Consider recommendations regarding a Service Agreement with Crestwood Behavioral Health, Inc. for crisis residential treatment services for Fiscal Years (FYs) 2026-2028; adult residential facility services; mental health rehabilitation center services; skilled nursing facility services; and training services for FYs 2026-2029, as follows: a) Approve and authorize the Chair to execute an Agreement for Services of Independent Contractor with Crestwood Behavioral Health, Inc. (not a local vendor) for the provision of crisis residential treatment services with an end program date of June 30, 2028; adult residential facility services; mental health rehabilitation center services; skilled nursing facility services; and training services for a total maximum contract amount not to exceed $5,814,680.00, inclusive of $2,464,840.00 for FY 2026-2027, $2,494,840.00 for FY 2027-2028, and $855,000.00 for FY 2028-2029, for the period of July 1, 2026 through June 30, 2029; b) Delegate to the Director of the Department of Behavioral Wellness or designee the authority to (i) make immaterial changes to the Agreement as provided in Section 25 of the Agreement’s Standard Terms and Conditions; (ii) approve exclusion of members from receiving services per Section 9 of Exhibit A-4 of the Agreement; (iii) amend the program goals, outcomes, and measures per Section 15 of Exhibits A-4 through A-7 of the Agreement and per subsection 5.B.4. of Section III of Exhibit AA ADP/MHS (applicable to programs described in Exhibits A-4 through A-7) of the Agreement; (iv) increase the caseload of more than five County members per Section 6 of Exhibit A-5 of the Agreement; (v) suspend, delay, or interrupt the services under the Agreement for convenience per subsection 1.F. of Section I of Exhibit AA ADP/MHS (applicable to program described in Exhibits A-4 through A-7) of the Agreement; (vi) reallocate funds between funding sources per subsection D.1 of Section 1 of Exhibit B ADP/MHS (applicable to programs described in Exhibits A-4 through A-7) of the Agreement; (vii) increase the daily bed rate up to a maximum of $600.00/day per subsection B.2. of Section 3 of Exhibit B ADP/MHS (applicable to program described in Exhibit A-4) of the Agreement; (viii) incorporate new codes, make fee-for-service rate changes to Exhibits B-1 and B-3 MHS per subsection B.3. of Section 3 of Exhibit B ADP/MHS (applicable to program described in Exhibit A-4) of the Agreement; (ix) make rate changes to or otherwise update Exhibit B-1 and B-3 MHS for multi-year contracts annually per subsection B.4. of Section 3 of Exhibit B ADP/MHS (applicable to program described in Exhibit A-4) of the Agreement; (x) may agree to pay for other rates for special circumstances besides those listed in Exhibit B-1 MHS per subsection D.1. of Section 3 of Exhibit B ADP/MHS (applicable to programs described in Exhibits A-5 through A-7) of the Agreement; (xi) approve funding that cannot be moved between programs by Contractor and reserve the right to reallocate between programs in the year-end settlement per Section 6.A. of Exhibit B ADP/MHS (applicable to program described in Exhibits A-4 through A-7) of the Agreement; (xii) withhold payment for non-submission of service data and other information per subsection 7.D. of Exhibit B ADP/MHS (applicable to program described in Exhibits A-4 through A-7) of the Agreement; (xiii) deny or withhold payment for unsatisfactory clinical documentation per subsection 7.E. of Exhibit B ADP/MHS (applicable to program described in Exhibits A-4 through A-7) of the Agreement; and (xiv) may adjust the maximum daily rate to accommodate members with acute needs, additional monitoring, or medical complexity as provided in Exhibit B-1 MHS (applicable to programs described in Exhibits A-5 through A-7) of the Agreement, 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-recommended actions are not a project that is subject to environmental review under the California Environmental Quality Act (CEQA), pursuant to CEQA Guidelines section 15378(b)(4), finding that the actions are governmental funding mechanisms and/or fiscal activities that will not result in direct or indirect physical changes in the environment.

Administrative Item Agenda Ready Introduced June 11, 2026

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