Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: Agreement with 7th Ave Care Center LLC for Locked Psychiatric Care Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with 7th Ave Care Center LLC for locked psychiatric care services, for the term of July 1, 2026 through June 30, 2027, in an amount not to exceed $2,331,500.
body
BACKGROUND:
Mental Health Rehabilitation Centers (MHRCs), such as 7th Ave Care Center LLC (7th Avenue), provide locked psychiatric care for adults with serious and persistent mental illnesses. Counties are required by the State Department of Mental Health to pay a "basic rate" for skilled nursing/basic care for adults 18-64 years of age who are housed in MHRC facilities. The basic rates vary by geographic region and are set annually by the State Department of Health Care Services. Medi-Cal provides basic rate funding for individuals in locked facilities who are age 65 years and older. In addition to the basic rate, selected San Mateo County clients at MHRC facilities, such as 7th Avenue, may be authorized for supplemental payments, often referred to as "patches" or "enhanced rates" in order to provide augmented services based on the severity of an individual's illness. Since 2002, 7th Avenue has contracted with Behavioral Health and Recovery Services (BHRS). This contract covers both the basic and enhanced rates.
DISCUSSION:
Under this agreement, 7th Avenue provides 18 locked beds for San Mateo County residents. BHRS funds two dedicated beds, which consistently maintain full occupancy. The remaining beds are utilized based on client need, with an average daily occupancy of 12 beds. 7th Avenue has demonstrated expertise in serving adults with serious and persistent mental illness, including individuals with co-occurring me...
Click here for full text