To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-143-36 with California Psychiatric Transitions Incorporated
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-143-36 containing mutual indemnification with California Psychiatric Transitions Incorporated, a corporation, in an amount not to exceed $2,247,956, to provide adult residential care and mental health services for the period from September 1, 2023 through August 31, 2024.
FISCAL IMPACT:
Approval of this contract will result in budgeted expenditures of up to $2,247,956 and will be funded 100% by Mental Health Realignment. (Rate increase)
BACKGROUND:
The Behavioral Health Services Department (BHSD) has been contracting with California Psychiatric Transitions Incorporated since October 2001 to provide residential care and mental health services to adults. This contract meets the social needs of county’s population by providing a multi-disciplinary treatment program to adults who need active psychiatric treatment, including medication support and individual and group therapy services, as an alternative to hospitalization at a State Hospital.
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); California Government Code §§ 26227 and 31000. This contract was approved by Health Services Personnel to ensure there is no conflict with labor relations.
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 contractor was approved by the Public Works Department’s Purchasing Division as a Sole Source on October 3, 2023.
On September 13, 2022, the Board of Supervisors approved Contract #74-143-34 with California Psychiatric Transitions Incorporated in an amount not to exceed $1,826,956, to provide adult residential care and mental health services for the period from September 1, 2022 through August 31, 2023.
On July 11, 2023, the Board of Supervisors approved Amendment Agreement #74-143-35 with California Psychiatric Transitions Incorporated to increase the payment limit by $421,000, to a new amount not to exceed $2,247,956, to provide additional adult residential care and mental health services with no change in the term.
Approval of Contract #74-143-36 will allow the contractor to continue providing services through August 31, 2023. This contract includes mutual indemnification to hold harmless both parties for any claims arising out of the performance of this contract. This contract is late due to BHSD prioritizing Medi-Cal contracts during the CalAIM initiative and also due to obtaining Sole Source approval.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, county’s mental health clients will not receive the inpatient psychiatric treatment that they need from this contractor and may require hospitalization at a State Hospital.