000. The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the contract are upheld. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. Per Administrative Bulletin 600.3 the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
On September 10, 2024, the Board of Supervisors approved Contract #24-933-49 with Crestwood Behavioral Health, Inc., in an amount not to exceed $4,647,844, to provide subacute skilled nursing care for clients with SPMI and neurobehavioral disorders for the period from July 1, 2024 through June 30, 2025.
Approval of Contract #24-933-50 will allow the Contractor to continue providing services through June 30, 2026. This Contract includes mutual indemnification to defend, indemnify, save and hold harmless each party for claims arising under this Contract.
CONSEQUENCE OF NEGATIVE ACTION:
If the Contract is not approved, a significant number of clients with SPMI and neurobehavioral disorders may be displaced to the community without the mental health services they require.