Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Interim Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Rashmi Garg, M.D. for Psychiatry Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Rashmi Garg, M.D. for psychiatry services, increasing the agreement maximum by $220,756 to an amount not to exceed $1,198,876 with no change to the agreement term.
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BACKGROUND:
Dr. Garg has been a contracted child psychiatrist for Behavioral Health and Recovery Services (BHRS) since 2001, providing services at various County mental health clinics. Services include child and youth medication evaluation and treatment, psychotherapy and family consultation, residency training, and case consultation to staff. In July 2022 this Board approved an agreement with Dr. Garg to provide psychiatry services for the term of July 1, 2022 through June 30, 2025, in an amount not to exceed $978,120.
DISCUSSION:
Compensation for BHRS contracted physicians has been equivalent to compensation for County employed physicians, whose rates are determined through negotiated Memoranda of Understanding (MOU) with the Union of American Physicians and Dentists (UAPD). When the current agreement with Dr. Garg was being negotiated, the County was also negotiating a new MOU with UAPD. The agreement with Dr. Garg includes a stipulation that the contracted rate of compensation would be adjusted to maintain equivalency with a new UAPD MOU rate. The new MOU is now in place and this amendment provides Dr. Garg with the stipulated rate increase.
Under the B-1 Administrative Memorandum, agreements with physicians are exempt from the requirement for a Request for Proposals process.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The amendment and resolution have been reviewed and approved by the County Attorney as to form.
It is anticipated that 80% of clients served will maintain their current or lower level of care.
PERFORMANCE MEASURES:
|
Measure |
FY 2022-23 Estimated |
FY 2023-24 Projected |
|
Percentage of clients served that maintain their current or lower level of care |
80% 44 clients |
80% 44 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2022 through June 30, 2025. The original maximum amount of $978,120 is being increased by $220,756 to a new maximum of $1,198,876 for the three-year term. Funds in the amount of $386,599 are included in the BHRS FY 2022-23 Adopted Budget, which is an increase of $60,599. Of the $386,599 amount, Medi-Cal will fund $193,299,1991 Realignment will fund $38,660, and 2011 Realignment for Early Periodic Screening, Diagnosis and Treatment will fund $154,640. There is no Net County Cost associated with this amendment.