To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #24-681-53(6) 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 Amendment Agreement #24-681-53(6) with Crestwood Behavioral Health, Inc., a corporation, effective March 1, 2025, to amend Contract #24-681-53(5), to provide additional augmented board and care services for adults with mental illness in Contra Costa County, with no change in the original payment limit of $6,096,960, and no change in the original term of July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this Amendment will not result in a change to the original budgeted expenditures of up to $6,096,960 and will be funded 82% by Mental Health Realignment and 18% by Behavioral Health Services Act. (No rate increase)
BACKGROUND:
This Contract meets the social needs of the County's population by augmenting room and board and providing twenty-four-hour emergency residential care and supervision to eligible adults with mental illness, who are specifically referred by the County’s Behavioral Health Program Staff. Adult residential services for psychiatric clients requires stringent accreditation and compliance standards, as well as licenses and regulatory approvals that a limited number of providers possess.
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 June 25, 2024, the Board of Supervisors approved Contract #24-681-53(5) with Crestwood Behavioral Health, Inc., in an amount not to exceed $6,096,960 to provide augmented board and care services for the period July 1, 2024 through June 30, 2025.
Hope Center is budgeted for two (2) clients and Our House is budgeted for thirty (30) clients. Due to client needs and bed availability, a third client was placed at Hope Center. In order to not exceed the allocated amount for each facility, the Department must reallocate the amount from the budget in the contract for Our House to Hope Center. This Amendment ensures payment to Contractor for services provided at Hope Center will be on time, with no change in the original payment limit.
Approval of Amendment #24-681-53(6) will allow the Contractor to provide additional services through June 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, Contractor will not be able to provide augmented board and care services to additional adults with mental illness in Contra Costa County which could result in increased wait times for services.