Consider recommendations regarding a Dignity Health dba Marian Regional Medical Center for Fiscal Years (FYs) 2024-2027 Services Agreement for Crisis Stabilization Unit (CSU) Services, as follows: a) Approve and authorize the Chair to execute an Agreement for Services of Independent Contractor with Dignity Health dba Marian Regional Medical Center (a local vendor) to provide outpatient CSU services at its CSU, a designated Lanterman-Petris-Short Act facility for a maximum contract amount $10,080,000.00 inclusive of $3,360,000.00 for FY 2024-2025, $3,360,000.00 for FY 2025-2026, and $3,360,000.00 for FY 2026-2027; b) Delegate to the Director of the Department of Behavioral Wellness or designee, all without altering the maximum contract amount and without requiring the Board’s approval of an amendment of the Agreement, subject to the Board’s ability to rescind this delegated authority at any time, the authority to: i) Suspend, delay, or interrupt the services under the Agreement for convenience per Section 20 of the Agreement; ii) Make immaterial changes to the Agreement per Section 26 of the Agreement; iii) Reallocate funds between funding sources per Exhibit B and B-1; iv) Incorporate new codes and make fee-for-service rate changes to Exhibit B-3 Mental Health Services (MHS) issued by the California Department of Health Care Services; make rate changes to Exhibit B-3 MHS for County’s operational reasons; make rate changes to or otherwise update Exhibit B-3 MHS for multi-year contracts annually; provided that at no time will the rate adjustment be lower than the current amount specified in the Exhibit B-3 MHS; and v) Amend the program goals, outcomes, and measures per Exhibit E, all without altering the maximum contract amount and without requiring the Board’s approval of an amendment of the Agreement, subject to the Board’s ability to rescind this delegated authority at any time; and c) Determine that the above actions are a government funding mechanism or other government fiscal activities, which do not involve any commitment to any specific project that may result in a potentially significant physical impact on the environment, and is an organizational or administrative activity of the government that will not result in direct or indirect physical changes in the environment and are therefore not a project under the California Environmental Quality Act (CEQA) pursuant to Section 15378(b)(4) and (b)(5) of the CEQA Guidelines.

Administrative Item Agenda Ready Introduced June 18, 2024

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