To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #24-933-48 with Crestwood Behavioral Health, Inc.
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #24-933-48 containing mutual indemnification with Crestwood Behavioral Health, Inc., a corporation, in an amount not to exceed $4,647,844, to provide subacute skilled nursing care services for the period July 1, 2023 through June 30, 2024.
FISCAL IMPACT:
Approval of this contract will result in annual expenditures of up to $4,647,844 and will be funded as budgeted by the department in FY 2023-24, 100% by Mental Health Realignment. (Rate increase)
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 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.
Crestwood Behavioral Health was selected as a provider of mental health rehabilitation center (MHRC) and skilled nursing facility/special treatment program (SNF/STP) services as they are one of two licensed organizations operating locked treatment environments facilities in the immediate areas surrounding Contra Costa County. The County contracts with the other facility as well. Clients receiving supports in MHRC or SNF/STP facilities are conserved and in the early stages of recovery from acute psychiatric episodes. The Health Services Department (HSD) is required by regulation to provide care in the least restrictive setting available. Clinical and stakeholder input highlight the need for these services to be carried out as close to home as possible so that clients may benefit from their natural community supports and treatment teams. This contractor was approved by the Public Works Department’s Purchasing Division on August 23, 2023.
This contractor has been a longstanding partner in treating Contra Costa clients, fostering a deep understanding of the county’s mission, values and long-term objectives. They have a proven track record and established reputation within the psychiatric community which mitigates potential risks associated with the regulatory compliance and patient well-being. 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 regular basis to ensure monitoring and performance measures in the contract are upheld.
On July 26, 2022, the Board of Supervisors approved Contract #24-933-45 with Crestwood Behavioral Health, Inc., in an amount not to exceed $4,189,081 to provide sub-acute skilled nursing care for SPMI and Neurobehavioral clients for the period from July 1, 2022 through June 30, 2023.
Approval of Contract #24-933-48 will allow the contractor to continue providing services through June 30, 2024. This contract includes mutual indemnification. This contract was delayed due to a significant postponement in receiving the FY 2023-24 rates from the State Department of Health Care Services.
CONSEQUENCE OF NEGATIVE ACTION:
The Behavioral Health Services Division/Mental Health places clients at contractor's facilities licensed for various levels of care. 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.
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I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. |
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ATTESTED: |
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Monica Nino, County Administrator and Clerk of the Board of Supervisors |
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By: |