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 t...
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