Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health, and Recovery Services
Subject: Agreement with 7th Avenue Center, LLC for Locked Psychiatric Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with 7th Avenue Center, LLC for locked psychiatric care services for clients, for the term of July 1, 2023, through June 30, 2026, in an amount not to exceed $5,632,787.
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BACKGROUND:
Mental Health Rehabilitation Centers (MHRC), such as 7th Avenue Center, LLC (7th Avenue), provide locked psychiatric care for adults with serious and persistent mental illnesses. The State Department of Mental Health requires counties 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 Services. Medi-Cal provides basic rate funding for individuals in locked facilities who are aged 65 years and older. In addition to the basic rate, selected San Mateo County clients at MHRC facilities 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. 7th Avenue has contracted with Behavioral Health and Recovery Services (BHRS) since 2002.
DISCUSSION:
The agreement with 7th Avenue is for the provision of 18 beds for San Mateo County residents. 7th Avenue has a demonstrated ability to provide care for adults with serious and persistent mental illness and comorbid medical issues who need a locked placement. 7th Avenue provides care for clients with complex behavioral health needs, including accepting clients directly from state hospital placements.
MHRC facilities like 7th Avenue have established expertise serving clients w...
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