HomeMy WebLinkAboutOn file with Clerk - Amendment I to Master Agreement No. A-23-309.pdf 1 AMENDMENT NO. 1 TO SERVICE AGREEMENT
2 This Amendment No. 1 to Service Agreement ("Agreement 23-309") is dated
3 and is between each individual Contractor listed in Revised Exhibit A
4 "List of Contractors" attached hereto and incorporated herein by reference, and collectively
5 hereinafter referred to as Contractor(s), and the County of Fresno, a political subdivision of the
6 State of California ("County").
7 Recitals
8 A. County has an Agreement with the California State Department of Health Care Services
9 (DHCS) to operate the Fresno County Mental Health Managed Care Plan in accordance with
10 Welfare and Institutions Code Section 5000 et seq. which sets forth County's requirements to
11 provide, to the extent available, public mental health services.
12 B. County is authorized to contract for the provision of inpatient psychiatric hospital
13 services to Fresno County persons served eligible for such services under the Medi-Cal
14 program, pursuant to Sections 14700 et seq. and 14712 et seq. of the California Welfare and
15 Institutions Code and County may also determine the need to refer persons not eligible for
16 Medi-Cal.
17 C. On June 20, 2023, the Inpatient Psychiatric Hospital Services Agreement was executed,
18 effective January 1, 2023, which is County agreement number A-23-309 ("Agreement").
19 D. The County now desires to amend the Agreement to add Contractor Sacramento
20 Behavioral Healthcare Hospital, LLC.
21 The parties therefore agree as follows:
22 1. All references to Exhibit A shall be deemed references to Revised Exhibit A, which is
23 attached and incorporated by this reference.
24 2. The parties agree that upon execution of this Amendment No. 1, the Agreement is
25 further revised, updated, and amended to add Contractor Sacramento Behavioral Healthcare
26 Hospital, LLC. Its "Contractor Scope of Work and Rates" is attached to this Amendment No. 1
27 as Exhibit C-6.
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1 3. When both parties have signed this Amendment No. 1, the Agreement and this
2 Amendment No. 1 together constitute the Agreement.
3 4. The Contractor represents and warrants to the County that:
4 a. The Contractor is duly authorized and empowered to sign and perform its obligations
5 under this Amendment.
6 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
7 to do so and his or her signature on this Amendment legally binds the Contractor to
8 the terms of this Amendment.
9 5. The parties agree that this Amendment may be executed by electronic signature as
10 provided in this section.
11 a. An "electronic signature" means any symbol or process intended by an individual
12 signing this Amendment to represent their signature, including but not limited to (1) a
13 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
14 electronically scanned and transmitted (for example by PDF document) version of an
15 original handwritten signature.
16 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
17 equivalent to a valid original handwritten signature of the person signing this
18 Amendment for all purposes, including but not limited to evidentiary proof in any
19 administrative or judicial proceeding, and (2) has the same force and effect as the
20 valid original handwritten signature of that person.
21 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
22 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
23 2, Title 2.5, beginning with section 1633.1).
24 d. Each party using a digital signature represents that it has undertaken and satisfied
25 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
26 through (5), and agrees that each other party may rely upon that representation.
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1 e. This Amendment is not conditioned upon the parties conducting the transactions
2 under it by electronic means and either party may sign this Amendment with an
3 original handwritten signature.
4 6. This Amendment may be signed in counterparts, each of which is an original, and all of
5 which together constitute this Amendment.
6 7. The Agreement as amended by this Amendment No. 1 is ratified and continued. All
7 provisions of the Agreement and not amended by this Amendment No. 1 remain in full force and
8 effect. This Amendment No. 1 shall be effective retroactive to July 1, 2023.
9 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment No. 1 on the date stated in the introductory
2 clause.
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CONTRACTOR(S): COUNTY OF FRESNO
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PLEASE SEE SIGNATURE PAGE
5 ATTACHED
6 Nathan Magsig, Chairman of the Board of
Supervisors of the County of Fresno
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Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
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By:
11 Deputy
12 For accounting use only:
13 Org No.: 56302666
Account No.:7223/0
14 Fund No.:0001
Subclass No.:10000
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16 $58,000,000 Term Maximum
$8,000,000 1/1/23 —6/30/23
17 $25,000,000 FY 2023-24
18 $25,000,000 FY 2024-25
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1 In witness whereof, the parties hereto have executed this Amendment I to Agreement No.
2 A-23-309 as of the day and year first hereinabove written.
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CONTRACTOR: Sacramento Behavioral Healthcare Hospital, LLC
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5 By
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7 Print Name: _�Q�IY ,✓� L V_
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Title: (�
9 Chief Executive Officer, President, or Vice President
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Date:
11 I I Di
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By
15 Print Name:
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17 Title:
Secretary (of Corporation), Assistant Secretary,
18 Chief Financial Officer, or Assistant Treasurer
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Date:
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22 MAILING ADDRESS:
23 1400 Expo Parkway
Sacramento, Ca 95815
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MASTER AGREEMENT Revised Exhibit A
INPATIENT PSYCHIATRIC MENTAL HEALTH SERVICES
LIST OF CONTRACTORS
PROVIDER EXHIBIT SERVES SERVES AEDP MEDI- CA MILES CITY ZIP INTAKE PHONE INTAKE FAX
ADULTS YOUTH CAL REGION (I-WAY)
BHC Fremont
FY 2
Hospital, Inc. Yes Yes Yes Yes Bay Area 171.3 Fremont 94538 (888) 796-1101 (510) 574-4885
Notices to: CEO FY 23-24: C-1 D-1*
-2
Bakersfield
Behavioral
HealthCare FY 22-23: D-2 Yes Yes No Yes Central 110.8 Bakersfield 93309 (661) 241-5507 (661) 241-5587
Hospital, LLC FY 23-24: C-2
Notices to: CFO
SJBH, LLC—dba San
Jose Behavioral FY 22-23: D-4 Yes Yes No Yes Bay Area 139.3 San Jose 95138 (669) 234-5950 (669) 234-5936
Health FY 23-24: C-3
Notices to: CFO
Aurora Vista Del
Mar, LLC FY 2 D-6* Yes Yes No Yes Southern 213.5 Ventura 93001 (805) 519-1824 (805) 653-0612
Notices to: CFO FY 23-23-24: C-4
Aurora Behavioral
Healthcare—Santa FY 22-23: D-7 Yes Yes No Yes Bay Area 240.2 Santa Rosa 95401 (707) 800-7700 (707) 800-7797
Rosa, LLC FY 23-24: C-5
Notices to: CFO
Sacramento
Behavioral
Healthcare Hospital, FY 22-23: N/A Yes Yes No Yes Central 175 Sacramento 95815 (916)437-6429 (916)437-6592
LLC FY 23-24: C-6
Notices to: CFO
Aurora Las Encinas,
LLC. FY 22-23: N/A Yes Yes No Yes Los
FY 23-24: C-7 Angeles 203 Pasadena 91107 (626) 356-2774 (626) 356-2621
Notices to: CFO
AEDP=Adolescent Eating Disorders Program Revised March 28, 2024
*Professional fees charged separately July 1, 2022—April 10, 2023. Reverted back April 11, 2023.
Exhibit C-6
MASTER AGREEMENT
INPATIENT PSYCHIATRIC MENTAL HEALTH SERVICES
CONTRACTOR SCOPE OF WORK AND RATES
Contractor Name: Sacramento Behavioral Healthcare Hospital, LLC
Contract Term: July 1, 2023 through June 30, 2025
Contract Contact: Wade Sturgeon, CFO ; 626-366-3751 - cell);
asm.contracts@sacramentobh.com
Billing Contact: Eluchianna Olive, Business Office Manager
916-437-6526
eluchia n na.olive�@sacramentobh.com
1400 Expo Parkway, Sacramento CA 95815
Intake Contact: Inpatient: Intake Department — 916-437-6429
Service Address: 1400 Expo Parkway, Sacramento CA 95815
Services: Acute Inpatient Psychiatric Services, Adults; and Voluntary or
Involuntary (5150s) Admits).
Ages Served: Adults Ages 18+
Capacity: Total Beds — 117
Available beds for admission - 39
Medi-Cal Billing: For ages: 18 - 20 and 65+
Service Rates: As listed below. Rates are set by the Annual DHCS Regional Rate
Letterfor the Central Region Accommodation Code 124. Rates will
be updated as received.
Medi-Cal Inpatient Day Rate - Ages 18-20, 65+
(Code 124): FY 2023 - 24
Youth $1,324.00
Adult $1,324.00
Professional Services $110
Short Doyle
Inpatient Day Rate: FY 2023 - 24
Youth $1,434.00
Adult $1,434.00
Administrative Day Rate (Code 169) Effective May 12, 2023:
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4/1/2024
Exhibit C-6
FY 2023 - 24 FY 2024-25
Youth $817.64 $817.64
Adult $817.64 $817.64
By By .
Print Name: John Beall Print Name: A-b t'7-"
Title: ' Title: -C IF r �n-AAC115a7k
Chief Executive Officer Secretary (of Corporation), or
any Assistant Secretary, or
Chief Financial Officer, or
any Assistant Treasurer
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4/1/2024