To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Novation Contract #74-627-4 with Ever Well Health Systems, LLC.
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Novation Contract #74-627-4 with Ever Well Health Systems, LLC, a limited liability company, in an amount not to exceed $1,379,700 to provide residential and mental health services to adults diagnosed with Serious Mental Illness (SMI) and Serious Persistent Mental Illness (SPMI) for the period from July 1, 2023 through June 30, 2024.
FISCAL IMPACT:
Approval of this contract will result in annual budgeted expenditures of up to $1,379,700 and will be funded by 91% Mental Health Services Act ($1,255,527) and 9% Mental Health Realignment ($124,173) revenues. (No rate increase)
BACKGROUND:
The county has been contracting with Ever Well Health Systems, LLC since December 2020 to provide residential and mental health services to adults diagnosed with SMI and SPMI. This contract meets the social needs of county’s population by providing residential facilities for adults who require support and are being discharged from state hospitals or psychiatric health facilities and require step-down care to transition to community living, and is entered into under and subject to the following legal authorities: 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.
This provider was selected in collaboration with community stakeholder advisory bodies and was approved as part of the comprehensive Mental Health Services Act Three-Year Plan as required by State regulation. Providers interested in providing specialized services were invited proactively to participate in program development and offered the opportunity to submit interest at dozens of publicly noticed meetings. The services and vendors were identified in the formal Three-Year plan was approved on the following schedule that was noticed to the public and approved by the Board on August 1, 2023. The Three-Year Plan was posted for public comment from June 5, 2023 through July 5, 2023, there was a Public Hearing at the Mental Health Commission meeting on July 5, 2023, and it was approved by the Board of Supervisors on August 1, 2023.
On September 13, 2022 the Board of Supervisors approved Novation Contract #74-627-2 with Ever Well Health Systems, LLC, in the amount of $511,667, for the provision of residential and mental health services to adults diagnosed with SMI and SPMI being stepped down from Institutes for Mental Diseases (IMD) levels of care and to transition back into the community, for the period from July 1, 2022 through June 30, 2023, which included a six month automatic extension through December 31, 2023, in the amount not to exceed $255,833.
Approval of Contract #74-627-4 replaces the automatic extension under the prior contract and allows contractor to continue providing SMI and SPMI mental health services through June 30, 2024.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, county clients in need of crisis residential or step-down care will not have access to contractor’s services possibly resulting in higher levels of placement, including hospitalization.
☒Recommendation of the County Administrator
☐ Recommendation of Board Committee
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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: |