To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-702 with GHC of Contra Costa, LLC (dba Bayberry Skilled Nursing and Healthcare Center)
☒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 #74-702 with GHC of Contra Costa, LLC (DBA Bayberry Skilled Nursing and Healthcare Center), a limited liability company, in an amount not to exceed $669,500, to provide subacute skilled nursing care services with special treatment programs (SNF/STP) for adults with Severe and Persistent Mental Illness (SPMI) for the period July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this contract will result in annual expenditures of up to $669,500 and will be funded 100% by Mental Health Realignment.
BACKGROUND:
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. SNF/STP services are locked sub-acute treatment options for clients discharging from acute care settings with co-occurring mental health and physical health needs.
There are thirty (30) SNF in Contra Costa County, however GHC of Contra Costa, LLC is the only facility that also offers STP. Additionally, this contractor will provide an additional placement option for clients who are involved in the justice system who have been placed on a Murphy conservatorship. This contractor was approved by the Public Works Department’s Purchasing Division on December 19, 2023. 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.
Under new Contract #74-702, this contractor will provide SNF/ STP services for adults with SPMI for the period July 1, 2024 through June 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
The Behavioral Health Services Division places clients at the contractor's facilities licensed for various levels of care. If the Contract is not approved, a significant number of adults with SPMI and adults may be displaced to the community without the mental health services they require.