HomeMy WebLinkAboutAgreement A-24-368 Amendment III to Master Agreement.pdf Agreement No. 24-368
1 AMENDMENT III TO AGREEMENT
2 THIS AMENDMENT, hereinafter referred to as Amendment III, is made and entered into
3 this 9th day of July , 2024 by and between the COUNTY OF FRESNO, a Political
4 Subdivision of the State of California, hereinafter referred to as "COUNTY', and each CONTRACTOR
5 listed in Exhibit A"List of Contractors" attached hereto and incorporated herein by reference, and
6 collectively hereinafter referred to as "CONTRACTOR(S)", and such additional CONTRACTOR(S) as
7 may, from time to time during the term of this Agreement, be added or deleted by COUNTY.
8 Reference in this Agreement to party or"parties" shall be understood to refer to COUNTY and each
9 individual CONTRACTOR(S), unless otherwise specified.
10 WITNESSETH
11 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
12 No. A-21-258, effective July 1, 2021, as amended by COUNTY Agreement No. A-23-059 effective
13 February 7, 2023, and COUNTY Agreement No. A-23-315 effective July 1, 2023, collectively
14 COUNTY Agreement No. A-21-258, whereby, CONTRACTORS agreed to provide geropsychiatric
15 skilled nursing care, locked skilled nursing care with special mental health treatment programs,
16 mental health rehabilitation center services, ancillary services and other enhanced treatment services
17 and other facilities to house and treat adults with severe and serious mental health impairments; and
18 WHEREAS, each CONTRACTOR has the secured facilities, staff and expertise, and is
19 licensed by the State of California, to provide residential mental health services and ancillary services
20 to severely and persistently mentally disabled persons in appropriate skilled nursing or mental health
21 rehabilitation center facilities; and
22 WHEREAS, COUNTY now desires to amend the description of services and rates to add
23 behavioral transitional care services for Contractor CF Merced Behavioral, LLC to serve an adult
24 person served currently requiring an urgent placement at this specific level of care; and
25 WHEREAS, the parties desire to amend COUNTY Agreement No. A-21-258 regarding changes
26 as stated below.
27 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is
28 hereby acknowledged, the parties agree as follows:
-1 - COUNTY OF FRESNO
Fresno, CA
1 1. All references to Revised Exhibit A shall be deemed references to Exhibit A-1. Exhibit A-
2 1 is attached and incorporated by this reference.
3 2. All references to Revised Exhibit C-2 "DESCRIPTION OF SERVICES & RATES" for CF
4 Merced Behavioral, LLC, d.b.a. Merced Behavioral Center shall be deemed references to Exhibit C-2-I.
5 3. The parties agree that this Amendment III is sufficient to amend the Agreement; and that
6 upon execution of this Amendment III, the Agreement, Amendment I, Amendment II, and Amendment
7 III together shall be considered the Agreement.
8 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
9 covenants, conditions and promises contained in the Agreement and not amended herein shall remain
10 in full force and in effect. This amendment is effective retroactively to June 3, 2024.
11 [SIGNATURE PAGE FOLLOWS]
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-2- COUNTY OFFRESNO
Fresno, CA
1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment III to Agreement No.
2 A-21-258 as of the day and year first hereinabove written.
3
4 CONTRACTOR(S): COUNTY OF FRESNO
5 PLEASE SEE SIGNATURE
PAGES ATTACHED
6
7 Nathan Magsig, Chairman of the Board of
Supervisors of the County of Fresno
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9 ATTEST:
10 Bernice E. Seidel
Clerk of the Board of Supervisors
11 County of Fresno, State of California
1,
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By:
13 'Deputy
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18 FOR ACCOUNTING USE ONLY:
Fund/Subclass: 0001/10000
19 Organization: 56302175
Account/Program: 7295/0
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21 $133,577,211 Term Maximum
22 $21,879,610 FY 2021-22
$24,067,571 FY 2022-23
23 $26,474,329 FY 2023-24
$29,121,762 FY 2024-25
24 $32,033,939 FY 2025-26
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-3- COUNTY OF FRESNO
Fresno,CA
1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment III to Agreement No.
2 A-21-258 effective retroactively to June 3, 2024.
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CONTRACTOR: CIF ME CED BEHAVIORAL, LLC., D.B.A. MERCED BEHAVIORAL CENTER
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5 By—
6 Print Name: 4ow
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8 vpTitle: )/1, !
9 Chairman of the Board, President, or Vice President
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Date:
11 vC
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13 By
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15 Print Name: Paulina Salazar
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Title: CFO, Cambridge Healthcare Services, LLC
17 Secretary(of Corporation), Assistant Secretary,
18 Chief Financial Officer, or Assistant Treasurer
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Date: 6/13/2024
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22 MAILING ADDRESS:
23 1255 B Street
24 Merced, CA 95341
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-4- COUNTY OFFRESNO
Fresno,CA
Exhibit A-1
LIST OF CONTRACTORS
CONTRACTOR NAME EXHIBIT REFERENCE
1. 71" Avenue Center Revised Exhibit C-1
2. CF Merced Behavioral, LLC., d.b.a. Merced Behavioral Exhibit C-2-1
Center
3. Crestwood Behavioral Health, Inc. Revised Exhibit C-3
4. Vista Pacifica Enterprises, Inc., d.b.a. Vista Pacifica Revised Exhibit C-4 (a-b)
Center and d.b.a. Vista Pacifica Convalescent
5. Helios Healthcare, LLC., d.b.a. Idylwood Care Center Revised Exhibit C-5
6. KF Community Care, LLC., d.b.a. Community Care Center Revised Exhibit C-6
7. Telecare Corporation Revised Exhibit C-7 (a-c)
8. Mental Health Management I, Inc., d.b.a. Canyon Manor Revised Exhibit C-8
9. Oaklandidence Opco, LLC., d.b.a. Medical Hill Healthcare Revised Exhibit C-9
Center
10. Community Care on Palm Riverside, LLC Revised Exhibit C-10
11. California Psychiatric Transitions Revised Exhibit C-11
12. Golden State Health Centers, Inc., d.b.a.
Sylmar Health and Rehabilitation Center Revised Exhibit C-12
13. Countryside Care Center, LLC Revised Exhibit C-13
14. GHC of Fresno, LLC d.b.a. Horizon Health & Subacute Revised Exhibit C-14
Center
15. GHC of Anberry, LLC d.b.a. Anberry Nursing and
Rehabilitation Center Revised Exhibit C-15
16. RG Legacy 11, LLC d.b.a. Pasadena Nursing Center Revised Exhibit C-16
Revised 6.7.24
Exhibit C-2-1
Page 1 of 3
DESCRIPTION OF SERVICES & RATES (FY 2024-25)
CF MERCED BEHAVIORAL, LLC, d.b.a. MERCED BEHAVIORAL CENTER
1255 B Street
Merced, CA 95340
Number of Licensed Beds: 96
Contractor agrees to provide County with Skilled Nursing Facility/Institutions for Mental Disease
(SNF/IMD) services to adult persons served between the ages of 18 to 64 years with mental health
conditions, pursuant to California's Welfare and Institutions Code, section 5900 et seq., Title 22 of the
California Code of Regulations, the State Department of Health Care Services' Policies and Directives;
and other applicable statutes and regulations that apply to the SNF/IMD facilities and programs.
For the purposes of this Agreement, the term "bed day" includes beds held vacant for persons served
who are temporarily [not more than seven (7) days] absent from a facility. An emergency IMD/SNF
bed-hold for psychiatric and non-psychiatric reasons beyond seven (7) day must be approved by the
County's Department of Behavioral Health (DBH) Director, or designee. The County will pay up to the
first seven (7) bed-hold days and approval must be provided by the County for any additional days after
consulting with the Contractor. The County will have the final say on a case—by-case basis if an
extended bed-hold of beyond seven (7) days is necessary. The Contractor will notify the County
immediately if Contractor has knowledge that the person served will require treatment at a facility or is
eloped lasting seven (7) days or more. A bed hold for non-psychiatric reasons include, but are not
limited to, medical hospitalization or elopement.
In addition to the services listed in "Scope of Work" (Exhibit B), Contractor shall provide the following:
I. BASIC DAILY RATE SERVICES:
Basic Daily Rate services consist of usual and customary SNF/IMD services to adult persons
served with mental health conditions, plus those services that are included in Special Treatment
programs as contained in Title 22 of the California Code of Regulations, sections 72443-72475.
Basic Daily Rate services include reasonable access to required medical treatment, up-to-date
psychopharmacology, transportation to needed off-site services and bilingual/bicultural
programming.
SPECIAL TREATMENT PROGRAMS:
Special Treatment Programs (STP) serve persons who have a chronic psychiatric impairment
and whose adaptive functioning is moderately impaired. These persons served require
continuous supervision and may be expected to benefit from an active rehabilitation program
designed to improve their adaptive functioning or prevent any further deterioration of their
adaptive functioning. Services are provided to persons having special needs or deficits in one
(1) or more of the following areas: self-help skills; behavioral adjustment; interpersonal
relationships; pre-vocation preparation, alternative placement planning, and/or pre-release
planning.
11. ENHANCED SERVICES:
Exhibit C-2-1
Page 2 of 3
Enhanced Services consist of specialized program services, which augment basic services.
Enhanced Services are designed to serve persons who have sub-acute psychiatric impairment
and/or whose adaptive functioning is severely impaired.
A charge in addition to the Enhanced Services bed rate may be negotiated for an individual
person served on an as-needed basis between the County's Department of Behavioral Health
(DBH) Director, or designee, and Contractor for Enhanced and STP services by using the
Special Services Authorization Form. The County's DBH Director, or designee, must approve
these rates before the person served is placed or initiation of any enhanced services takes
place.
III. REQUIREMENTS:
Contractor shall provide up to thirty-five (35) beds per day for authorized County persons served
during each term of the Agreement. In addition, Contractor shall provide additional beds as
needed by the County, subject to availability of said beds by the Contractor. The County does
not guarantee any minimum number of beds for all services provided by the Contractor and
payment will be based on usage.
IV. RATES:
Program Services Rate
Basic Daily Rate $ 235.15 per day
Bed Hold Rate* $ 225.58 per day
Enhanced Services Patch Rate** $ 432.00 per day
1 on 1 Monitoring
Murphy Conservatee Daily Patch Rate $ 150.00 per day
BTC Unit Daily Patch Rate*** $ 445.00 per day
* Bed Hold Rate — Person Served out at Hospital. Above rate will be paid up to seven (7) days
without authorization required.
** All rates other than the Basic Daily Rate services must be pre-approved by the County's DBH
Director, or designee, prior to placement or initiation of such services. For any rate higher than
the Basic Rate Services, both the rationale and the extra services must be specified and time-
limited and approval must be sought using the Special Services Authorization Form.
*** Prior to placement of a person served in the BTU Unit, placement must be approved by the
DBH Director, or designee.
Rates are inclusive of psychiatric services.
Rate is set at the State Medi-Cal rate and will be adjusted if the Medi-Cal rate changes. In the
event a person served is placed who does not have Medi-Cal and is under age 65, County will
pay both the "with Medi-Cal" rate and the "without Medi-Cal" rate above to cover room and
board charges.
Ancillary outpatient services (laboratory, x-rays, or other medical services performed offsite to a
person served residing in an IMD/SNF/MHRC) must be billed directly to Medi-Cal, pursuant to
Title 22 of the CCR. County shall be informed and/or approve of any such service(s) to Medi-
Cal ineligible persons served in advance of services being provided, where possible. Ancillary
Exhibit C-2-1
Page 3 of 3
charges for non-Medi-Cal persons served or non-Medi-Cal billable services may be billed
separately from the monthly service invoice and submitted with supporting documentation to
County.