Well, this is confusing! Are we paying to send them out or taking money to keep them here?

Here’s Item 3.1 on the Board of Supervisors Consent Agenda for tomorrow:

Agreement with BHC Heritage Oaks Hospital, Inc. for Inpatient Psychiatric Services- BHC Heritage
Oaks Hospital, Inc., provides inpatient psychiatric hospitalization services. The State mandates
contracting with managed care hospitals based on a county’s historical utilization. Butte County
Department of Behavioral Health (BCDBH) began drafting the managed care hospital agreements
in March but needed to wait for each “host county” (county in which the hospital exists), to
negotiate its rates with the hospital for the new fiscal year. Once negotiated, the contract must
be fully executed by the respective governing board. The State is notified by the host county of
the contracted rates, and all other counties who contract with the hospital utilize those rates per
the direction of the State. Due to these requirements, agreements with managed care hospitals
are typically approved later in the fiscal year. Approval is requested for an agreement with BHC
Heritage Oaks Hospital, Inc. to provide inpatient psychiatric services for clients referred by
BCDBH. The term of this agreement will be July 1, 2017 through June 30, 2019. The maximum
financial obligation under this agreement shall not exceed $700,000 ($350,000 in fiscal year (FY)
2017-18 and $350,000 in FY 2018-19) – action requested – APPROVE AGREEMENT AND
AUTHORIZE THE CHAIR TO SIGN. (Behavioral Health)

Heritage Oaks is in Sacramento. I don’t understand the rhetoric about mandates, historical utilization, contracted rates, etc, but I do see, a lot of money is flowing into these psychiatric facilities, taxpayer money. 

Here’s Item 3.2 – an agreement to take patients from Shasta County:

Revenue Agreement with Shasta County for Provision of Acute Psychiatric Inpatient Care – Shasta
County wishes to enter into an agreement with Butte County Department of Behavioral Health
(BCDBH) for the provision of acute psychiatric inpatient care. Through this agreement, Shasta
County may refer clients to BCDBH’s Psychiatric Health Facility (PHF) for services. Approval is
requested for a revenue agreement between Shasta County and BCDBH for inpatient psychiatric
services at the BCDBH’s PHF for Shasta County residents. The term of this agreement will be July
1, 2017 through June 30, 2018. The maximum revenue under this agreement shall not exceed
$37,000 – action requested – APPROVE AGREEMENT AND AUTHORIZE THE CHAIR TO SIGN.
(Behavioral Health)

And here they come –  “homeless advocates” would have us believe these people are “from Chico”.   I guess it doesn’t matter where they were born, but where they’ve been keeping themselves lately?