To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #24-933-49 with Crestwood Behavioral Health, Inc.
☒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 #24-933-49 with Crestwood Behavioral Health, Inc., a corporation, in an amount not to exceed $5,641,715, to provide subacute skilled nursing care services for the period July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $5,641,715 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’s Severely and Persistently Mentally Ill (SPMI) and neurobehavioral clients. 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 January 12, 2023, the Board of Supervisors approved Contract #24-933-48 with Crestwood Behavioral Health, Inc., in an amount not to exceed $4,647,844, to provide sub-acute skilled nursing care for SPMI and Neurobehavioral clients for the period from July 1, 2023 through June 30, 2024.
Approval of Contract #24-933-49 will allow the Contractor to continue providing services through June 30, 2025. This Contract includes mutual indemnification to hold harmless both parties for any claims arising out of the performance of this Contract. The delay of this Contract was due to ongoing negotiations between the Contractor and the Department.
CONSEQUENCE OF NEGATIVE ACTION:
If the Contract is not approved, a significant number of mentally ill young adults and adults may be displaced to the community without the mental health services they require.